Utilization Review Jobs in San Antonio
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Search Results - Utilization Review Jobs in San Antonio
University Health-San Antonio
Bachelor’s degree in Nursing is highly preferred. Three to five years nursing experience required (as a Staff nurse II or above). Work experience in case management, utilization review or hospital quality is preferred.
LICENSURE/ CERTIFICATIONS
Current...
Dane Street, LLC-San Antonio
medical practice with medical necessity and utilization review/management expertise.
• Expanded credentials as an expert in Independent Medical Exams and physician advisor services.
• No-show fees and late cancellation fees are established to protect...
appcast.io -
University Health-San Antonio
hospital experience preferred. Work experience in case management, utilization review, or hospital quality assurance experience is preferred.
LICENSURE/CERTIFICATION
Current license from the Board of Nurse Examiners of the State of Texas to practice...
San Antonio Behavioral Healthcare Hospital-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
is preferred. Three years recent, full-time hospital experience preferred. Work experience in case management, utilization review or hospital quality assurance experience is preferred. Must complete a Clinical Documentation Improvement Course within specified...
San Antonio
licensed in the Oklahoma, Missouri, Texas, and Kansas.
2. A minimum of two years’ experience in hospice Compliance and previous clinical experience in home health, long-term care, oncology, or geriatric nursing.
3. Utilization Review, Compliance, QI...
icims.com -
Dane Street, LLC-San Antonio
Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management expertise
• Expanded credentials as an expert in Independent Medical Exams and physician advisor services
• No-show fees and late...
workable.com -
University Health-San Antonio
National Committee for Quality Assurance (NCQA) that promotes Healthcare Effectiveness Data and Information Set (HEDIS) metrics, Utilization Review Accreditation Commission (URAC), and the Joint Commission (TJC).
Duties: Communicates and interacts...
tiptopjob.com -
Dane Street, LLC-San Antonio
Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management expertise
• Expanded credentials as an expert in Independent Medical Exams and physician advisor services
• No-show fees and late...
workable.com -
San Antonio
Management, Drug Utilization Review
typedisc:
• Systems Integration and Interoperability: SI Platform, FHIR, EDI Interoperability
typedisc:
• Analytics: Enterprise Data Warehouse, Program Insights and Dashboards (NASPO, HEDIS), Benchmarking
typedisc:
• Cost...
tiptopjob.com -
San Antonio Behavioral Healthcare Hospital-San Antonio
Commission Experience Required. Knowledge of psychiatric service delivery system and treatment methods, with specific knowledge and skills in areas of risk management, infection control, and utilization review; strong oral and written communication skills...
workable.com -
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