Utilization Review Jobs in San Antonio
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Search Results - Utilization Review Jobs in San Antonio
San Antonio Behavioral Health-San Antonio
The Utilization Review Coordinator conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient charts and records to evaluate care concurrent with patients’ treatment.
Reviews...
resume-library.com -
University Health-San Antonio
years of hospital clinical nursing experience and one year experience in case management, utilization review or hospital quality assurance. Experience in each of these areas in a hospital setting is preferred.
LICENSURE/ CERTIFICATIONS
Current...
mindmatch.ai -
San Antonio Behavioral Health-San Antonio
The Utilization Review Coordinator conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient charts and records to evaluate care concurrent with patients’ treatment.
Reviews...
workable.com -
University Health-San Antonio
nurse II or above). Work experience in case management, utilization review or hospital quality assurance is preferred. A national certificate in case management is preferred.
LICENSURE/ CERTIFICATIONS
Current licensure as a Registered Nurse...
mindmatch.ai -
San Antonio Behavioral Health-San Antonio
consultation on nursing practice and psychopharmacology as appropriate.
Participates in case reviews, consultations and utilization review
Responds to urgent calls from the facility and facilitates problem solving
Maintains accurate records on patients...
resume-library.com -
University Health-San Antonio
with knowledge and understanding of utilization review and quality management procedures.
LICENSURE/CERTIFICATION
Current unrestricted license as a Doctor of Medicine or Osteopathy for Texas is required. Board certification is required....
mindmatch.ai -
Virtus Healthcare Staffing, LLC-San Antonio
resistance.
Drug Utilization Reviews: Identify, design, and analyze drug utilization reviews to promote rational drug therapy and implement action plans based on findings.
Collaboration and Education: Provide medication information to healthcare staff...
resume-library.com -
University Health-San Antonio
and Medicaid Services (CMS), Agency for Healthcare Research and Quality (AHRQ), National Committee for Quality Assurance (NCQA) that promotes Healthcare Effectiveness Data and Information Set (HEDIS) metrics, Utilization Review Accreditation Commission (URAC...
mindmatch.ai -
San Antonio
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 -
3B Healthcare, Inc-Hondo (TX), 38 mi from San Antonio
care conferences, utilization review meetings, rehabilitation meetings, etc.
Participate in facility and company required trainings, in-services and conferences.
Able to obtain any necessary DME or supplies per regulatory and clinical practice...
resume-library.com -
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