Utilization Review Assistant
Odessa, TX · On-site
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 ...
Odessa, TX · On-site
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 ...
Odessa, TX · On-site
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 ...
Odessa, TX · On-site
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 ...
Odessa, TX · On-site
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 ...
... Utilization Review using Interqual and Milliman Care Guidelines, Discharge Planning and Case ... Hours: Part-time / PRN as needed, preferably available to cover 2 shifts per week. Shifts would be ...
... Utilization Review using Interqual and Milliman Care Guidelines, Discharge Planning and Case ... Hours: Part-time / PRN as needed, preferably available to cover 2 shifts per week. Shifts would be ...
... Utilization Review using Interqual and Milliman Care Guidelines, Discharge Planning and Case ... Hours: Part-time / PRN as needed, preferably available to cover 2 shifts per week. Shifts would be ...
... Utilization Review using Interqual and Milliman Care Guidelines, Discharge Planning and Case ... Hours: Part-time / PRN as needed, preferably available to cover 2 shifts per week. Shifts would be ...
$111.35 - $126.14/hr
Case Managers act as consultants to the clinical team, service lines, and other departments ... Utilization Review - Review prospectively, concurrently and retrospectively, all inpatients for ...
New
$111.35 - $126.14/hr
Case Managers act as consultants to the clinical team, service lines, and other departments ... Utilization Review - Review prospectively, concurrently and retrospectively, all inpatients for ...
New
Beaumont, TX · On-site
... utilization review • Served on or chaired a Utilization Management Committee • Demonstrated cost-efficient practice Physician Advisor - Care Management & CDI Duties and Responsibilities ...
Beaumont, TX · On-site
... utilization review • Served on or chaired a Utilization Management Committee • Demonstrated cost-efficient practice Physician Advisor - Care Management & CDI Duties and Responsibilities ...
$21 - $27.50/hr
... Manager, Case Managers, Social Workers, and Utilization Review nurses. This role will learn and assist with the following, including but not limited to: arranging post-discharge services such as ...
New
$21 - $27.50/hr
... Manager, Case Managers, Social Workers, and Utilization Review nurses. This role will learn and assist with the following, including but not limited to: arranging post-discharge services such as ...
New
Abilene, TX · On-site
$21 - $27.50/hr
... Manager, Case Managers, Social Workers, and Utilization Review nurses. This role will learn and assist with the following, including but not limited to: arranging post-discharge services such as ...
New
Abilene, TX · On-site
$21 - $27.50/hr
... Manager, Case Managers, Social Workers, and Utilization Review nurses. This role will learn and assist with the following, including but not limited to: arranging post-discharge services such as ...
New
$21 - $27.50/hr
... Manager, Case Managers, Social Workers, and Utilization Review nurses. This role will learn and assist with the following, including but not limited to: arranging post-discharge services such as ...
New
$21 - $27.50/hr
... Manager, Case Managers, Social Workers, and Utilization Review nurses. This role will learn and assist with the following, including but not limited to: arranging post-discharge services such as ...
New
Abilene, TX · On-site
$21 - $27.50/hr
... Manager, Case Managers, Social Workers, and Utilization Review nurses. This role will learn and assist with the following, including but not limited to: arranging post-discharge services such as ...
New
Abilene, TX · On-site
$21 - $27.50/hr
... Manager, Case Managers, Social Workers, and Utilization Review nurses. This role will learn and assist with the following, including but not limited to: arranging post-discharge services such as ...
New
Houston, TX · On-site
$23 - $26/hr
... management tasks, as assigned. Essential Job Functions: * Ensures clinical documentation is ... Provides utilization reviews to insurance companies, providing appropriate clinical information to ...
Houston, TX · On-site
$23 - $26/hr
... management tasks, as assigned. Essential Job Functions: * Ensures clinical documentation is ... Provides utilization reviews to insurance companies, providing appropriate clinical information to ...
... Manager, Case Managers, Social Workers, and Utilization Review nurses. This role will learn and assist with the following, including but not limited to: arranging post-discharge services such as ...
... Manager, Case Managers, Social Workers, and Utilization Review nurses. This role will learn and assist with the following, including but not limited to: arranging post-discharge services such as ...
