Waco, TX · On-site
Serve on facility committees including Infection Control, Quality Assurance, and Utilization Review. * Participate in the Infection Control program, monitoring hand hygiene, isolation technique ...
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Waco, TX · On-site
Serve on facility committees including Infection Control, Quality Assurance, and Utilization Review. * Participate in the Infection Control program, monitoring hand hygiene, isolation technique ...
Waco, TX · On-site
$95 - $135/hr
Serve on facility committees including Infection Control, Quality Assurance, and Utilization Review. * Participate in the Infection Control program, monitoring hand hygiene, isolation technique ...
Waco, TX · On-site
$95 - $135/hr
Serve on facility committees including Infection Control, Quality Assurance, and Utilization Review. * Participate in the Infection Control program, monitoring hand hygiene, isolation technique ...
Practical experience in Tele-Medicine, Electronic Utilization Review and Quality Improvement is desirable. * Board certification required with a preference for a primary care specialty such as ...
Practical experience in Tele-Medicine, Electronic Utilization Review and Quality Improvement is desirable. * Board certification required with a preference for a primary care specialty such as ...
Practical experience in Tele-Medicine, Electronic Utilization Review and Quality Improvement is desirable. * Board certification required with a preference for a primary care specialty such as ...
Practical experience in Tele-Medicine, Electronic Utilization Review and Quality Improvement is desirable. * Board certification required with a preference for a primary care specialty such as ...
Practical experience in Tele-Medicine, Electronic Utilization Review and Quality Improvement is desirable. * Board certification required with a preference for a primary care specialty such as ...
Practical experience in Tele-Medicine, Electronic Utilization Review and Quality Improvement is desirable. * Board certification required with a preference for a primary care specialty such as ...
Temple, TX · On-site
Conduct ongoing staff education based on documentation review, utilization review findings, and performance improvement data. * Coordinate communication among physicians, team members, and caregivers ...
Temple, TX · On-site
Conduct ongoing staff education based on documentation review, utilization review findings, and performance improvement data. * Coordinate communication among physicians, team members, and caregivers ...
Temple, TX · On-site
Conduct ongoing staff education based on documentation review, utilization review findings, and performance improvement data. * Coordinate communication among physicians, team members, and caregivers ...
Temple, TX · On-site
Conduct ongoing staff education based on documentation review, utilization review findings, and performance improvement data. * Coordinate communication among physicians, team members, and caregivers ...
Temple, TX · On-site
Conduct ongoing staff education based on documentation review, utilization review findings, and performance improvement data. * Coordinate communication among physicians, team members, and caregivers ...
Temple, TX · On-site
Conduct ongoing staff education based on documentation review, utilization review findings, and performance improvement data. * Coordinate communication among physicians, team members, and caregivers ...
Conduct ongoing staff education based on documentation review, utilization review findings, and performance improvement data. * Coordinate communication among physicians, team members, and caregivers ...
Conduct ongoing staff education based on documentation review, utilization review findings, and performance improvement data. * Coordinate communication among physicians, team members, and caregivers ...
Temple, TX · On-site
Conduct ongoing staff education based on documentation review, utilization review findings, and performance improvement data. * Coordinate communication among physicians, team members, and caregivers ...
Temple, TX · On-site
Conduct ongoing staff education based on documentation review, utilization review findings, and performance improvement data. * Coordinate communication among physicians, team members, and caregivers ...
Temple, TX · On-site
$77K - $106K/yr
Conduct ongoing staff education based on documentation review, utilization review findings, and performance improvement data. * Coordinate communication among physicians, team members, and caregivers ...
Temple, TX · On-site
$77K - $106K/yr
Conduct ongoing staff education based on documentation review, utilization review findings, and performance improvement data. * Coordinate communication among physicians, team members, and caregivers ...
Temple, TX · On-site
Conduct ongoing staff education based on documentation review, utilization review findings, and performance improvement data. * Coordinate communication among physicians, team members, and caregivers ...
Temple, TX · On-site
Conduct ongoing staff education based on documentation review, utilization review findings, and performance improvement data. * Coordinate communication among physicians, team members, and caregivers ...
Waco, TX · On-site
Participate in utilization review process: data collection, trend review, and resolution actions. * Participate in case management on-call schedule as needed. Qualifications * License or ...
Waco, TX · On-site
Participate in utilization review process: data collection, trend review, and resolution actions. * Participate in case management on-call schedule as needed. Qualifications * License or ...
Waco, TX · On-site
$61 - $69/hr
Participates in Resident Care conferences, Utilization Review meetings, and Rehabilitation meetings as needed.Provides in-services on training programs for other staff in the facility as needed.
New
Waco, TX · On-site
$61 - $69/hr
Participates in Resident Care conferences, Utilization Review meetings, and Rehabilitation meetings as needed.Provides in-services on training programs for other staff in the facility as needed.
New
Killeen, TX · On-site
$15 - $18.50/hr
... drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that ...
Killeen, TX · On-site
$15 - $18.50/hr
... drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that ...
$15 - $18.50/hr
... drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that ...
$15 - $18.50/hr
... drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that ...
$15.50 - $19.25/hr
... drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that ...
$15.50 - $19.25/hr
... drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that ...
Temple, TX · On-site
$15.50 - $19.25/hr
... drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that ...
Temple, TX · On-site
$15.50 - $19.25/hr
... drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that ...
Killeen, TX · On-site
$15 - $18.50/hr
... drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that ...
Killeen, TX · On-site
$15 - $18.50/hr
... drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that ...
Killeen, TX · On-site
$53.25 - $62.50/hr
Performs drug utilization reviews * Ensures accurate inventory management and compliance with proper processes (e.g., maintenance of correct counts in RxIMS, Warehouse, DSD, and Central Fill order ...
