Utilization Review Jobs in Houston
Search jobs in
1 - 11 of 11
Search Results - Utilization Review Jobs in Houston
Centene Pharmacy Services-Houston
plan's pharmacy process
• Assist with the pharmacy utilization review and reporting process
• Collaborate with Quality Improvement department with various meeting preparation and transcription of minutes
• Assist with members' inquiries related...
Encompass Health-Houston
ongoing utilization review and acts as a liaison to the payor while assuring that cost effective treatment is provided by the team. The CCM assures that regulations regarding patient's rights are fulfilled.
Job code: 100680
Qualifications
License...
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 -
Memorial Hermann Health System-Houston
to patient and/or provider.
• Adheres to and apply all Health Solutions policies, procedures, and guidelines appropriately.
• Achieves an in-depth knowledge of client benefit plan.
• Acts as resource person for Utilization Review staff.
• Performs other...
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 -
Encompass Health-Houston
a graduate degree is preferred.
• Three years of hospital-based Case Management experience, including Utilization Review and Discharge Planning experience.
• May be required to work weekdays and/or weekends, evenings and/or night shifts.
• May be required...
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 -
Memorial Hermann Health System-Houston
coordinate, and evaluate target drug programs, restricted drug programs, medication use-based performance assessment and improvement indicators, drug usage evaluation programs and cost containment programs.
• Develops and implements utilization reviews...
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 -
Memorial Hermann Health System-Houston
and cost containment programs. Develops and implements utilization reviews targeted for expensive, potentially harmful or improperly used drugs.
• Provides direction and guidance for development and review of clinical pharmacy educational services. Assists...
Houston
procedures, and performance standards and URAAC guidelines and state regulations.
Responsibilities:
MAJOR DUTIES AND RESPONSIBILITIES:
• Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity...
icims.com -
Companies now hiring in Houston:
Utilization Review jobs in Houston – Similar offers:
Utilization Review jobs – More cities:
Broaden your job search:
Don’t miss out on new job openings!
Create a job alert for: Utilization Review, Houston
It's free, and you can cancel email updates at any time