$53.25 - $62.50/hr
Provide clinical oversight and drug utilization review to ensure appropriate therapy * Collaborate ... Flexible full-time or part-time opportunities available * Call rotation required (evenings/weekends ...
$53.25 - $62.50/hr
Provide clinical oversight and drug utilization review to ensure appropriate therapy * Collaborate ... Flexible full-time or part-time opportunities available * Call rotation required (evenings/weekends ...
Atleast 3 years of experience with case management, care coordination, utilization review, patient intake or discharge planning. * Experience troubleshooting fund resources, quality assurance ...
Atleast 3 years of experience with case management, care coordination, utilization review, patient intake or discharge planning. * Experience troubleshooting fund resources, quality assurance ...
Atleast 3 years of experience with case management, care coordination, utilization review, patient intake or discharge planning. * Experience troubleshooting fund resources, quality assurance ...
Atleast 3 years of experience with case management, care coordination, utilization review, patient intake or discharge planning. * Experience troubleshooting fund resources, quality assurance ...
Bedford, TX · On-site
$18 - $23/hr
Affordable medical, dental, and vision plans for both full-time and part-time employees and their ... Participate in utilization review process: data collection, trend review, and resolution actions.
New
Bedford, TX · On-site
$18 - $23/hr
Affordable medical, dental, and vision plans for both full-time and part-time employees and their ... Participate in utilization review process: data collection, trend review, and resolution actions.
New
Houston, TX · On-site
$19 - $24.50/hr
Affordable medical, dental, and vision plans for both full-time and part-time employees and their ... Participate in utilization review process: data collection, trend review, and resolution actions.
Houston, TX · On-site
$19 - $24.50/hr
Affordable medical, dental, and vision plans for both full-time and part-time employees and their ... Participate in utilization review process: data collection, trend review, and resolution actions.
San Antonio, TX · On-site
$17.25 - $22.25/hr
Affordable medical, dental, and vision plans for both full-time and part-time employees and their ... Participate in utilization review process: data collection, trend review, and resolution actions.
San Antonio, TX · On-site
$17.25 - $22.25/hr
Affordable medical, dental, and vision plans for both full-time and part-time employees and their ... Participate in utilization review process: data collection, trend review, and resolution actions.
Fort Worth, TX · On-site
$19.25 - $24.75/hr
Affordable medical, dental, and vision plans for both full-time and part-time employees and their ... Participate in utilization review process: data collection, trend review, and resolution actions.
Fort Worth, TX · On-site
$19.25 - $24.75/hr
Affordable medical, dental, and vision plans for both full-time and part-time employees and their ... Participate in utilization review process: data collection, trend review, and resolution actions.
Conroe, TX · On-site
$17 - $22/hr
Affordable medical, dental, and vision plans for both full-time and part-time employees and their ... Participate in utilization review process: data collection, trend review, and resolution actions.
Conroe, TX · On-site
$17 - $22/hr
Affordable medical, dental, and vision plans for both full-time and part-time employees and their ... Participate in utilization review process: data collection, trend review, and resolution actions.
| Aspect | Part Time Utilization Review Manager | Utilization Review Nurse |
|---|---|---|
| Credentials | Typically requires a nursing license and management experience | Registered Nurse (RN) license required |
| Work Environment | Oversees review teams, manages processes, and collaborates with healthcare providers | Conducts patient chart reviews, assesses medical necessity, and communicates with providers |
| Industry Usage | Commonly employed in healthcare organizations, insurance companies, and third-party review firms | Primarily found in hospitals, insurance companies, and healthcare facilities |
While both roles involve reviewing medical cases for insurance or healthcare purposes, the Part Time Utilization Review Manager focuses on overseeing review processes and managing teams, whereas the Utilization Review Nurse directly assesses patient cases and medical necessity. Understanding these differences helps clarify career paths and employer expectations in healthcare review roles.
Part-time
Re-posted 14 days ago
8.4
Based on 33 frontline employees who took The Breakroom Quiz
27th of 885 rated healthcare providers
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.
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Health care and social assistance
1,001 - 5,000 Employees
Odessa, TX, US
1949