- City of Baytown (Baytown, TX)
- Plan Review Specialist - Planning Print (https://www.governmentjobs.com/careers/baytowntx/jobs/newprint/4643621) Apply Plan Review Specialist - Planning Salary ... Questions Job Summary We are seeking a meticulous Plan Review Specialist to join our team, responsible for evaluating...to field inspectors, are sufficient for a complete code review , and are in conformance with building codes, development… more
- HCA Healthcare (Plano, TX)
- …**Introduction** Do you have the career opportunities as a Clinical Denial Coding Review Specialist you want with your current employer? We have an exciting ... group of colleagues. Do you want to work as a Clinical Denial Coding Review Specialist where your passion for creating positive patient interactions is valued? If… more
- Humana (Austin, TX)
- …of our caring community and help us put health first** The Claims Review Representative makes appropriate claim decision based on strong knowledge of claims ... contract provisions, and state and federal legislation. The Claims Review Representative performs advanced administrative/operational/customer support duties that require… more
- UTMB Health (Webster, TX)
- Utilization Review Case Mgr - CMC - Clear Lake Center - Compressed weekend night shift Friday - Sunday **Webster, Texas, United States** **New** Nursing & Care ... in Community Hospitals and UTMB-TDCJ Hospital. + Performs utilization review procedures by prospectively, concurrently, and retrospectively assessing the clinical… more
- Centene Corporation (Austin, TX)
- …a fresh perspective on workplace flexibility. **Position Purpose:** Performs a clinical review and assesses care related to mental health and substance abuse. ... appropriateness in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine overall health of… more
- Actalent (Austin, TX)
- Clinical Review Nurse - Concurrent Review Location: Remote - Candidates can be live anywhere in the US but must be able to work CST hours Schedules Available: + ... 6:30 PM CST Position Overview We are seeking Clinical Review Nurses to join our remote team. In this...assess member health, care setting, and medical necessity + Review acuity, resource use, length of stay, and discharge… more
- Sedgwick (Houston, TX)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Estimate Review Consultant **PRIMARY PURPOSE:** To review all estimates and supporting ... assignments promoting a professional client relationship; + Performs quality review audits for compliance with audit requirements, service contract requirements,… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- The Utilization Review Case Manager is responsible for working with insurance companies and managed care systems for the authorization, concurrent and retrospective ... review of inpatient admissions and services. This position will...This position will obtain authorization for each admitted patient. Review and monitor each step of the authorization process… more
- Safran (Gainesville, TX)
- …direct management of other employees, primarily it involves the effective independent review of the engineering projects to ensure they are continuing in accordance ... of new product/feature development). B) Act as an independent reviewer of both Master Engineering Reviews and Part Design...any improvements or feedback as needed. C) Ensure all Review Action Item Lists (RAILs) are populated with appropriate… more
- Terracon (Tyler, TX)
- …of plans and specifications, observation and inspection, and the writing, preparation, and review of related reports for the services provided. Review drawings ... and recommend changes. Research and resolve design and construction problems. Assign, review , and evaluate laboratory or field data for inclusion in reports. Apply… more