Manager Anthem Utilization Review Jobs in Texas (NOW HIRING)

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 ...

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 ...

Experience with utilization management in behavioral and/or medical healthcare. Experience driving quality and timely discharge planning from residential facilities as deemed appropriate in review of ...

Experience with utilization management in behavioral and/or medical healthcare. Experience driving quality and timely discharge planning from residential facilities as deemed appropriate in review of ...

Experience with utilization management in behavioral and/or medical healthcare. Experience driving quality and timely discharge planning from residential facilities as deemed appropriate in review of ...

Overview The Manager, Utilization Review Nursing is responsible for the operational oversight and leadership of Sendero Health Plans' Utilization Review Nursing team. This position ensures timely ...

Job Summary The Utilization Review (UR) Nurse has acute knowledge and skills in areas of utilization management (UM), medical necessity, and patient status determination. This individual supports the ...

Job Summary The Utilization Review (UR) Nurse has acute knowledge and skills in areas of utilization management (UM), medical necessity, and patient status determination. This individual supports the ...

Hours: 8:30-5:30, Monday - Friday At Houston Methodist, the Utilization Review Nurse (URN) position ... This position collaborates with case management in the development and implementation of the plan ...

Utilization review experience Additional Skills & Qualifications * Perform utilization review ... Collaborate with physicians, case management teams, and payers to support authorization and ...

As a Utilization Review Nurse (UR Nurse) , you'll play an important role in helping us offer ... The UR Nurse collaborates closely with intake staff, physicians, specialists, case managers, and ...

This position is responsible for performing initial, concurrent review activities; discharge care ... Provides information regarding utilization management requirements and operational procedures to ...

Job Summary Our client is seeking a skilled Utilization Review Nurse to join their team. This role ... As a job position within our Care Management division, a successful completion of a background ...

Overview Under the supervision of the Director of Utilization Management, the Clinical Quality and Utilization Review Specialist performs a dual role encompassing utilization management and peer ...

Overview Under the supervision of the Director of Utilization Management, the Clinical Quality and Utilization Review Specialist performs a dual role encompassing utilization management and peer ...

Updating Clinical Resource Manager as needed. * Assigning daily tasks to staff members to ensure ... Handling escalations from Utilization Review Nurses and other staff members. * Conducting quality ...

Updating Clinical Resource Manager as needed. * Assigning daily tasks to staff members to ensure ... Handling escalations from Utilization Review Nurses and other staff members. * Conducting quality ...

Updating Clinical Resource Manager as needed. * Assigning daily tasks to staff members to ensure ... Handling escalations from Utilization Review Nurses and other staff members. * Conducting quality ...

This position is responsible for working with insurance companies and managed care systems for the ... Previous experience in utilization review or case management desirable. This position will obtain ...

This position is responsible for working with insurance companies and managed care systems for the ... Previous experience in utilization review or case management desirable. This position will obtain ...