RN Utilization & Prior Authorization Specialist
W3R Consulting
W3R is seeking a Texas Licensed Registered Nurse for a role focused on conducting reviews to optimize member healthcare outcomes across Texas. This position does not involve direct patient care but requires working closely with healthcare providers to ensure high quality, cost-effective medical services. The ideal candidate must be available for 8-hour shifts and possess experience in pediatric and chronic care management. Strong communication skills and knowledge of healthcare resources are essential. #J-18808-Ljbffr W3R
$20.98 - $30.12 per hour
...up with insurers to recover inaccurate payments. Reviews accounts to ensure accuracy of billing/charging utilizing knowledge of pre-certification /prior authorization procedures to validate account status. Resolves any problems with billing or handling of accounts....SuggestedImmediate startRemote work- ...innovative approaches to neurobehavioral healthcare. Website: Texas NeuroRehab Center is currently accepting applicants for a Utilization Outcomes Specialist. This candidate will supervises and coordinates the clinical review of patients for optimal customer satisfaction and...SuggestedLocal areaFlexible hours
- ...Utilization Outcomes Specialist Texas NeuroRehab Center is a specialized treatment facility located ten minutes from downtown Austin on 67 wooded acres. Originally a cattle ranch, the land was purchased in 1943 as part of The Brown Schools and has operated as a medical...SuggestedLocal areaFlexible hours
- Texas NeuroRehab Center, part of Universal Health Services, is seeking a qualified Utilization Outcomes Specialist to supervise clinical review of patients and optimize resource use. The role ensures documentation meets regulatory standards and that the UM plan complies...Suggested
- Austin Oaks Hospital, part of Universal Health Services, is seeking an Admissions Registered Nurse (RN) PRN to coordinate referrals/admissions and assess patients’ psychiatric and medical status. You will document in the system and support the treatment team, including...SuggestedRelief
- Ageless Women’s Health in North Austin is seeking a compassionate Registered Nurse (RN) to join our Women’s Wellness Clinic in a per diem, on-site role. You will provide hands-on clinical care, patient education, and ongoing wellness support to empower women. You’ll perform...Daily paidMonday to FridayWeekend work
$2,150 - $2,263 per week
A healthcare recruiting firm is looking for an experienced RN-EP-Electrophysiology Lab for a travel contract in Austin, Texas. With the potential to earn between $2150 and $2263 per week for a 13-week assignment, this role offers a unique opportunity to make a difference...Contract work- Medical Solutions is seeking a travel nurse RN Post Partum for a travel assignment in Austin, Texas. The role requires a Post Partum specialty with RN discipline and 36 hours per week on a 12-hour night shift, travel employment. Hospital in TX needs Postpartum RNs; minimum...Night shift
- ...emphasizes multidisciplinary leadership, clinical excellence, and coordinated care to support pediatric patients and families. Minimum requirements include a Texas RN license and BLS certification; pediatric ICU/NICU/ER experience is #J-18808-Ljbffr CedarparktexasedcFull timeMonday to Friday
- ...exceptional care to those who need it most. Job Description The HME Specialist will serve as a critical member of the Giving Home Medical Equipment patient service team, specializing in the Prior Authorization Management. As part of the HME Operations Team which compiles,...Work at officeLocal areaImmediate start
- Central Health in Austin, Texas, is seeking a Clinical Quality and Utilization Review Specialist to manage utilization reviews, peer review processes, and quality improvement initiatives. This role requires collaboration with medical staff and interdisciplinary teams to...
- ...outpatient services, out of network services, and appropriateness of treatment setting within the scope of professional limitations by utilizing the applicable rules of the Texas Administrative Code (TAC), Texas Health and Human Services Commission (HHSC) approved medical...Contract workAll shiftsShift work
- Giving Home in Austin, Texas, is seeking a dedicated HME Specialist to join the patient service team. This role focuses on Prior Authorization Management, coordinating patient information and verifying documentation through effective communication with internal and external...
