Utilization Review Specialist
HUMBLE VASCULAR SURGICAL CENTER INC
HUMBLE VASCULAR SURGICAL CENTER INC in Addison, Texas, is seeking a dedicated RN Case Manager to oversee utilization reviews and discharge planning. The role involves ensuring compliance with medical necessity guidelines while collaborating with physicians and interdisciplinary teams. The ideal candidate will possess a Bachelor of Science in Nursing, an active RN license in Texas, and five years of relevant experience. Strong communication and critical thinking skills are essential for effectively managing patient care and achieving optimal outcomes. #J-18808-Ljbffr
$70k - $100k
...Description Methodist Surgery Center, part of the Surgery Partners network, is seeking an experienced Utilization Review Specialist to join its team in Addison, Texas. This position is ideal for someone with many years of experience doing Utilization Review who can quickly...SuggestedPermanent employmentRemote work2 days per week- A healthcare organization in Texas is seeking an RN Utilization Review Coordinator to perform utilization reviews and ensure medical necessity compliance. The role involves collaborating with healthcare teams, managing denial appeals, and supporting discharge planning....SuggestedFull time
$16.74 - $26.92 per hour
...Utilization Review (Ur) Intake SpecialistThe Utilization Review (UR) Intake Specialist provides staff support services including typing reports and correspondence, file handling and forms completion in addition to answering incoming telephone calls, supporting the goals...SuggestedMinimum wageFull timeWork at officeLocal areaFlexible hours- A leading medical review organization is seeking Board-Certified physicians in Gastroenterology for a flexible remote opportunity. This role requires conducting independent Utilization Reviews for just 1-2 hours per week, with no minimum commitment. Candidates must have...SuggestedRemote workFlexible hours
- ...About the Role The Utilization Review Coordinator plays a critical role in ensuring that patients at our facility receive the appropriate level of care while managing treatment costs. This position involves coordinating, assessing, and authorizing treatment plans, collaborating...SuggestedFull timePart timeWeekend work
- ...healthcare institution in Addison, TX seeks an experienced Registered Nurse (RN) to oversee the Case Management team focusing on Utilization Review. Responsibilities include managing departmental operations, ensuring compliance with regulations, and improving care...Full time
- UT Southwestern Medical Center is seeking an Utilization Management Coordinator on a PRN basis with availability from 7am to 10pm. The role supports faxing initial, concurrent, and discharge reviews to insurance providers and documents information in EPIC. It involves handling...Relief
$90k - $100k
...from Principle Services, LLC Field Safety Specialist We are seeking a highly skilled and... ...operations, specifically within the Electric Utility Industry on Substation and Transmission... ...Support the development and review of safety plans, wire-pulling plans, site...Contract workFor contractorsWork at officeLocal areaRemote workFlexible hours- EMPOWER - OASIS Review Coding Specialist job at EMPOWER. Richardson, TX. GENERAL PURPOSE Accurate and timely coding and review of home health... ...to overall quality improvement efforts, and manage visit utilization. ESSENTIAL FUNCTIONS Review and analyze OASIS assessments...
- Job Summary You supervise utilization review for RNs. You oversee processes daily. Guide on complex cases. Identify staff education opportunities. Connect departments through communication. Job Summary You supervise utilization review for RNs. You oversee processes daily...Work at office
- ...Job Details The Lead Generation Specialist is responsible for building top-of-funnel... ...industries, including retail, logistics, utilities, and commercial property • Execute outbound... ...in sales strategy, planning and review discussions Work closely with management...Local areaRemote workMonday to Friday
$125k - $182.5k
...Charge or Assistant Examiner-in-Charge, executing transaction reviews, secondary reviews of transactional testing completed by others... ..., external auditors and regulatory agencies.The Portfolio Specialist works together with the Credit Review Portfolio Manager(s) to...Full timeWork at officeFlexible hoursDay shift- Baylor Scott & White Health in Dallas, TX seeks a supervisor to oversee Utilization Review for RNs and guide daily processes. The role focuses on complex case guidance, staff education opportunities, and interdepartmental communication to enhance care quality. Responsibilities...
