Utilization review jobs in Austin, TX

18,569 vacancies

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Behavioral Health Utilization Review Specialist

 ...JOB SUMMARY The Utilization Review Specialist provides subject matter expertise in performing utilization reviews and educates health plan staff and providers regarding the appropriate delivery of therapy services. This role is responsible for development of utilization... 

Baylor Scott & White Health

Austin, TX
16 days ago

Utilization Review RN

 ...knowledge and clinical judgment to assess patient needs. Present findings and review collaboratively with the medical directors and chief medical officer Responsible for utilization management and utilization review for prospective (prior authorization), concurrent... 

Bicycle Health

Austin, TX
20 days ago

REMOTE - Utilization Review RN $40/hr

 ...NV, CA, or AZ for consideration Hours: Department hours are 6am-9pm PST, so you will work 8-5pm within your timezone Utilization Review RN Provide first level clinical review for all outpatient and ancillary services requiring authorizations. Utilize decision... 
Remote job

Wollborg Michelson Recruiting

Austin, TX
21 hours ago

RN-Utilization Review

We Are Hiring: Part Time -Weekend RN Utilization Review: This position needs someone experienced with Case Management Utilization Review either in the hospital or commercial payor field. This is a weekend position, Saturday 10 hours and Sunday 10 hours. In addition... 

Ascension

Austin, TX
11 days ago

Director Utilization Management

 ...management and oversight of the HSD functions. These functions include performance of prospective, concurrent and retrospective utilization review, as well as appeals and grievances. The Director works closely with staff from Intake Support, Utilization Management, Case... 

Baylor Scott & White Health

Austin, TX
8 days ago

Senior Utility Project Manager

 ...Job Description SUMMARY We are seeking a Senior Utility Project Manager, for an engineering firm in Austin, TX. If you are seeking...  .... RESPONSIBILITIES Preparing Utility Agreement packages, reviewing plans and estimates to evaluate compliance with guidelines,... 

Enhance Recruiting

Austin, TX
9 days ago

Utility Coordinator

 ...integral role in acting as liaison between infrastructure designers, utility agencies and project owners on behalf of clients for Utility...  ...the status of utility coordination activities Perform QA/QC reviews of utility plans, specifications and cost estimates to assure... 

T2 Utility Engineers

Round Rock, TX
27 days ago

RN-Utilization Review

We Are HiringPart Time -Weekend RN Utilization Review:This position needs someone experienced with Case Management Utilization Review either in the hospital or commercial payor field.This is a weekend position, Saturday 10 hours and Sunday 10 hours. In addition, associates... 

Ascension Health

Austin, TX
5 days ago

RN Utilization Review I

 ...of network services, andappropriateness of treatment setting by utilizing the applicablemedical policy and industry standards accurately...  ...are not limited to:*Conducts pre-certification, continued stay review, care coordination, or discharge planning for appropriateness oftreatment... 

Anthem, Inc

Austin, TX
6 days ago

Image Review CLERK

 ...accurately processing Optical Character Read (OCR) images for violation enforcement, account posting, lane tuning, and business practice reviews achieved by using the BOS, to review, verify and accept or reject images as a violation deterrent. Process images through BOS by... 

Faneuil

Austin, TX
5 days ago

Telecommute Utilization Reviewer

new
A behavioral health care company needs applicants for an opening for a Telecommute Utilization Reviewer. Individual must be able to fulfill the following responsibilities: Submit pre-authorization application for admitting patients Track status of authorizations, last... 

VirtualVocations

Austin, TX
6 hours ago

Licensed Utilization Review II

 ...’s life, and help make healthcare easy, apply today! Licensed Utilization II Job Summary: Responsible for working primarily with healthcare...  .... This level works with more complex elements and requires review of more complex benefit plans. May also serve as a resource to... 

Anthem, Inc

Austin, TX
13 days ago

Utilization Review Nurse-LVN or RN

Utilization Review Nurse-LVN or RN Job description ABOUT YOU You thrive in a fast-paced environment. You're curious and have an eye for detail. You strive to exceed expectations, and succeed. You're excited by the opportunity to join a fast-growing company with unlimited... 

Boon-Chapman

Austin, TX
9 days ago

Licensed Utilization Review II

Description SHIFT: Day Job SCHEDULE: Full-time Your Talent. Our Vision. At Anthem, Inc., its a powerful combination, and the foundation upon which were creating greater access to care for our members, greater value for our customers, and greater health for our communities...

Anthem, Inc

Tarrytown, TX
3 days ago

Image Review CLERK-H2

Description">Minimum Requirements 6 months prior data entry experience or a related area preferredHigh school diploma or equivalentBasic PC skillsData Entry skillsDependable, accurate and detail oriented

Faneuil, Inc.

Austin, TX
20 hours ago

Software Development Manager - Security Review Tooling

Help us protect all Amazon customers, from Prime Now to Fulfilment Centers. We are looking for a security focused software development manager who wants to make a difference to ensure that protecting customer data is at the forefront of all development. What you will...

Amazon.com, Inc.

Austin, TX
8 days ago