- Houston Methodist (Houston, TX)
- At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry ... duties of the URN, this position is able to cover a multitude of utilization review functions through point of entry, observation progression of care management,… more
- HCA Healthcare (Dallas, TX)
- …acute inpatient rehabilitation services prior to returning home. The Clinical Rehabilitation Specialist will review these patients daily until they have strong ... Specialist will assist and coordinate the in-take and pre- admission screening process. The Clinical Rehabilitation Specialist accurately documents… more
- Houston Methodist (Sugar Land, TX)
- …Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical denial management and ... Seven years clinical nursing/patient care experience which includes three years in utilization review , case management or equivalent revenue cycle clinical role… more
- Elara Caring (Dallas, TX)
- …referrals or healthcare needs to appropriate internal partner or supervisor for review . + Participates in clinical record audits, utilization reviews and ... in the Right Place. **Job Description:** **Patient Care Orders Specialist ** At Elara Caring, we care where you are...and efficient systems for orders management to ensure accurate admission processes are followed. + Obtains signed orders for… more
- Datavant (Austin, TX)
- …The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of admissions for medical ... well versed in DRG downgrade denials and appeal writing for inpatient admission . Experience with clinical criteria resources and payor guidelines. **You will:** +… more
- HCA Healthcare (San Antonio, TX)
- …multi disciplinary team maintaining effective communication with Emergency Department staff, Utilization Review Staff, Admissions Staff, Attending ... want to join an organization that invests in you as an Assessment Referral Specialist ? At Methodist Healthcare, you come first. HCA Healthcare has committed up to… more
- ChenMed (Houston, TX)
- …and explain nurse practitioner role. + Facilitate patient/family conferences to review treatment goals, optimize resource utilization , provide family education ... as part of the clinical operations team and is responsible for providing specialist patient care in nursing homes, skilled nursing facilities (SNF) and home… more