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Remote Physical Therapy Utilization Review Assistant Jobs in Texas

***REMOTE - Candidates must be based in Texas: Austin area - Travis/Williamson Counties or Richardson ... This position is responsible for performing initial, concurrent review activities; discharge care ...

Remote Facility: Ascension Network Services Department: Utilization Management Schedule: Full Time ... Support complex case management and assist staff with coding, documentation, precertification ...

... * Assist in providing education to providers and interdepartmental teams on utilization management ... remote position. Application Deadline This position is anticipated to close on Jun 5, 2026. About ...

New

Austin, TX - Partially Remote Facility: Ascension and Texas Administrative Office Department ... for nurse review. What minimum qualifications you'll need Education: * High School diploma ...

Remote National Medical Director

Afton, TX · On-site +1

$236.50K - $449.30K/yr

Position Purpose: Assist the Chief Medical Director to direct and coordinate the medical management ... Performs medical review activities pertaining to utilization review, quality assurance, and medical ...

Remote National Medical Director

Ladonia, TX · On-site +1

$236.50K - $449.30K/yr

Position Purpose: Assist the Chief Medical Director to direct and coordinate the medical management ... Performs medical review activities pertaining to utilization review, quality assurance, and medical ...

Remote National Medical Director

Bexar, TX · On-site +1

$236.50K - $449.30K/yr

Position Purpose: Assist the Chief Medical Director to direct and coordinate the medical management ... Performs medical review activities pertaining to utilization review, quality assurance, and medical ...

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Remote Physical Therapy Utilization Review Assistant information

What is the difference between Remote Physical Therapy Utilization Review Assistant vs Remote Physical Therapy Case Coordinator?

AspectRemote Physical Therapy Utilization Review AssistantRemote Physical Therapy Case Coordinator
CertificationsTypically requires licensing or certification in physical therapy or related fieldsOften requires similar certifications, with additional case management credentials
Work EnvironmentRemote, administrative support for insurance reviews and authorizationsRemote, managing patient cases and coordinating care plans
Employer & Industry UsageInsurance companies, healthcare providers, utilization review organizationsHealthcare providers, insurance companies, case management firms

The main difference is that the Remote Physical Therapy Utilization Review Assistant focuses on reviewing and authorizing physical therapy services, while the Remote Physical Therapy Case Coordinator manages patient cases and coordinates care. Both roles require similar certifications and are often found in the healthcare and insurance industries, but their daily responsibilities differ.

What are the most commonly searched types of Remote Physical Therapy Utilization Review jobs in Texas? The most popular types of Remote Physical Therapy Utilization Review jobs in Texas are:
What are popular job titles related to Remote Physical Therapy Utilization Review Assistant jobs in Texas? For Remote Physical Therapy Utilization Review Assistant jobs in Texas, the most frequently searched job titles are:
What job categories do people searching Remote Physical Therapy Utilization Review Assistant jobs in Texas look for? The top searched job categories for Remote Physical Therapy Utilization Review Assistant jobs in Texas are:
What cities in Texas are hiring for Remote Physical Therapy Utilization Review Assistant jobs? Cities in Texas with the most Remote Physical Therapy Utilization Review Assistant job openings:
Utilization Review Nurse

Utilization Review Nurse

Bracane Co

Plano, TX • Remote

Full-time

Posted 12 days ago


Job description

***REMOTE - Candidates must be based in Texas: Austin area - Travis/Williamson Counties or Richardson area - Dallas/Collin Counties***

JOB DESCRIPTION:

RN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and appropriateness of the treatment plan.

JOB RESPONSIBILITIES:

  • This position is responsible for performing initial, concurrent review activities; discharge care coordination for determining efficiency, effectiveness, and quality of medical/surgical services, and serving as liaison between providers and medical and network management divisions.
  • Collects clinical and non-clinical data.
  • Verifies eligibility.
  • Determines benefit levels in accordance to contract guidelines.
  • Provides information regarding utilization management requirements and operational procedures to members, providers, and facilities.

JOB QUALIFICATIONS (Required):

  • Registered Nurse (RN) with a valid, current, unrestricted license in the state of operations.
  • 3 years of clinical experience in a Physician's office, Hospital/Surgical setting, or Health Care Insurance Company.
  • Knowledge of medical terminology and procedures.
  • Verbal and written communication skills.

JOB QUALIFICATIONS (Preferred):

  • MCG or InterQual experience
  • Utilization management experience

LOCATION: REMOTE in Texas ( Richardson area ? Dallas/Collin Counties).

POSITION: 6-month assignment