Utilization Review Assistant
Odessa, TX · On-site
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 ...
Odessa, TX · On-site
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 ...
Odessa, TX · On-site
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 ...
Addison, TX · On-site
Complete utilization analyses to support clinicians: evaluate practice patterns, trends, outliers and opportunities lending insight to practice patterns or variation in outcomes statistics * Generate ...
Addison, TX · On-site
Complete utilization analyses to support clinicians: evaluate practice patterns, trends, outliers and opportunities lending insight to practice patterns or variation in outcomes statistics * Generate ...
Odessa, TX · On-site
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 ...
Odessa, TX · On-site
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 ...
Odessa, TX · On-site
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 ...
Odessa, TX · On-site
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 ...
Manager - Utilization Management Do you have a passion for helping others and want a career where ... Create, analyze, prepare, and maintain records, files, documents, reports, and correspondence.
Manager - Utilization Management Do you have a passion for helping others and want a career where ... Create, analyze, prepare, and maintain records, files, documents, reports, and correspondence.
Participate in Root Cause Analyses (RCAs) for sentinel events, near misses, and high-risk ... Utilization Management: * Perform comprehensive utilization reviews and manage authorizations for ...
Participate in Root Cause Analyses (RCAs) for sentinel events, near misses, and high-risk ... Utilization Management: * Perform comprehensive utilization reviews and manage authorizations for ...
Participate in Root Cause Analyses (RCAs) for sentinel events, near misses, and high-risk ... Utilization Management: * Perform comprehensive utilization reviews and manage authorizations for ...
Participate in Root Cause Analyses (RCAs) for sentinel events, near misses, and high-risk ... Utilization Management: * Perform comprehensive utilization reviews and manage authorizations for ...
Participate in Root Cause Analyses (RCAs) for sentinel events, near misses, and high-risk ... Utilization Management: * Perform comprehensive utilization reviews and manage authorizations for ...
Participate in Root Cause Analyses (RCAs) for sentinel events, near misses, and high-risk ... Utilization Management: * Perform comprehensive utilization reviews and manage authorizations for ...
Participate in Root Cause Analyses (RCAs) for sentinel events, near misses, and high-risk ... Utilization Management: * Perform comprehensive utilization reviews and manage authorizations for ...
Participate in Root Cause Analyses (RCAs) for sentinel events, near misses, and high-risk ... Utilization Management: * Perform comprehensive utilization reviews and manage authorizations for ...
Analytical Mathematics Medical Terms Other: Utilization review tools: MCG and or Change healthcare ... Interqual) Work Schedule: Flexible: 8 hour shifts as per system need; variable to 10-12 as needed.
Analytical Mathematics Medical Terms Other: Utilization review tools: MCG and or Change healthcare ... Interqual) Work Schedule: Flexible: 8 hour shifts as per system need; variable to 10-12 as needed.
Utilization Review Nurse San Jacinto Plaza - Sunflower Building - El Paso, TX 79901; El Paso ... Ability to work on extremely complex problems where analysis of situation or data requires an ...
Utilization Review Nurse San Jacinto Plaza - Sunflower Building - El Paso, TX 79901; El Paso ... Ability to work on extremely complex problems where analysis of situation or data requires an ...
Hiring Now for RN Utilization Review Coordinator Department: Case Management Shift: Full-time ... Monitor denial outcomes, appeal success rates, and payer trends; analyze root causes and provide ...
Hiring Now for RN Utilization Review Coordinator Department: Case Management Shift: Full-time ... Monitor denial outcomes, appeal success rates, and payer trends; analyze root causes and provide ...
Hiring Now for RN Utilization Review Coordinator Department: Case Management Shift: Full-time ... Monitor denial outcomes, appeal success rates, and payer trends; analyze root causes and provide ...
Hiring Now for RN Utilization Review Coordinator Department: Case Management Shift: Full-time ... Monitor denial outcomes, appeal success rates, and payer trends; analyze root causes and provide ...
