Utilization Review Assistant
Odessa, TX · On-site
B. Training and Experience: Must have a minimum of one-year work experience in an acute care medical facility. C. Job Knowledge: Familiar with medical terminology, utilization review, community ...
Utilization Review Assistant
Odessa, TX · On-site
B. Training and Experience: Must have a minimum of one-year work experience in an acute care medical facility. C. Job Knowledge: Familiar with medical terminology, utilization review, community ...
B. Training and Experience: Must have a minimum of one-year work experience in an acute care medical facility. C. Job Knowledge: Familiar with medical terminology, utilization review, community ...
B. Training and Experience: Must have a minimum of one-year work experience in an acute care medical facility. C. Job Knowledge: Familiar with medical terminology, utilization review, community ...
Utilization Review Assistant
Odessa, TX · On-site
B. Training and Experience: Must have a minimum of one-year work experience in an acute care medical facility. C. Job Knowledge: Familiar with medical terminology, utilization review, community ...
Utilization Review Assistant
Odessa, TX · On-site
B. Training and Experience: Must have a minimum of one-year work experience in an acute care medical facility. C. Job Knowledge: Familiar with medical terminology, utilization review, community ...
Will be required to travel to attend meetings, training, or conduct business off site. Must have a ... The Utilization Review Specialist will have access to confidential records including youth files ...
Will be required to travel to attend meetings, training, or conduct business off site. Must have a ... The Utilization Review Specialist will have access to confidential records including youth files ...
Will be required to travel to attend meetings, training, or conduct business off site. Must have a ... The Utilization Review Specialist will have access to confidential records including youth files ...
Quick apply
Will be required to travel to attend meetings, training, or conduct business off site. Must have a ... The Utilization Review Specialist will have access to confidential records including youth files ...
Will be required to travel to attend meetings, training, or conduct business off site. Must have a ... The Utilization Review Specialist will have access to confidential records including youth files ...
Will be required to travel to attend meetings, training, or conduct business off site. Must have a ... The Utilization Review Specialist will have access to confidential records including youth files ...
The Utilization Review Specialist/Outcomes Specialist conducts concurrent and retrospective review ... B. Training and Experience: Three years of clinical nursing experience in a general medical ...
The Utilization Review Specialist/Outcomes Specialist conducts concurrent and retrospective review ... B. Training and Experience: Three years of clinical nursing experience in a general medical ...
Utilization Review Nurse
Dallas, TX · Remote
$35 - $45.94/hr
We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring ...
Quick apply
Utilization Review Nurse
Dallas, TX · Remote
$35 - $45.94/hr
We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring ...
Utilization Review Specialist
Odessa, TX · On-site
The Utilization Review Specialist/Outcomes Specialist conducts concurrent and retrospective review ... B. Training and Experience: Three years of clinical nursing experience in a general medical ...
Utilization Review Specialist
Odessa, TX · On-site
The Utilization Review Specialist/Outcomes Specialist conducts concurrent and retrospective review ... B. Training and Experience: Three years of clinical nursing experience in a general medical ...
Utilization Review Specialist
$70K - $100K/yr
This position is ideal for someone with many years of experience doing Utilization Review who can quickly step into the role and work independently with minimal training. This is a hybrid opportunity ...
Utilization Review Specialist
$70K - $100K/yr
This position is ideal for someone with many years of experience doing Utilization Review who can quickly step into the role and work independently with minimal training. This is a hybrid opportunity ...
Utilization Review Nurse
Big Spring, TX · On-site
Job Summary The Utilization Review (UR) Nurse has acute knowledge and skills in areas of ... This individual identifies, develops, and provides orientation, and training, for appropriate staff ...
Utilization Review Nurse
Big Spring, TX · On-site
Job Summary The Utilization Review (UR) Nurse has acute knowledge and skills in areas of ... This individual identifies, develops, and provides orientation, and training, for appropriate staff ...
