Utilization Review Jobs in Fort Worth
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Search Results - Utilization Review Jobs in Fort Worth
Mesa Springs LLC-Fort Worth
for patients if appropriate.
• Ongoing and consistent collaboration with the interdisciplinary team including physicians, utilization review and nursing staff members. Demonstrates active communication with team members.
• Demonstrates the ability to work...
Cook Children's Health Care System-Fort Worth
process to plan, assess, implement, monitor and evaluate the options and services required to meet the healthcare needs of the patients using the functions of Utilization Review using Interqual and Milliman Care Guidelines, Discharge Planning and Case...
Cook Children’s Health Care System-Fort Worth
implement, monitor and evaluate the options and services required to meet the healthcare needs of the patients using the functions of Utilization Review using Interqual and Milliman Care Guidelines, Discharge Planning and Case Management in order...
Dallas Behavioral Healthcare Hospital-Desoto (TX), 30 mi from Fort Worth
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 obtain authorization...
resume-library.com -
Nursing Solutions-Fort Worth
and reports as instructed.
• Participates, as requested, in orientation of new staff, in-service education, continuing education, utilization review and QAPI programs.
• Participates in/attends staff development activities and in-service meetings to educate...
Dallas Behavioral Healthcare Hospital-Desoto (TX), 30 mi from Fort Worth
Job Description
Job Description
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...
Christus Health-Irving, 21 mi from Fort Worth
experience in clinical practice or demonstrated success in CHRISTUS RN Care Manager I position.
• Case management and Utilization Review experience preferred.
• RN License in state of employment or compact required.
• Certification in Case Management...
Public Storage-Plano, 41 mi from Fort Worth
related matters
Oversee reporting of claims and compliance with state filing requirements
Oversee medical utilization Review and analyze all claims; identify claims with potential exposure to high losses
Coordinate with insurance carrier to create...
resume-library.com -
Christus Health-Irving, 21 mi from Fort Worth
experience in clinical practice or demonstrated success in CHRISTUS RN Care Manager I position.
• Case management and Utilization Review experience preferred.
• RN License in state of employment or compact required.
• Certification in Case Management...
mindmatch.ai -
Concentra, Inc.-Dallas, 36 mi from Fort Worth
Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations.
Responsibilities
MAJOR DUTIES AND RESPONSIBILITIES:
1. Reviews medical files and provides recommendations for utilization review, chart reviews...
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