Utilization Review Specialist
Odessa, TX · On-site
The Utilization Review Specialist/Outcomes Specialist conducts concurrent and retrospective review ... Education: Holds a current Texas license as a Registered Nurse OR a current Texas Licensed ...
Utilization Review Specialist
Odessa, TX · On-site
The Utilization Review Specialist/Outcomes Specialist conducts concurrent and retrospective review ... Education: Holds a current Texas license as a Registered Nurse OR a current Texas Licensed ...
Utilization Review Specialist
Odessa, TX · On-site
The Utilization Review Specialist/Outcomes Specialist conducts concurrent and retrospective review ... Education: Holds a current Texas license as a Registered Nurse OR a current Texas Licensed ...
Utilization Review Specialist
Odessa, TX · On-site
The Utilization Review Specialist/Outcomes Specialist conducts concurrent and retrospective review ... Education: Holds a current Texas license as a Registered Nurse OR a current Texas Licensed ...
Utilization Management
Houston, TX · On-site
$38 - $42/hr
RN Outpatient Utilization Review Remote Texas HealthCare Support is actively seeking multiple Outpatient Utilization Review Registered Nurses with our prestigious Healthcare Client. Applications must ...
Utilization Management
Houston, TX · On-site
$38 - $42/hr
RN Outpatient Utilization Review Remote Texas HealthCare Support is actively seeking multiple Outpatient Utilization Review Registered Nurses with our prestigious Healthcare Client. Applications must ...
Performs concurrent inpatient utilization review using InterQual criteria to determine if the ... Current, active unrestricted RN license in the state or territory of the U.S. (USRN equivalent)
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Performs concurrent inpatient utilization review using InterQual criteria to determine if the ... Current, active unrestricted RN license in the state or territory of the U.S. (USRN equivalent)
Nurse, Concurrent Review
Houston, TX · On-site
Performs concurrent inpatient utilization review using InterQual criteria to determine if the ... RN graduate from an accredited school of nursing (BSN preferred) Current, active unrestricted RN ...
Nurse, Concurrent Review
Houston, TX · On-site
Performs concurrent inpatient utilization review using InterQual criteria to determine if the ... RN graduate from an accredited school of nursing (BSN preferred) Current, active unrestricted RN ...
Nurse Concurrent Review
Houston, TX · On-site
$75K/yr
• Performs concurrent inpatient utilization review using InterQual criteria to determine if the ... Qualifications • RN graduate from an accredited school of nursing (BSN preferred) • Current ...
Nurse Concurrent Review
Houston, TX · On-site
$75K/yr
• Performs concurrent inpatient utilization review using InterQual criteria to determine if the ... Qualifications • RN graduate from an accredited school of nursing (BSN preferred) • Current ...
Nurse, Concurrent Review
Houston, TX · On-site +1
... utilization review using InterQual criteria to determine if the request meets medical necessity ... • RN graduate from an accredited school of nursing (BSN preferred) • Current, active ...
Nurse, Concurrent Review
Houston, TX · On-site +1
... utilization review using InterQual criteria to determine if the request meets medical necessity ... • RN graduate from an accredited school of nursing (BSN preferred) • Current, active ...
The Utilization Management (UM) RN performs utilization review activities, including, but not limited to, precertification, ensures appropriate level of care and status (Inpatient, Outpatient, and ...
The Utilization Management (UM) RN performs utilization review activities, including, but not limited to, precertification, ensures appropriate level of care and status (Inpatient, Outpatient, and ...
Work Experience Three years of experience as a Registered Nurse required, preferably in a clinical setting. Strong knowledge of utilization review in Medicaid HMO required, with working knowledge of ...
Work Experience Three years of experience as a Registered Nurse required, preferably in a clinical setting. Strong knowledge of utilization review in Medicaid HMO required, with working knowledge of ...
Work Experience Three years of experience as a Registered Nurse required, preferably in a clinical setting. Strong knowledge of utilization review in Medicaid HMO required, with working knowledge of ...
Work Experience Three years of experience as a Registered Nurse required, preferably in a clinical setting. Strong knowledge of utilization review in Medicaid HMO required, with working knowledge of ...
Work Experience Three years of experience as a Registered Nurse required, preferably in a clinical setting. Strong knowledge of utilization review in Medicaid HMO required, with working knowledge of ...
Work Experience Three years of experience as a Registered Nurse required, preferably in a clinical setting. Strong knowledge of utilization review in Medicaid HMO required, with working knowledge of ...
Director of Utilization
El Paso, TX · On-site
Collaborates with physicians, therapist and nursing staff to provide optimal review based on ... If applicable, current licensure as an LPN or RN within the state where the facility provides ...
Director of Utilization
El Paso, TX · On-site
Collaborates with physicians, therapist and nursing staff to provide optimal review based on ... If applicable, current licensure as an LPN or RN within the state where the facility provides ...
