Average salary: $80,686 /yearly
More statsGet new jobs by email
- At Houston Methodist, the Utilization Review Nurse (URN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and concurrent medical record review for medical necessity and level of care using nationally recognized acute care indicators...SuggestedRemote jobPermanent employmentFull timeWork experience placementLocal area
$84k - $95k
...Summary We are seeking a talented individual for a Nurse Reviewer Appeals and Hearings to coordinate and perform all appeal related... ...+ years medical record coding experience required ~3+ years utilization review experience or claims auditing required ~ Working...SuggestedFull timeRemote workFlexible hours- Job Description Job Description Description: Anthem is a people-focused organization dedicated to providing exceptional pest control services while fostering personal and professional growth for our team members. We are a dynamic and fast-growing organization at the...SuggestedWork at officeLocal area
ARUZA LLC
Texasa month ago - ...What To Expect Tesla is looking for a Utility Field Service Technician to work across the entire Tesla organization to problem solve and ensure the success of our large-scale utility energy assets. Tesla needs a diversely talented and skilled technician ready to move...SuggestedHourly payFull timeTemporary workWork at officeFlexible hoursWeekend work
$23k
...crafting careers and creating new legacies. Crafted Highlights: In the role of Sr. Manufacturing Systems Engineer (Brewing & Utilities) working in the Ft. Worth Brewery, you will be part of the Information Technology team. This role is pivotal in driving the...SuggestedTemporary workWork experience placementShift work- ...motivated and proud of the work you do? Here at Aramark, we take pride in the level of service and safety we provide! As a General Utility Worker on our team of other service stars, you’ll take on the important task of maintaining the cleanliness of dishes, equipment, and...SuggestedFlexible hoursAfternoon shift
$40 per hour
...three days of starting employment. For your convenience, a copy of the Form I-9 List of Acceptable Documents is enclosed for your review. Satisfactory completion of a background investigation, for which the required notice and consent forms are enclosed. Successful...SuggestedHourly payDaily paidFull timeLocal areaMonday to FridayWeekend work- ...Certified Applicator (Texas) – Utility Infrastructure & Vegetation Management Position Overview Vantage Point Solutions is seeking a Texas Certified Applicator (RCA) to support vegetation management and utility infrastructure field services across Texas. This role...SuggestedRemote jobFull time
- ...motivated and proud of the work you do? Here at Aramark, we take pride in the level of service and safety we provide! As a General Utility Worker on our team of other service stars, you’ll take on the important task of maintaining the cleanliness of dishes, equipment, and...SuggestedFlexible hoursAfternoon shift
- ...contracted independent practices. Annual revenues last year exceeded $2 billion. This exceptional position will oversee the group's Utilization management program either from the group's Headquarters in San Antonio, Texas or it may be managed from the home city of the...SuggestedRemote work
$35 - $45.94 per hour
...Job Description Job Description Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members...SuggestedHourly payFull timeRemote workWork from homeHome officeOscar Health
Dallas, TX9 days ago- ## DescriptionAbout YouJob ResponsibilitiesAs a Utilization Review Nurse, your primary responsibility is to evaluate the medical necessity, appropriateness, and efficiency of healthcare services, ensuring optimal patient outcomes while adhering to payer guidelines. You...SuggestedContract workCasual workWork at office
- Utilization Review Pharmacist Shape the drug benefit landscape—analyze and optimize medication use. Key Responsibilities: Review prescribing trends and propose cost-saving alternatives. Maintain evidence-based formularies across multiple payers. Conduct retrospective...Suggested
- ...more per week. At Bradford Health Services, we don’t just invest in our patients—we invest in our people. 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...SuggestedPart time
- ...medical necessity and appropriateness of the treatment plan . This position is responsible for performing accurate and timely medical review of claims suspended for medical necessity, contract interpretation, pricing; and to initiate and/or respond to correspondence from...SuggestedFull timeContract workRemote work
- A leading healthcare provider in Houston is looking for a Utilization Management Coordinator to provide administrative case management and participate in various performance improvement plans. The ideal candidate should have at least one year of experience in case management...
- ...school of Nursing Master’s degree in nursing preferred EXPERIENCE Five years' experience in inpatient case management, social work or utilization management or in the managed care/payer environment, of which one year must have been in a people management role in healthcare;...Permanent employment
- A leading healthcare provider in San Antonio seeks a Utilization Review Coordinator to conduct patient care evaluations and monitor treatment plans. This role involves collaborating with healthcare teams to ensure quality care and compliance with insurance requirements...
$98.53k - $120.22k
Overview Job Number: 177079, Job Title: Utilization Management Review Nurse, Salary: $98,529.60 - $120,224.00 Harris Health System is the public healthcare safety-net provider established in 1966 to serve the residents of Harris County, Texas. As an essential healthcare...Work experience placementWork at officeRemote workFlexible hoursWeekend work- LVN or RN Utilization Review Nurse (Administrative Nursing) Are you looking for a challenging and impactful nursing career that will diversify your nursing skills? Tired of working long hours and standing on your feet all day? Want to have work‑life balance? If you enjoy...Full timeCasual workWork at officeMonday to FridayShift work
- Job Description Conduct medical certification review for medical necessity for acute care facility and services. Use nationally recognized... ...staff on issues related to admission qualifications, resource utilization, national and local coverage determinations and documentation...Full timeReliefWork at officeLocal areaNight shift
$29.05 - $56.64 per hour
...company is seeking a Registered Nurse to support medical claim reviews and ensure compliance with regulations. The role involves... ...should have at least two years of nursing experience, including utilization review and knowledge of coding. Competitive pay ranges from $2...Hourly pay- ...Texas. This role requires exceptional customer service skills and the ability to coordinate various administrative tasks for medical reviews. Candidates should be detail-oriented and capable of managing multiple responsibilities efficiently. The position entails handling...Work at office
$29.05 - $56.64 per hour
...healthcare organization is seeking a clinical professional to conduct reviews of medical claims and internal appeals. The successful... ...reviews, validating claims, and providing clinical resources for utilization management. This position offers a competitive hourly pay...Hourly pay- A major healthcare provider in Houston is seeking a full-time Utilization Management Clinical Registered Nurse to oversee precertifications of inpatient and outpatient services. This role involves analyzing clinical requests, collaborating with various disciplines, and...Full time
- A leading healthcare institution in Houston is seeking a qualified Registered Nurse for an inpatient case management role. The ideal candidate will have five years of experience in healthcare management and a background in direct patient care. A Bachelor’s in Nursing and...
- A public healthcare provider in Texas is seeking a Utilization Management Review Nurse to evaluate the necessity of medical services and promote quality care. The ideal candidate will have a Bachelor's in Nursing and extensive clinical experience. Responsibilities include...Remote job
- ...healthcare organization in Fort Worth, TX seeks a UM/ECM - RN Reviewer to coordinate health care resources for members. This role involves... ...at least 5 years of clinical experience and 2 years in utilization or case management, along with a Current RN license in Texas....Full time
- A leading medical center in Texas seeks a Utilization Management Coordinator to assist with faxing reviews, document communications, and manage departmental tasks. This role requires 5 years of experience in the hospital or medical insurance industry, with a preference...Relief
- A leading healthcare provider in Houston seeks a Utilization Review Specialist Nurse to conduct medical necessity reviews and collaborate with physicians. The role requires a Bachelor's degree in Nursing and a Texas RN license. Candidates should have at least five years...
