- Houston Methodist (Houston, TX)
- At Houston Methodist, the Sr Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) responsible for promoting the ... the Utilization Review Nurse and Utilization Review Specialist Nurse job...length of stay (LOS) and reimbursement for all hospital admissions in accordance with set goals and objectives. The… 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
- Houston Methodist (Houston, TX)
- …packaging and labeling of organs for transplantation; facilitating organ offer review and acceptance processes, recipient admission and pre-operative preparation ... At Houston Methodist, the Transplant Recovery Specialist position is responsible for supporting the organ...and prepares a thorough report for the physician to review . Facilitates admission /transfer of recipient for transplantation… more
- Texas Health Resources (Arlington, TX)
- …barriers to clinical stabilization and continuity of care to prevent readmission. 35% C. Utilization Review : 1. Performs utilization review according to ... Coordination 1. Identify at-risk populations, patients at risk for re- admission . Identify patients who have readmitted or are at...Years in an acute care setting, case management or utilization review Req 1 Year of acute… more
- Texas Health Resources (Arlington, TX)
- …Suite, encoder software and computer-assisted-coding software. . Demonstrated appropriate utilization of coding software and coding reference material to facilitate ... code and DRG assignment for properly billing inpatient records. . Presents on Admission indicators and calculates the correct MS-DRG, Severity of Illness and Risk of… more