Director of Utilization
El Paso, TX · On-site
Collaborates with physicians, therapist and nursing staff to provide optimal review based on ... If applicable, current licensure as an LPN or RN within the state where the facility provides ...
Director of Utilization
El Paso, TX · On-site
Collaborates with physicians, therapist and nursing staff to provide optimal review based on ... If applicable, current licensure as an LPN or RN within the state where the facility provides ...
Director of Utilization
El Paso, TX · On-site
Collaborates with physicians, therapist and nursing staff to provide optimal review based on ... If applicable, current licensure as an LPN or RN within the state where the facility provides ...
Director of Utilization
El Paso, TX · On-site
Collaborates with physicians, therapist and nursing staff to provide optimal review based on ... If applicable, current licensure as an LPN or RN within the state where the facility provides ...
... utilization oversight ... In parallel, the RN coordinates peer review activities including screening, reviewing, and ...
... utilization oversight ... In parallel, the RN coordinates peer review activities including screening, reviewing, and ...
... utilization oversight ... In parallel, the RN coordinates peer review activities including screening, reviewing, and ...
... utilization oversight ... In parallel, the RN coordinates peer review activities including screening, reviewing, and ...
In parallel, the RN coordinates peer review activities including screening, reviewing, and ... The Clinical Quality and Utilization Review Specialist partners closely with physicians, advanced ...
In parallel, the RN coordinates peer review activities including screening, reviewing, and ... The Clinical Quality and Utilization Review Specialist partners closely with physicians, advanced ...
... utilization oversight ... In parallel, the RN coordinates peer review activities including screening, reviewing, and ...
... utilization oversight ... In parallel, the RN coordinates peer review activities including screening, reviewing, and ...
Utilization Management Representative The Utilization Management Representative (UMR) plays a vital ... Coordinate with clinical review staff (RNs, LVNs, Medical Directors) to ensure proper routing of ...
Utilization Management Representative The Utilization Management Representative (UMR) plays a vital ... Coordinate with clinical review staff (RNs, LVNs, Medical Directors) to ensure proper routing of ...
Collaborates with physicians, therapist and nursing staff to provide optimal review based on ... If applicable, current licensure as an LPN or RN within the state where the facility provides ...
Collaborates with physicians, therapist and nursing staff to provide optimal review based on ... If applicable, current licensure as an LPN or RN within the state where the facility provides ...
Trainee Rn Utilization Review Nurse information
What is the difference between Trainee Rn Utilization Review Nurse vs Registered Nurse in Utilization Review?
| Aspect | Trainee Rn Utilization Review Nurse | Registered Nurse in Utilization Review |
|---|---|---|
| Credentials | Licensed RN, in training or early in career | Licensed RN with experience in utilization review |
| Work Environment | Supervised training setting, often in healthcare or insurance companies | Independent review, case analysis, and decision-making in healthcare or insurance |
| Job Responsibilities | Assisting with reviews, learning policies, supporting senior staff | Conducting utilization reviews, making coverage decisions, ensuring compliance |
The main difference is that the Trainee Rn Utilization Review Nurse is in training and gaining experience, while the Registered Nurse in Utilization Review is a fully qualified professional responsible for independent review and decision-making. The trainee role focuses on learning, whereas the registered nurse role involves applying expertise to evaluate patient care and insurance coverage.
What are the most commonly searched types of Rn Utilization Review Nurse jobs in Texas? The most popular types of Rn Utilization Review Nurse jobs in Texas are:
What cities in Texas are hiring for Trainee Rn Utilization Review Nurse jobs? Cities in Texas with the most Trainee Rn Utilization Review Nurse job openings:
Full-time
Re-posted 27 days ago
Medical Center Health System rating
8.4
Based on 33 frontline employees who took The Breakroom Quiz
24th of 887 rated healthcare providers
Job description
Position Summary:
The Utilization Review Specialist/Outcomes Specialist conducts concurrent and retrospective review functions in support of the hospital Utilization Review Program and makes appropriate referrals to designated Physician Advisors.
Qualifications:
A. Education:
Holds a current Texas license as a Registered Nurse OR a current Texas Licensed Vocational Nurse.
B. Training and Experience:
Three years of clinical nursing experience in a general medical/surgical setting or appropriate specialty area; at least one year in an acute care setting.
C. Job Knowledge:
Excellent verbal and written skills, well-rounded critical thinking skills, self-motivated, flexible, and goal-oriented. Ability to tolerate frequent interruptions and demanding workload.
VI. Unusual Physical Demands and Working Conditions:
Must be able to work long hours on occasion. Potential for some stress in meeting deadlines.
What Medical Center Health System employees say
Pay
Benefits
Hours and flexibility
Workplace
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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