Average salary: $80,686 /yearly
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- At Houston Methodist, the Utilization Review Nurse (URN) PRN 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 employmentWork experience placementReliefLocal area
- ...energy goals. Ready to make a lasting impact? Take the next step in your career with us! Position Specific Description This Solar Utility Technician will perform hands-on vegetation management operations across multiple solar generation sites in the Central Texas...SuggestedFull timeFor contractorsLocal areaRelocation
$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
- ...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
- ...operation Maintain a knowledge base in the capacity of existing utilities and the current level of utilization. Stay abreast of the... ...and ensure a safe and professional work environment. Reviews, evaluates, counsels, disciplines and discharges employees as necessary...SuggestedFull timeSeasonal workWork at officeWorldwideFlexible hours
Refresco
Texas15 hours ago $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, TX27 days ago- Specialist, Utilization Review Join to apply for the Specialist, Utilization Review role at Lifepoint Health® . Position Summary The Utilization Review Specialist is responsible for managing and coordinating the utilization review process for inpatient and outpatient...SuggestedFull timeFlexible hours
- Join to apply for the Utilization Review Specialist role at Bradford Health Services We’re officially a Great Place To Work® ! We’ve always believed that supporting our team is just as important as supporting our patients. Now, we’re proud to share that we’ve earned Great...SuggestedFull timePart time
- Overview Utilization Management Reviewer Experience the My Health My Resources of Tarrant County (MHMR) difference, where we are united under one purpose, to bring wholehearted, life-energizing care to as many people as possible - on their own terms. And that starts with...Suggested
- 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
- ...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...SuggestedPermanent employmentFull timeFor contractors
- Overview The Regional Utilization Review Coordinator is responsible for management of all utilization review and/or case management activities at the assigned inpatient facilities. May include partial hospitalization, and/or outpatient programs. Conducts concurrent reviews...SuggestedWork at officeRemote workDay shiftWeekday work
- ...to achieve Master’s degree within two years of hiring EXPERIENCE Five years in case management with three years including utilization review, with two years in people management in a healthcare setting Expertise with nationally recognized medical necessity review guidelines...SuggestedPermanent employmentWork at office
- ...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 behavioral health hospital in Georgetown, Texas is seeking a full-time Outpatient Utilization Review Coordinator. The ideal candidate will work with insurance companies for authorization and reviews of inpatient services. Responsibilities include obtaining patient authorizations...Full time
- ...and regularly recognizes and rewards employees. Understands and utilizes JIB systems, processes, and tools; and complies with all state... ...adherence with JIB systems, procedures, and food safety requirements. Reviews practices and modifies as needed to continuously improve the...Shift work
Feast Enterprises
Texas21 days ago - At Houston Methodist, the Manager Centralized Utilization Review (UR) position is responsible for leading the daily operations of the Utilization Review department to ensure efficient, high-quality, and compliant utilization management practices across the organization...Permanent employmentFull timeContract workImmediate startAll shiftsFlexible hours
- 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
- A healthcare organization in Texas is seeking a full-time Outpatient Utilization Review Coordinator. This role requires overseeing the authorization process for inpatient admissions, ensuring compliance with insurance requirements, and necessitates a Master’s degree in...Full time
$20 - $35.72 per hour
A leading health care organization in Texas is seeking a Utilization Review Specialist (LVN) to conduct medical reviews and ensure medical necessity for health care services. The role requires a TX LVN license and 5+ years of utilization review experience. Flexibility...Remote jobHourly pay- ...Georgetown Behavioral Health Institute is a 118 bed inpatient behavioral health hospital and seeking a full-time Outpatient Utilization Review Coordinator. This position is responsible for working with insurance companies and managed care systems for the authorization...Full timeLocal area
- At Houston Methodist, the Director Centralized Utilization Review (UR) position is responsible for strategic, administrative, and operational leadership for the Utilization Management (UM) department across the Houston Methodist system. This position oversees all aspects...Permanent employmentFull timeContract workWork at office
- A healthcare provider located in Texas is seeking a Utilization Review Specialist to manage the review process for behavioral health services. In this role, you will ensure medical necessity and compliance with payer requirements, requiring at least 3 years of experience...
- A leading healthcare provider in Texas is seeking an experienced nursing manager to oversee case management and utilization review. The ideal candidate will have at least five years in case management, expertise in medical necessity guidelines, and a strong capability...
- ...research center in Dallas seeks a qualified RN for a medical certification review role. Candidates must have 5 years of experience, including 2 years in clinical settings and 3 years in utilization review, and hold an active, unrestricted RN license in Texas....Relief
$41 per hour
...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...Remote jobContract work$27.02 - $48.55 per hour
..., LCSW, LPC, LMHC, LMHP Position Purpose Performs a clinical review and assesses care related to mental health and substance abuse... ...planning Analyzes BH member data to improve quality and appropriate utilization of services Provides education to providers members and their...Hourly payFull timePart timeWork at officeRemote workFlexible hours- A healthcare organization in Texas is looking for a Registered Nurse to provide support for medical claim and internal appeals reviews. You will conduct clinical assessments to ensure medical necessity and compliance with guidelines. Applicants should have a valid RN license...Hourly pay
