- 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 ... this position is able to cover a multitude of utilization review functions through point of entry,...process improvements). **PEOPLE ESSENTIAL FUNCTIONS** + Collaborates with the physician and all members of the interprofessional health care… more
- HCA Healthcare (Dallas, TX)
- …staff performance evaluations. + Acts as manager in charge as assigned. + Provides review and guidance on physician order sets and other evidenced based ... in daily multidisciplinary and bedside rounds + Completes drug utilization reviews to promote rational drug therapy and implement...we encourage you to apply for our Clinical Pharmacist Specialist BMT opening. We promptly review all… more
- Abbott (Plano, TX)
- …required clinical information for authorizations. + Work with respective carrier's utilization review department to obtain appropriate authorizations. + Assist ... insurance, Worker's Compensation and Medicare guidelines pertaining toProspective and Retrospective Utilization Review . Some experience in medical deviceor DME… more
- Houston Methodist (Houston, TX)
- …acceptance/rejection for transplant and prepares a thorough report for the physician to review . Facilitates admission/transfer of recipient for transplantation ... At Houston Methodist, the Transplant Recovery Specialist position is responsible for supporting the organ procurement services required for transplantation and… more
- Houston Methodist (Houston, TX)
- …caring for adults in an acute care hospital setting is required; coding and utilization review experience preferred + For Medical School graduate - One year ... At Houston Methodist, the Clinical Documentation Specialist is responsible for improving the overall quality...of the clinical information used for measuring and reporting physician and hospital outcomes and educating all members of… more
- Cardinal Health (Houston, TX)
- **Senior Consultant, Product Sales Specialist - NPHS** **T** **he territory covers Arizona, Nevada, New Mexico, Texas** The Product Sales Specialist is ... responsible for developing opportunities, selling, growing and maintaining product utilization among targeted healthcare providers and administrators. The incumbent… more
- Methodist Health System (Richardson, TX)
- …of America) **Job Description :** Your Job: The Medical Authorization Specialist professional responsible for verification of medical coverage, along with ... works with physicians, clinic support staff, case managers, nurses, insurance utilization management staff, and patients to initiate pre-authorization and resolve… more
- Baylor Scott & White Health (Rockwall, TX)
- …accurate patient financial responsibility. + Communicates promptly with Utilization Review . Collaborates effectively with the physician and facility staff. ... on position type and/or level **Job Summary** The Insurance Verification Specialist 1, under general supervision, provides insurance benefit information to patients,… more
- Baylor Scott & White Health (Plano, TX)
- …needs. + Calculates accurate patient financial responsibility. + Communicates promptly with Utilization Review . Collaborates with the physician and staff ... on position type and/or level **Job Summary** The Insurance Verification Specialist 2 provides insurance benefit information to patients, physicians, and hospital… more
- Houston Methodist (Houston, TX)
- …many of the following: organize work schedules, create work assignments, review timecards for accuracy, conduct quality assurance audits of staff performance, ... customer requests. Responds promptly and appropriately to requests to code or review coded accounts for accuracy. Serves as liaison between team members, management… more