- Houston Methodist (Houston, TX)
- 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 ...work experience in a hospital or insurance company providing utilization review services + Knowledge of Medicare,… more
- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and ... concurrent medical record review for medical necessity and level of ...this position is able to cover a multitude of utilization review functions through point of entry,… more
- CVS Health (Austin, TX)
- …* Experience with managed care , as a provider and manager of care utilization review or physician advisor experience. **Education** * Active and ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- CenterWell (Austin, TX)
- …and proposed medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part of a team that ... of three years clinical RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional… more
- CenterWell (Austin, TX)
- …and proposed medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part of a team that ... of three years clinical RN experience; + Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience +… more
- BAYADA Home Health Care (Austin, TX)
- …around this requirement.** BAYADA Home Health Care is hiring a full time OASIS Review and Coding Manager . The OASIS and Coding Review Manager ... Minimum of 1 year experience with coding and OASIS review . + Knowledge of OASIS, Home Care ...should be available Monday-Friday from 8:30am-5:00pm. _Medicare, Coder, OASIS Review , Utilization Review , Quality Assurance,… more
- BAYADA Home Health Care (Austin, TX)
- …Health Care has an immediate opening for a **Full Time,** OASIS and Coding Review Manager with OASIS and Coding certification to work remotely. RN, PT, OT, ... your career with an industry leader. Apply now for immediate consideration. OASIS Review , Utilization Review , Quality Assurance, Remote, Home Health Coding,… more
- MD Anderson Cancer Center (Houston, TX)
- …nursing experience in a hospital or clinic setting, to include experience as a case manager , triage nurse, utilization review nurse, call center nurse, or ... Position Title: Per Diem Care Manager askMDAnderson Department: Clinical Programs...or clinic setting, to include experience as a case manager , triage nurse, utilization review … more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Manager Operations position is responsible for clinic management, planning, development, budgeting, and other administrative activities of ... staff workflows, and tracking metrics for their area of responsibility. The Manager Operations position will also work closely with leadership across the… more
- Catholic Health Initiatives (College Station, TX)
- **Responsibilities** The Manager of Care Coordination assists the Director with Administrative duties and acts in the Director's place in her/his absence. **The ... be REQUIRED in order to be considered for the Manager , Care Management postion.** + **Must be...Clinical Management a. Serves as a clinical resource for utilization management, compliance for the rules and regulations for… more