- ChenMed (Houston, TX)
- …+ Participates in surveys, studies and special projects as assigned. + Conducts concurrent medical record review using specific indicators and criteria as ... we need great people to join our team. The Nurse Case Manager 1 (RN) is responsible for achieving...with patient and family. + Facilitates patient/family conferences to review treatment goals and optimize resource utilization; provides family… more
- HCA Healthcare (El Paso, TX)
- …medical services and discharge planning for a specified patient population. Performs concurrent and retrospective review of patient medical records for purposes ... opportunity to make a real impact. As a(an) Registered Nurse Case Manager you can be a part of...of utilization review , compliance with requirements of external review … more
- HCA Healthcare (Tomball, TX)
- …Tomball we support our colleagues in their positions. Join our Team as a Nurse Manager RN Women's Services and access programs to assist with every stage of ... gain certifications and job skills. Apply today for our Nurse Manager RN Women's Services opening and continue to...relationships across the hospital** + **Ability to manage multiple concurrent projects and maintain a work pace appropriate to… more
- HCA Healthcare (El Paso, TX)
- …medical services and discharge planning for a specified patient population. Performs concurrent and retrospective review of patient medical records for purposes ... about delivering patient-centered care?** Submit your application for Registered Nurse Case Manager PRN position and spend more time...of utilization review , compliance with requirements of external review … more
- Actalent (Fort Worth, TX)
- …other and complete cases. Qualifications: + 3+ years of utilization management, concurrent review , prior authorization, utilization review , case management, ... Urgent Hiring for "Remote Clinical Review Nurses" Job Description: + Review approximately 20 cases a day for medical necessity. + Advocate for and protect… more
- Houston Methodist (Katy, TX)
- …completed timely to avoid denials or billing delays. Provides oversight for the concurrent denials and short stay review process in collaboration with physician ... At Houston Methodist, the Director Centralized Utilization Review (UR) position is responsible for strategic, administrative, and operational leadership for the… more
- Houston Methodist (Katy, TX)
- At Houston Methodist, the Manager Centralized Utilization Review (UR) position is responsible for leading the daily operations of the Utilization Review ... management practices across the organization. This position ensures timely initial, concurrent , and retrospective reviews for medical necessity, level of care, and… more
- Medical Center Hospital (Odessa, TX)
- Position Summary: The Utilization Review Specialist/Outcomes Specialist conducts concurrent and retrospective review functions in support of the hospital ... Education: Holds a current Texas license as a Registered Nurse OR a current Texas Licensed Vocational Nurse... Nurse OR a current Texas Licensed Vocational Nurse . B. Training and Experience: Three years of clinical… more
- Molina Healthcare (TX)
- …and TX. Reviews will include, but are not limited to, initial and concurrent stays. Solid experience with Microsoft Office Suite is necessary, especially with ... and One Note. Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary… more
- San Antonio Behavioral Health (San Antonio, TX)
- The Utilization Review Coordinator conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient ... charts and records to evaluate care concurrent with patients' treatment. Reviews treatment plans and status...insurers. Responsible for monitoring adherence to the hospital's utilization review plan to ensure the effective and efficient use… more
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