- 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 ... the URN, this position is able to cover a multitude of utilization review functions through point of entry, observation progression of care management,… 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 Utilization Review Program and makes appropriate referrals to designated Physician Advisors. + Qualifications: A. Education: Holds a current Texas… more
- Deloitte (Dallas, TX)
- …clinical registered nurse, physician, physician assistant, case manager, clinical documentation specialist , utilization review , informatics RN, Quality, DRG ... Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk...financial concerns and other business controversy. A Clinical Documentation Specialist (CDS) works to ensure accuracy and completeness of… 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
- 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 ... commitments to referral sources. Develops a call-plan to prioritize utilization of time. + Assists in developing the annual...we encourage you to apply for our Clinical Rehab Specialist opening. We promptly review all applications.… more
- HCA Healthcare (Dallas, TX)
- …this opportunity compelling, we encourage you to apply for our Clinical Pharmacist Specialist BMT opening. We promptly review all applications. Highly qualified ... **Description** **Clinical Pharmacist Specialist BMT** **Full Time Day Shift Position, rotating...in daily multidisciplinary and bedside rounds + Completes drug utilization reviews to promote rational drug therapy and implement… more
- Abbott (Plano, TX)
- …insurance, Worker's Compensation and Medicare guidelines pertaining to Prospective and Retrospective Utilization Review . Some experience in medical device or DME ... currently has an opportunity for a **Patient Therapy Access Specialist ** (PTA). This is an in office 5 days...Compensation and Medicare guidelines pertaining to Prospective and Retrospective Utilization Review . + Experience in medical device… more
- ManpowerGroup (Plano, TX)
- …required; AA degree is a plus. + Minimum of 2+ years experience in a utilization review environment or similar work experience. + Knowledge of private insurance, ... leading healthcare organization, is seeking a Verification of Benefits Specialist to join their team. As a Verification of...Workers Compensation, and Medicare guidelines related to utilization review . + Proficient with Microsoft Office… more
- HCA Healthcare (San Antonio, TX)
- …and personal growth, we encourage you to apply for our Clinical Pharmacist Specialist NICU opening. We promptly review all applications. Highly qualified ... We care like family! Jump-start your career as a(an) Clinical Pharmacist Specialist NICU today with Methodist Hospital. **Benefits** Methodist Hospital offers a… more
- HCA Healthcare (San Antonio, TX)
- …growth, we encourage you to apply for our Transplant Clinical Pharmacist Specialist opening. We promptly review all applications. Highly qualified candidates ... like family! Jump-start your career as a(an) Transplant Clinical Pharmacist Specialist today with Methodist Hospital Specialty and Transplant. **Benefits** Methodist… more