Job Summary The Utilization Review (UR) Nurse has acute knowledge and skills in areas of ... This individual identifies, develops, and provides orientation, and training, for appropriate staff ...
Job Summary The Utilization Review (UR) Nurse has acute knowledge and skills in areas of ... This individual identifies, develops, and provides orientation, and training, for appropriate staff ...
Utilization Review Specialist
$70K - $100K/yr
This position is ideal for someone with many years of experience doing Utilization Review who can quickly step into the role and work independently with minimal training. This is a hybrid opportunity ...
Utilization Review Specialist
$70K - $100K/yr
This position is ideal for someone with many years of experience doing Utilization Review who can quickly step into the role and work independently with minimal training. This is a hybrid opportunity ...
Job Summary You supervise utilization review for RNs. You oversee processes daily. Guide on complex ... Proficiency in training colleagues and assessing their performance. * Basic digital skills like ...
New
Job Summary You supervise utilization review for RNs. You oversee processes daily. Guide on complex ... Proficiency in training colleagues and assessing their performance. * Basic digital skills like ...
New
Job Summary You supervise utilization review for RNs. You oversee processes daily. Guide on complex ... Proficiency in training colleagues and assessing their performance. * Basic digital skills like ...
New
Job Summary You supervise utilization review for RNs. You oversee processes daily. Guide on complex ... Proficiency in training colleagues and assessing their performance. * Basic digital skills like ...
New
Job Summary You supervise utilization review for RNs. You oversee processes daily. Guide on complex ... Proficiency in training colleagues and assessing their performance. * Basic digital skills like ...
New
Job Summary You supervise utilization review for RNs. You oversee processes daily. Guide on complex ... Proficiency in training colleagues and assessing their performance. * Basic digital skills like ...
New
Job Summary You supervise utilization review for RNs. You oversee processes daily. Guide on complex ... Proficiency in training colleagues and assessing their performance. * Basic digital skills like ...
New
Job Summary You supervise utilization review for RNs. You oversee processes daily. Guide on complex ... Proficiency in training colleagues and assessing their performance. * Basic digital skills like ...
New
Utilization Review Nurse San Jacinto Plaza - Sunflower Building - El Paso, TX 79901; El Paso ... Previous training and demonstrated competence in negotiations, quality assurance, case management ...
Utilization Review Nurse San Jacinto Plaza - Sunflower Building - El Paso, TX 79901; El Paso ... Previous training and demonstrated competence in negotiations, quality assurance, case management ...
Job Summary You supervise utilization review for RNs. You oversee processes daily. Guide on complex ... Proficiency in training colleagues and assessing their performance. * Basic digital skills like ...
New
Job Summary You supervise utilization review for RNs. You oversee processes daily. Guide on complex ... Proficiency in training colleagues and assessing their performance. * Basic digital skills like ...
New
Job Summary You supervise utilization review for RNs. You oversee processes daily. Guide on complex ... Proficiency in training colleagues and assessing their performance. * Basic digital skills like ...
New
Job Summary You supervise utilization review for RNs. You oversee processes daily. Guide on complex ... Proficiency in training colleagues and assessing their performance. * Basic digital skills like ...
New
Free Utilization Review Training information
What is free utilization review training?
Free utilization review training refers to educational programs or courses that teach individuals the fundamentals of utilization review without requiring payment. Utilization review is a process used in healthcare to assess the necessity, efficiency, and appropriateness of medical services, procedures, or admissions. These free training options are often available online and can help nurses, case managers, or other healthcare professionals gain the skills needed to pursue roles in utilization management. Training typically covers topics such as clinical guidelines, insurance protocols, and regulatory compliance. Completing such training can enhance career opportunities in healthcare case management and insurance settings.