Killeen, TX · On-site
$53.25 - $62.50/hr
Performs drug utilization reviews * Ensures accurate inventory management and compliance with proper processes (e.g., maintenance of correct counts in RxIMS, Warehouse, DSD, and Central Fill order ...
$19.88 - $23.90
2% of jobs
$23.90 - $27.92
9% of jobs
$30.67 is the 25th percentile. Wages below this are outliers.
$27.92 - $31.94
21% of jobs
The median wage is $35.19 / hr.
$31.94 - $35.96
23% of jobs
$35.96 - $39.98
13% of jobs
$43.10 is the 75th percentile. Wages above this are outliers.
$39.98 - $44
10% of jobs
$44 - $48.01
8% of jobs
$48.01 - $52.03
5% of jobs
$52.03 - $56.05
5% of jobs
$56.05 - $60.07
2% of jobs
$60.07 - $64.09
2% of jobs
$19
$39
$64
A Utilization Review (UR) job involves assessing the medical necessity, efficiency, and appropriateness of healthcare services. UR professionals, often nurses or healthcare specialists, review patient records, insurance claims, and treatment plans to ensure they meet industry standards and payer requirements. They work with healthcare providers, insurance companies, and regulatory agencies to optimize care while controlling costs. Their goal is to balance quality patient care with cost-effective resource utilization.
A typical day in Utilization Review involves reviewing patient medical records, evaluating the necessity and appropriateness of proposed treatments or services, and documenting recommendations based on clinical criteria and insurance policies. Utilization Review specialists often collaborate closely with physicians, nurses, and insurance representatives to gather additional information and clarify cases. While much of the role is desk-based and may include remote work options, it requires regular communication with both clinical and administrative teams. This position offers variety and challenge, as no two cases are exactly alike, and there are often opportunities to advance into supervisory or quality improvement roles within the department.
To thrive in Utilization Review, professionals typically need a background in nursing or healthcare, strong clinical assessment capabilities, and a thorough understanding of medical guidelines and insurance regulations. Familiarity with electronic medical records (EMR) systems and utilization management software, and often certification such as Certified Utilization Review Specialist (CURN), are important. Excellent critical thinking, attention to detail, and strong communication skills enable effective case evaluation and collaboration with healthcare teams. These skills and qualifications ensure objective, accurate decisions that support cost-effective, quality patient care within compliance standards.
The most popular types of Utilization Review jobs in Temple, TX are:
For Utilization Review jobs in Temple, TX, the most frequently searched job titles are:
The top searched job categories for Utilization Review jobs in Temple, TX are:
Cities near Temple, TX with the most Utilization Review job openings:
Full-time
Medical, Retirement, PTO
Posted 16 days ago
Direct nursing operations to meet federal, state, and regulatory care standards and ensure the facility remains survey-ready.
Lead the nursing management team and oversee continuous quality assessment and improvement of nursing care delivery.
Make daily rounds to confirm care standards are being met, monitor safety, and report unsafe conditions and incidents.
Avir Trilogy is seeking a Director of Nursing to join our team!
We're looking for a Director of Nursing who leads from the floor, not from behind a desk. You'll plan, organize, and direct the day-to-day work of our Nursing Services Department, keeping us survey-ready and in step with federal, state, and local regulations. Just as important, you'll build a nursing team that takes real ownership of resident outcomes, because the tone you set is the care our residents feel every day.
If you're a licensed RN with supervisory experience and you want a role where your judgment carries weight, we'd like to talk.
Ready for your next step in nursing leadership? Apply today and we'll be in touch.
What You'll Do:
Direct nursing operations to meet federal, state, and regulatory care standards, and keep the facility survey-ready year round.
Lead the nursing management team and build ownership of quality goals across the department.
Run continuous quality assessment and improvement of nursing care delivery, and keep the Administrator current on department activity and issues.
Help develop and implement plans of action that support each resident's comprehensive assessment and care plan.
Make daily rounds to confirm care standards are being met and to monitor safety, reporting unsafe conditions and all incidents immediately.
Audit charts for accuracy and completeness, identify problem areas, and implement corrective action.
Maintain appropriate staffing levels through work assignments, schedule adjustments, and shift approvals.
Serve on facility committees including Infection Control, Quality Assurance, and Utilization Review.
Participate in the Infection Control program, monitoring hand hygiene, isolation technique, dressing changes, linen handling, and medication pass at least monthly.
Review resident complaints and grievances and document the actions taken to resolve them.
Monitor weekly skin assessments and bath sheets, and complete the weekly wound report.
Participate in the nursing on-call rotation.
Exciting Benefits for Director of Nursing:
Competitive compensation.
Daily Pay - access your earned wages before payday!
401k with a match!
Company paid holidays and Paid Time Off (PTO) Program.
Health insurance for the entire family!
Scrubs on Wheels.
Voluntary Benefits reviewed and provided at your one-on-one benefit meeting.
Exceptional Corporate Support.
Qualifications for Director of Nursing:
Current, unencumbered Registered Nurse (RN) license in the state of Texas.
Minimum of one year of supervisory experience in a hospital, skilled nursing facility, or related healthcare setting.
Working knowledge of long-term care operational standards under the Federal Register, Conditions of Participation, and state regulations.
Ability to work independently, exercise sound judgment, and remain calm under pressure.
Patience, tact, and a positive attitude with residents, families, and staff.
Comfort working with residents who are ill, disabled, elderly, or at times upset.
An active role requiring standing, walking, bending, kneeling, and stooping throughout the day.
About the Company:
We strive to create an environment where people feel safe, heard and understood. Our leadership teams embrace our "Your Voice" philosophy.
Avir Trilogy is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.