Hiring Now for RN Utilization Review Coordinator Department: Case Management Shift: Full-time ... Monitor denial outcomes, appeal success rates, and payer trends; analyze root causes and provide ...
Hiring Now for RN Utilization Review Coordinator Department: Case Management Shift: Full-time ... Monitor denial outcomes, appeal success rates, and payer trends; analyze root causes and provide ...
Addison, TX · On-site
Complete utilization analyses to support clinicians: evaluate practice patterns, trends, outliers and opportunities lending insight to practice patterns or variation in outcomes statistics * Generate ...
Addison, TX · On-site
Complete utilization analyses to support clinicians: evaluate practice patterns, trends, outliers and opportunities lending insight to practice patterns or variation in outcomes statistics * Generate ...
Utilization Review Nurse The Utilization Review Nurse is responsible for determining the clinical ... Analyze clinical information submitted by medical providers to evaluate the medical necessity ...
Utilization Review Nurse The Utilization Review Nurse is responsible for determining the clinical ... Analyze clinical information submitted by medical providers to evaluate the medical necessity ...
Addison, TX · On-site
$75 - $110/hr
Complete utilization analyses to support clinicians: evaluate practice patterns, trends, outliers and opportunities lending insight to practice patterns or variation in outcomes statistics * Generate ...
Addison, TX · On-site
$75 - $110/hr
Complete utilization analyses to support clinicians: evaluate practice patterns, trends, outliers and opportunities lending insight to practice patterns or variation in outcomes statistics * Generate ...
Addison, TX · On-site
Complete utilization analyses to support clinicians: evaluate practice patterns, trends, outliers and opportunities lending insight to practice patterns or variation in outcomes statistics * Generate ...
Addison, TX · On-site
Complete utilization analyses to support clinicians: evaluate practice patterns, trends, outliers and opportunities lending insight to practice patterns or variation in outcomes statistics * Generate ...
Hours: 8:30-5:30, Monday - Friday At Houston Methodist, the Utilization Review Nurse (URN) position ... by analyzing clinical protocols. * Escalates appropriate cases to the Physician Advisor (or ...
Hours: 8:30-5:30, Monday - Friday At Houston Methodist, the Utilization Review Nurse (URN) position ... by analyzing clinical protocols. * Escalates appropriate cases to the Physician Advisor (or ...
Addison, TX · On-site
Complete utilization analyses to support clinicians: evaluate practice patterns, trends, outliers and opportunities lending insight to practice patterns or variation in outcomes statistics * Generate ...
Addison, TX · On-site
Complete utilization analyses to support clinicians: evaluate practice patterns, trends, outliers and opportunities lending insight to practice patterns or variation in outcomes statistics * Generate ...
| Aspect | Utilization Analyst | Data Analyst |
|---|---|---|
| Required Credentials | Bachelor's in healthcare, business, or related field; certifications like CPC or HCISPP | Bachelor's in statistics, computer science, or related field; certifications like CAP or Microsoft Certified Data Analyst |
| Work Environment | Healthcare facilities, insurance companies, or healthcare consulting firms | Various industries including finance, marketing, healthcare, and technology |
| Employer & Industry Usage | Used primarily in healthcare and insurance sectors to optimize resource utilization | Used across multiple industries to analyze data trends and support decision-making |
While both roles involve analyzing data, a Utilization Analyst focuses on healthcare resource management and efficiency, whereas a Data Analyst has a broader scope across industries, analyzing diverse data sets to inform strategic decisions.
For Utilization Analyst jobs in Texas, the most frequently searched job titles are:
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Part-time
Re-posted 11 days ago
8.4
Based on 33 frontline employees who took The Breakroom Quiz
25th of 894 rated healthcare providers
Get the full story on Breakroom
Sourced by ZipRecruiter
Health care and social assistance
1,001 - 5,000 Employees
Odessa, TX, US
1949