- ...to apply for the Senior Constructability Specialist role at ArchKey Solutions 3 days ago Be... ...Day in the Life Leads constructability reviews for high‑complexity projects,... ...safety and health of self and others. Utilizes LEAN concepts or other continuous improvement...For subcontractorCasual workWork at officeMonday to FridayNight shiftAfternoon shift
- ...The Utility Specialist here at Csquare provides analytical support to the Utility Manager, enabling effective and reliable operational support of all utility services across the data?center colocation facilities and third-party bill partner. The Utility Specialist...Work at officeLocal areaOverseas
- ...Utility Specialist - Single Family Rental Property Operations Dallas, TX Evergreen Residential is a high growth real estate company and institutional investment platform in the single-family residential ('SFR') and build-to-rent ("BTR") sectors. We are committed...Work at officeLocal areaFlexible hoursAfternoon shift
- JOB SUMMARY: Under direction, perform skilled maintenance, repairs and installations on utility related facilities. Perform preventive maintenance on electrical, electronic, plumbing, pumping, mechanical, and motor control systems. Perform other related work as required...Full timeWork at office
- POSITION PURPOSE Performs all daily functions associated with the review and verification of required Core system input for Commercial, Commercial Real Estate, Consumer and Commercial Construction loans. To ensure the data system is accurate for Bank reporting requirements...Full timeBank staffWork at officeMonday to Friday
- Description SENIOR BIM SPECIALIST This position can be based out of our Dallas TX or St. Louis... ...electrical designs on schedule. May review the work of co-workers as needed. Produces... ...electrical construction initiatives, utilizing standard Company software, such as Autodesk...Contract workWork experience placementWork at office
$69.5k - $102.1k
...development opportunities. Execution inspection Visit and review accounts for compliance with CBBD's retail execution standards.... ...coordinate promotional activity in area of responsibility Utilize available marketing resources in order to maximize sales and achieve...Minimum wageFull timeWork at officeRemote workShift work- McCarthy & Holthus, LLP. in Plano, TX seeks a Full Time Support Staff to review title reports, document results, and establish an accurate chain of title. You will identify issues and initiate curative actions, communicating findings to clients and supporting department...Full timeFlexible hours
- ...affordable, competitive and flexible benefits. Position Summary Credit Review provides an independent assessment of credit decisions and the... ..., external auditors and regulatory agencies. The Portfolio Specialist works with the Credit Review Portfolio Manager(s) to establish...Flexible hoursShift workDay shift
- ...Document Review Specialist Medix Infusion is currently seeking a highly skilled and dedicated Document Review Specialist to join our team. The role is an administrative position that will be responding to a high volume of intake requests. Top candidates will have exceptional...
- ...Time, Mid-LevelDepartment: LegalAs a CGS Hmong Chinese Document Reviewer you will play a key role in supporting various aspects of the... ...;Produces a variety of written documents and materials utilizing a wide range of office software applications;Establishes and maintains...Full timeWork at office
- ...Job Description Job Description The Reny Company's bill reviewer is a professional who combines experience in health insurance and... ...accuracy and appropriateness. This support is achieved by utilizing intelligent software and by understanding and applying knowledge...Hourly payWork experience placement
- ...apply now.We are currently seeking a Systems Integration Senior Specialist to join our team in Addison, Texas (US-TX), United States (US)... ...Technical Specification Document Perform code and design reviews to ensure that the deliverables adhere to the project guidelines...Work at officeRemote workFlexible hours
- ...Purpose The primary purpose of the Coding Specialist II is to code and verify charge data... ...role is also responsible for charge review on clinic and hospital visits to ensure... ...charge review skills understanding the utilization of modifiers and other coding, charging...Contract workLocal areaRemote work
- ...procedures. Participates in ongoing quality monitoring, policy review and process improvement activities. Serves as a lead... ...counseling and evaluation of assigned employees to ensure maximum utilization of individual and group capabilities. Assists with patient...Work at office
- ...Utilization Management Coordinator PRN With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to... ...Duties: Assists in faxing initial, concurrent or discharge reviews to insurance companies. Documents information submitted/received...Full timeRelief
- ...economists, management consultants and specialists across disciplines to solve complex mobility... ...around the world. In the role of Utility EIT/Coordinator , we’ll count on you for... ...budget management. Participate in the QA/QC review of plans, specifications, and cost estimates...Work at officeRelocation
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