Average salary: $80,686 /yearly
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- ...Work : 8 hours between 0630-1700 Days Of Week : M-F Work Shift : Job Description : Your Role: \n \nGeneral purpose is to review and reconcile charges of all emergency department visits/encounters. In detail, a daily report in EPIC is used to pull all ED...SuggestedShift work
Methodist Health System
Texas22 days ago $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$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 workNational Salvage & Service Corporation
Texas17 days ago- 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
- ...are committed to process improvement, innovation, and building a talented team to drive our mission forward. As a Pest Control Utility Technician with us you will be helping to create our customer’s experience and drive our well-established service standards. The...SuggestedWork at officeLocal area
- ...CDL B Utility Rep (Regional) at Clean Harbors summary: CVWalletExtranet.Domain.Entities.JobShortDescription Clean Harbors in Irving... ...and cleaning the Earth Recruiting Pay range 68-72K + Raise Reviews + Bonus + Perks Comprehensive health benefits coverage after...SuggestedFull timeLocal areaMonday to FridayDay shift
Clean Harbors
Texas8 days 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
$800 per week
$2,500 sign-on bonus! We are hiring immediately for full time ROUTE DRIVER - UTILITY positions. Location : Dallas Office Coffee Service (OCS) - 2643 North Interstate 35 East, Suite 200, Carrollton, TX 75006. Note: online applications accepted only . Schedule...SuggestedFull timePart timeWork at officeLocal areaImmediate startRelocation packageMonday to FridayFlexible hours$104k - $172k
...Company Description: Raftelis helps local governments and utilities thrive by providing management consulting expertise to help transform local governments and utilities. We've provided professional consulting services to more than 700 organizations in the last year...SuggestedFull timeLocal areaWork visaFlexible hoursNight shift- ...GIS Data Collector – Electric Utility Systems Position Overview Vantage Point Solutions is seeking GIS Data Collectors to support electric utility mapping and engineering projects in the McKinney, Texas area. This role is responsible for collecting and validating...SuggestedRemote jobFull timeLong distance
- ...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
- ...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
- Responsibilities Three Rivers Midlands is seeking a dynamic & talented Full‑time Utilization Review Coordinator. Three Rivers Midlands is a comprehensive behavioral health facility treating children and adolescents through residential and Rehabilitative Behavioral Health...SuggestedFull timeLocal area
- ...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
- ...knowledge of local and national coverage determinations Recent work experience in a hospital or insurance company providing utilization review services Knowledge of Medicare, Medicaid, and Managed Care requirements Progressive knowledge of community resources, health...SuggestedPermanent employmentWork experience placementLocal area
$4,801.16 - $7,761.5 per month
...advancement, and more. Benefits of Working at HHS webpage contains additional details. Position Details Functional Title: Utilization Review Nurse Job Title: Nurse II Agency: Health & Human Services Comm Department: UR Wav & Comm Srvs Ran Mmt St Posting Number:...Full timeTemporary workPart timeWork at officeRemote workShift work- ...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
$23.08 - $37.02 per hour
A leading pharmacy benefit manager is seeking an Initial Review Pharmacy Technician in Austin, Texas. This role involves executing utilization management programs, reviewing patient information, and communicating with healthcare providers. The ideal candidate should have...- 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...
- ...Position Summary Assists in the coordination of the appropriate utilization of services and resources of patient care and continuum at... ...Accountabilities Assists in the coordination of all aspects of concurrent review process for individual cases. Coordinates clinical...Permanent employmentFull timeFor contractors
- 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...
- Formulary Strategy & 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...
- ...Texas Health Science Center at Houston (UTHealth); The University of Texas MD Anderson Cancer Center. Job Summary The Utilization Management Review Nurse (UMRN) performs technical and administrative work required to evaluate the necessity, appropriateness, and efficiency...Work experience placementReliefWork at officeRemote workFlexible hoursWeekend work
$40.87 - $44.23 per hour
...Day shift | 40 hours weekly between Mon - Fri Key Responsibilities Identifies Potential Quality Issues (PQIs) by conducting timely reviews of medical records. This includes researching, investigating, analyzing, and preparing case summaries with appropriate...Remote workDay shift- A healthcare organization is seeking a remote Physician Clinical Reviewer for cardiology services. The role involves reviewing service requests, interacting with physicians, and ensuring compliance with medical necessity guidelines. Candidates must have a DO, MBBS, or...Remote job
- 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...
$90.87 - $154.33 per hour
A healthcare solutions provider is seeking a Physician Clinical Reviewer - Nephrology to join the utilization management team in a remote setting. This role involves reviewing medical requests, engaging with physicians, and ensuring compliance with guidelines. Candidates...Remote job- 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
$248.5k - $373k
...expectations as we deliver clinical coverage and medical claims reviews. Our role is to empower providers and members with the tools... ...primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and...Remote jobMinimum wageWork experience placementLocal area- 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
