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65 utilization review nurse jobs in Houston

RN Utilization Review Nurse - Houston, Texas, Nashville Tennesse, or Brimingham,

Cigna 100+ Reviews Houston, TX

--Utilization Mgmt** **Title:** **RN Utilization Review Nurse - Houston, Texas… Beyond.com

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RN Telephonic Utilization Review Nurse (Acute Care) - Work at Home, Dallas,Texas

Cigna 100+ Reviews Houston, TX

Manges concurrent, retrospective and discharge reviews for Observation, Acute, SNF, Rehab and Long term acute care admissions. Applies a set of… Beyond.com

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RN Utilization Review Nurse (Acute Care) - Work at Home/Onsite - Tyler,Texas

Cigna 100+ Reviews Houston, TX

Manges concurrent, retrospective and discharge reviews for Observation, Acute, SNF, Rehab and Long term acute care admissions. Applies a set of… Glassdoor

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Discharge Planner (Clinical)

Centene Corporation 100+ Reviews Houston, TX

Position Purpose: Review emergent requests for prior authorization of medical and rehabilitative services, including outpatient procedures… HealtheCareers

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Util Mgmt (UM) Nurse-RN (CHC)

Harris Health System 65 Reviews Houston, TX

for members. UM Nurse reviews clinical information utilizing evidenced… CareerBuilder

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Regional Reimbursement Nurse – new

Preferred Care Partners Management Group 2 Reviews Houston, TX

• Evaluate facility compliance to federal regulations and targets for utilization • Regular visits to facilities for intervention, audit and… CareerBuilder

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Clinical Documentation Improvement Specialist

E-Health 7 Reviews Houston, TX

Responsible for providing clinically based concurrent and retrospective review of inpatient medical records to evaluate the documentation and… E-Health

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Pre-cert RN – new

Universal American 71 Reviews Houston, TX

) The Pre-Cert Nurse will review clinical documentation to determine the medical necessity of requested services by providers and members. Assist… CareerBuilder

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Nurse Practitioner

CHRISTUS Health. 94 Reviews Houston, TX

1. Obtains complete medical history and physical data on patients. 2. Interprets and integrates data to determine appropriate diagnostic and… CareerBuilder

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Registered Nurse (RN) - Utilization Management Nurse Consultant

Aetna 100+ Reviews Houston, TX

Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. Requires an RN with… Beyond.com

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Patient Advocate – new

Ortho-Tek Spring, TX

The primary responsibility of the Patient Advocate is to obtain/maintain insurance authorization for patients. Duties include: • Check patient… CareerBuilder

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Nurse Auditor

Harris Health System 65 Reviews Houston, TX

Responsible for clinical part of audit to determine if all charges have been captured appropriately. Typical audits performed will consist of a… CareerBuilder

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Advanced Prac Registered Nurse

MD Anderson Cancer Center 100+ Reviews Houston, TX

3. Serves as a clinical resource, utilizing advanced nursing knowledge to provide consultation to colleagues and allied personnel; and by… Beyond.com

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Registered Nurse (RN) - UM Nurse Consultant

Aetna 100+ Reviews Houston, TX

- Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. - Requires an RN with… Beyond.com

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Pre-Cert Nurse - LVN

Universal American (UAM) Houston, TX

Authorize services regarding the authorizations and implementation of approved services through Pre-cert and functions; Provide members with the… Beyond.com

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