Utilization Review Jobs in Richardson
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Richardson (TX)
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Search Results - Utilization Review Jobs in Richardson
UnitedHealth Group Inc-Richardson
planning or utilization review
• Experience in a telephonic role
• Experience in a leadership, account management or client facing role
• Background in managed care
At UnitedHealth Group, our mission is to help people live healthier lives and make...
Dallas Behavioral Healthcare Hospital-Desoto (TX), 28 mi from Richardson
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 -
Cook Children's Health Care System-Fort Worth, 38 mi from Richardson
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...
Center For Discovery-Plano, 6 mi from Richardson
Aside from managerial responsibilities, the Program Director carries a small caseload to provide individual, family and group therapy. The Program Director provides oversight of clinical documentation and Utilization Review matters.
He/she ensures...
resume-library.com -
Dallas Behavioral Healthcare Hospital-Desoto (TX), 28 mi from Richardson
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...
workable.com -
Public Storage-Plano, 6 mi from Richardson
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 -
Mesa Springs LLC-Fort Worth, 38 mi from Richardson
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...
Christus Health-Irving, 17 mi from Richardson
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...
Concentra, Inc.-Dallas, 4 mi from Richardson
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...
appcast.io -
Christus Health-Irving, 17 mi from Richardson
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...
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