• Utilization Review Specialist RN - FT Days

    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 care using...denials to the appropriate case manager, denials, and pre-bill team members, as well as management. The URSN position… more
    Houston Methodist (07/29/25)
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  • Special Investigation Unit (SIU) Coding…

    CVS Health (Austin, TX)
    …in coding practices and medical record reviews. + Conduct regular audits of team performance to ensure compliance with CPT/HCPCS coding and documentation ... rework projects. + Ensure staff provide detailed written summaries of medical record review findings and ensure the team articulates findings effectively to… more
    CVS Health (08/08/25)
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  • Credit Risk Review Data Specialist

    Toyota (Plano, TX)
    …solutions designed to enhance lives and delight those we serve. We're looking for talented team members who want to Dream. Do. Grow. with us. An important part of ... for this position at this time. **Who we're looking for** The Credit Risk Review (CRR) department at Toyota Financial Savings Bank (TFSB) ensures that TFSB maintains… more
    Toyota (07/17/25)
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  • Utilization Review Nurse - Transition…

    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 care using...denials to the appropriate case manager, denials, and pre-bill team members, as well as management. **PEOPLE ESSENTIAL FUNCTIONS**… more
    Houston Methodist (07/25/25)
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  • SVP, Credit Review Senior Officer I

    Citigroup (Irving, TX)
    Review Reports created for the assigned Review Entity + Assists Credit Review Team Managers, Senior Credit Review Managers, and BICR Management on ... regional and/or global tasks + Proactive communication to Credit Review Team Managers and BICR Senior Management of any concerns and/or emerging risks that may… more
    Citigroup (07/11/25)
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  • Plan Review Specialist - Planning

    City of Baytown (Baytown, TX)
    …Description + Benefits + Questions Job Summary We are seeking a meticulous Plan Review Specialist to join our team , responsible for evaluating and approving ... Plan Review Specialist - Planning Print (https://www.governmentjobs.com/careers/baytowntx/jobs/newprint/4643621) Apply ...architectural and engineering plans to ensure compliance with codes and regulations. The ideal candidate will… more
    City of Baytown (07/13/25)
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  • VP, Global Risk Review Governance Officer…

    Citigroup (Irving, TX)
    Global Risk Review 's (GRR) Chief Administrative Office (CAO) Team is in search for a Governance Officer. This role will support the operational elements of a ... across GRR Review teams, ensuring a consistent approach to maintaining compliance + Revise and amend governance documents as required, ensuring their relevance… more
    Citigroup (05/27/25)
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  • Credit Risk Review Specialist

    Toyota (Plano, TX)
    …solutions designed to enhance lives and delight those we serve. We're looking for talented team members who want to Dream. Do. Grow. with us. An important part of ... for this position at this time. **Who we're looking for** The Credit Risk Review (CRR) department at Toyota Financial Savings Bank (TFSB) ensures that TFSB maintains… more
    Toyota (07/17/25)
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  • Revenue Integrity Charge Review Analyst

    HCA Healthcare (Houston, TX)
    …**Introduction** Do you have the career opportunities as a Revenue Integrity Charge Review Analyst you want with your current employer? We have an exciting ... group of colleagues. Do you want to work as a Revenue Integrity Charge Review Analyst where your passion for creating positive patient interactions is valued? If you… more
    HCA Healthcare (07/11/25)
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  • Senior Director Development - Foundation - Hybrid…

    Houston Methodist (Houston, TX)
    …and performs associated actions upon non- compliance (ie, licensure/certification compliance , focal point review requirements, disaster plan, in-services, ... area of responsibility. This position may be responsible for leading a small team of fundraising professionals. In this area of responsibility, the Sr. Director is… more
    Houston Methodist (05/20/25)
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