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Utilization Review Jobs in Houston

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Search Results - Utilization Review Jobs in Houston
Discovery Behavioral Health-Houston
on weekend or vacation call. Collaborates with leadership in the interdisciplinary plan of care functions. Participates in all required functions of utilization review, peer reviews, and appeals relative to the justification and authorization of treatment...
resume-library.com -
Houston
balance, continuous learning, and career development. Summary We are seeking a talented individual for an Associate Manager, Clinical Claim Review who is responsible for supervising the day:to:day prepay, post:pay, and utilization review activities...
tiptopjob.com -
Prevention and Recovery Center-Houston
with staff in assessing patient, family age-specific nursing needs and develops plan of care for complex high-risk patients. Provide assistance to Utilization Review in communicating pertinent nursing information. Designs teaching programs for patients...
resume-library.com -
Houston
and URAAC guidelines and state regulations. Responsibilities: MAJOR DUTIES AND RESPONSIBILITIES:  •  Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work...
icims.com -
Vision Achievement-Houston
multidisciplinary and bedside rounds (may need to attend) Identifies, designs, and analyzes drug utilization reviews to promote rational drug therapy and determines action plan based on results Provides accurate and timely medication information to healthcare...
resume-library.com -
Houston
patients when required, obtaining pre-certification reference number, approved length of stay, and utilization review company contact person and telephone number  •  Notifies hospital Case Managers on all in-house patients regarding insurance plan changes/COB...
icims.com -
Encompass Health-Sugar Land, 9 mi from Houston
appropriate/timely referrals, including documentation to post discharge providers/physicians.  •  Ensure accuracy of discharge and payor-related information in the patient record.  •  Participate in utilization review process: data collection, trend review...
appcast.io -
Houston
and URAAC guidelines and state regulations. Responsibilities: MAJOR DUTIES AND RESPONSIBILITIES:  •  Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work...
icims.com -
Sugar Land, 9 mi from Houston
Personal Travel Discounts  •  401(k) plans and discretionary employer match  •  Generous Paid Benefit Time Responsibilities: Under the direction of the Director of Utilization Review, the responsibilities of the Utilization Review Coordinator are to manage...
icims.com -
Houston
Responsibilities: MAJOR DUTIES AND RESPONSIBILITIES:  •  Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work, short and long-term disability, Family and Medical...
icims.com -

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