$11.11 per hour
...Representative in Austin, Texas. This role involves assisting the Provider Relations Team to educate the provider community on Prior Authorizations. Candidates should have at least 2 years of relevant experience and be efficient with Microsoft Office. Strong teamwork...Hourly payWork at office- ...environment. We require a bachelor’s degree in a technical field (Safety and/or Occupational Health preferred) plus 4+ years in the energy/utility sector, OR a minimum of 8 years of experience (preferably a minimum of 5 years of safety experience plus 3 years other applicable...For contractorsWork at officeLocal areaRelocation
- ...exciting opportunity for a Senior Transmission Line Permitting Specialist to join our Environmental Planning and Permitting (EPP) team... ...offices.Our EPP team serves numerous private industry and public utility energy clients, on a variety of energy projects including...Work at officeLocal areaWorldwideFlexible hours
$3,850 - $4,100 per month
...assist with questions that arise.WHAT YOU WILL DO:The Program Specialist I performs routine (journey-level) consultative services and technical... ...eligibility verification document form upon hire.A position utilizing this classification will be designated as security sensitive...Full timeTemporary workWork experience placementSeasonal workH-2A VisaH2bWork at officeLocal areaRelocationWork visa- ...companies and/or healthcare consultanciesDeep interest and skillset in analytics and a passion for improving the way hospitals source and utilize external spend areas from supplies to pharmaceuticals to purchased servicesExperience and appetite in analytics and quantitative/...ApprenticeshipEasy work
- ...support your physical and psychological health.Productivity tools: Utilize cutting-edge tools like Microsoft Copilot to enhance your... ...and efficiency.Job Description:Join Our Team as a Cost Control Specialist and Help Drive Operational Excellence at Webber Infrastructure...Full timeContract workFor subcontractorWork at officeLocal areaWorldwide
- ...homelessness or facing significant barriers to securing permanent housing.Utilize the Housing First model to assist Veterans in obtaining rapid... ...ensure units meet SSVF habitability and program requirements prior to financial assistance approval.Maintain accurate daily logs...Permanent employmentWork at office
$140.47k - $190.04k
...serve patients, we are actively searching for a Senior Oncology Specialist to deliver on this commitment to patients. Amgen Oncology is... ...professionals. Our Senior Oncology Specialists achieve territory sales by utilizing their Oncology background and experience to: Create and...Full timeLocal areaRemote workRelocationFlexible hours- A leading nonprofit health system in Austin is looking for a full-time Registered Nurse to assist in surgical procedures at Dell Children's Medical Center. The ideal candidate must have a nursing diploma and relevant certifications including BLS and Advanced Life Support...Full time
- ...processes that many leading companies and government agencies utilize.What would you do? Deliver exceptional, differentiated solutions... ...StatementsApplicants for employment in the US must have work authorization that does not now or in the future require sponsorship of a...Full timeLive inWork at officeLocal area
- ...Aqua, an Essential Utilities company, employs people in a variety of roles within our eight-state footprint, ranging from field workers... ...service and natural gas providers in the U.S. The Safety Specialist II ensures the safety of Aqua Texas and the workplace in accordance...Work at officeLocal areaShift workNight shift
- ...Job Title: MEP Specialist / Journeyman Job Description We are seeking a highly qualified Lead Electrical Superintendent to join... ...workmanship of finished products. Develop and maintain a Site Utilization plan. Maintain a phone log. Prepare pre-punch list...Contract workTemporary workFor subcontractor
- ...Job Title: A/R Specialist Department: Revenue Cycle Management Reports to: A/R Manager FLSA... ...receivable, prioritizing account reviews and utilizing time management skills. Assists team... .... Ensures all claims are working prior to payor timely filing deadlines are hit...Full timeContract workTemporary workPart timeWork at officeRemote workFlexible hours
- ...Prevention Specialist - Part-Time - Austin ESSENTIAL DUTIES AND RESPONSIBILITIES In addition to all components of the above position summary... ...to the progress of participants in the program. Promotes and utilizes a research‑based curriculum as designated by the program...Contract workPart timeLocal areaFlexible hours
- ...Position Summary The Revenue Cycle Specialist is responsible for managing the revenue cycle processes to ensure timely, accurate, and... ...and resubmit corrected claims to ensure timely reimbursement. Utilize Direct Data Entry (DDE), Medicare systems, clearinghouses, and...Daily paidFor contractors
- ...Asset Protection Specialist | Home Depot The Asset Protection Specialist is primarily responsible for preventing financial loss caused... ...compliance in their assigned store/multiple stores. They utilize tools to minimize loss to the Company, including but not limited...
- ...support your physical and psychological health.Productivity tools: Utilize cutting-edge tools like Microsoft Copilot to enhance your... ...efficiency.Job Description:Join Our Team as a Project Controls Specialist and Help Drive Project Excellence Across Webber Infrastructure...Full timeWork at officeLocal areaWorldwide
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