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Remote Supervisor Utilization Management Jobs in Texas

WNS Global Services

Sr Nurse - Clin. Education

Houston, TX · Remote

$80K - $95K/yr

... Utilization Management, Case Management, or Clinical Care Coordination, required Remote education/training experience a plus Ability to flex work hours based on business needs Excellent listening ...

WNS Global Services

Nurse - Clinical Review

Houston, TX · Remote

$65K - $75K/yr

Minimum of one (1) year experience in utilization review, or utilization management Proficient ... Remote Benefits - Medical , Dental, & Vision. 401K plan Compensation Disclosure The base salary for ...

SUN Behavioral Houston

Remote Intake Coordinator

Houston, TX · On-site +1

$17.25 - $23.50/hr

... the Utilization Management team for concurrent reviews. * Demonstrates an ability to be flexible, organized and function well in stressful situations. * Treats patients and their families with ...

WNS Global Services

Sr Nurse - Clin. Education

Houston, TX · On-site +1

$80K - $95K/yr

... of Utilization Management, Case Management, or Clinical Care Coordination, required • Remote education/training experience a plus • Ability to flex work hours based on business needs • ...

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All JobsSupervisor Utilization Management JobsRemote Supervisor Utilization Management JobsRemote Supervisor Utilization Management Jobs in Texas

Remote Supervisor Utilization Management information

What is the difference between Remote Supervisor Utilization Management vs Remote Utilization Review Nurse?

AspectRemote Supervisor Utilization ManagementRemote Utilization Review Nurse
CredentialsRN, often with management or supervisor certificationsRN, with clinical review certifications
Work EnvironmentSupervises teams, manages utilization processes remotelyPerforms clinical reviews, assesses patient necessity remotely
Employer & Industry UsageHealth insurance companies, managed care organizationsInsurance companies, third-party administrators
Primary FocusOverseeing utilization management operationsConducting clinical utilization reviews

Remote Supervisor Utilization Management roles focus on overseeing utilization management teams and processes, ensuring compliance and efficiency. In contrast, Remote Utilization Review Nurses primarily perform clinical assessments to determine the necessity of services. Both roles require RN credentials but differ in responsibilities and scope within the utilization management field.

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The most popular types of Supervisor Utilization Management jobs in Texas are:

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Remote Supervisor Utilization Management jobs near you

Utilization Review Intake Specialist

CorVel Healthcare Corporation

Dallas, TX • Remote

$16.74 - $26.92/hr

Full-time

Re-posted 11 hours ago

Job description

The Utilization Review (UR) Intake Specialist provides staff support services including typing reports and correspondence, file handling and forms completion in addition to answering incoming telephone calls, supporting the goals of the Utilization Review / Case Management department, and of CorVel.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

  • Takes calls relating to precertification requests
  • Verifies that all patient, provider and facility information entered in system is accurate and up to date
  • Enters notes and service requests in CareMC system
  • Communicates with stakeholders in a timely and professional manner
  • Additional duties as assigned

KNOWLEDGE & SKILLS:

  • Ability to handle multiple priorities in a high-volume, fast-paced, team-oriented environment
  • Excellent written and verbal communication skills
  • Ability to meet designated deadlines
  • Computer proficiency and technical aptitude with the ability to utilize Microsoft Office including Excel spreadsheets
  • Strong interpersonal, time management and organizational skills
  • Ability to remain poised in stressful situations and communicate diplomatically via all methods of communication
  • Ability to work both independently and within a team environment

EDUCATION & EXPERIENCE:

  • High School diploma or equivalent required
  • A.A. degree or equivalent preferred

PAY RANGE:

CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.

Pay Range: $16.74 - $26.92 per hour

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.

ABOUT CORVEL

CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

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