What is the difference between Free Utilization Review Training vs Utilization Review Nurse?
| Aspect | Free Utilization Review Training | Utilization Review Nurse |
|---|---|---|
| Credentials | Typically no formal credentials required; focus on training programs | Registered Nurse (RN) license required, with possible certifications like CCM or UR-specific credentials |
| Work Environment | Training sessions, online courses, workshops | Hospitals, insurance companies, healthcare facilities |
| Employer & Industry Usage | Used for skill development and certification prep | Performing reviews, making coverage decisions, ensuring appropriate care |
Free Utilization Review Training provides foundational knowledge and skills for those interested in entering or advancing in utilization review roles. In contrast, a Utilization Review Nurse is a licensed healthcare professional actively performing review duties in clinical settings. The training is often a prerequisite or supplement to the nurse's practical work, which requires licensure and clinical experience.
What are the key skills and qualifications needed to thrive as a utilization review nurse, and why are they important?
To thrive as a Utilization Review Nurse, you need a current RN license, strong clinical assessment skills, and knowledge of insurance and healthcare regulations. Familiarity with utilization management software, electronic health records (EHRs), and possibly certifications like Certified Utilization Review Nurse (CURN) are typically expected. Excellent communication, analytical thinking, and attention to detail are standout soft skills in this position. These abilities are crucial for ensuring appropriate patient care, compliance, and cost-effective healthcare delivery.
What are some common challenges faced by professionals during utilization review training, and how can they be overcome?
During utilization review training, professionals often encounter challenges such as adapting to complex healthcare regulations, learning to interpret medical records efficiently, and effectively applying clinical guidelines to decision-making. Overcoming these challenges requires strong attention to detail, ongoing engagement with training modules, and seeking mentorship from experienced utilization review nurses or case managers. Actively participating in case discussions and staying updated with industry standards can also help trainees build confidence and competence for a successful career in utilization review.
What are popular job titles related to Free Utilization Review Training jobs in Texas?
For Free Utilization Review Training jobs in Texas, the most frequently searched job titles are:
What job categories do people searching Free Utilization Review Training jobs in Texas look for?
The top searched job categories for Free Utilization Review Training jobs in Texas are:
What cities in Texas are hiring for Free Utilization Review Training jobs?
Cities in Texas with the most Free Utilization Review Training job openings:
Part-time
Re-posted 29 days ago
Medical Center Health System rating
8.4
Based on 33 frontline employees who took The Breakroom Quiz
23rd of 887 rated healthcare providers
Job description
Position Summary:
Assists UM Department with utilization review processes, including the collection and analysis of various computer-based data related to Utilization Review, Care Coordination, and Commercial Insurance.
Qualifications:
A. Education:
Must have a high school diploma or equivalent.
B. Training and Experience:
Must have a minimum of one-year work experience in an acute care medical facility.
C. Job Knowledge:
Familiar with medical terminology, utilization review, community resource a plus. Basic computer skills required. Be able to communicate effectively verbally and in writing.
Unusual Physical Demands and Working Conditions:
Should be familiar with healthcare operations. Experience with the collection and management of data preferred. Familiar with medical terminology, utilization review, and/or medical insurance preferred.
Ability to communicate effectively and professionally, both verbally and in writing.
Assists UM Department with utilization review processes, including the collection and analysis of various computer-based data related to Utilization Review, Care Coordination, and Commercial Insurance.
Qualifications:
A. Education:
Must have a high school diploma or equivalent.
B. Training and Experience:
Must have a minimum of one-year work experience in an acute care medical facility.
C. Job Knowledge:
Familiar with medical terminology, utilization review, community resource a plus. Basic computer skills required. Be able to communicate effectively verbally and in writing.
Unusual Physical Demands and Working Conditions:
Should be familiar with healthcare operations. Experience with the collection and management of data preferred. Familiar with medical terminology, utilization review, and/or medical insurance preferred.
Ability to communicate effectively and professionally, both verbally and in writing.
What Medical Center Health System employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Medical Center Health System
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
Odessa, TX, US
Year founded
1949