Technician Utilization jobs in Plano

Seneca Health Services

BASIC FUNCTION: Incumbent is responsible for providing professional nursing care to, and performing case management duties for, patients of the Seneca Nation Health System (SNHS) in accordance with established standards and practices, within the bounds of training and professional licensure. GENERAL

Seneca Nation Health System

Overview Basic Function Incumbent is responsible for providing professional nursing care to, and performing case management duties for, patients of the Seneca Nation Health System (SNHS) in accordance with established standards and practices, within the bounds of training and professional licensure.

The Utilization Management Coordinator supports Insurance Verification (IV) by securing pre-certification for patients requiring authorizations. This role performs telephonic and concurrent reviews of inpatient hospitalizations and extended outpatient services. The UM Coordinator plays a key role in

ADDICTION AND MENTAL HEALTH SERVICES, LLC

This is a PRN position About Company: https://ow.ly/YQ1C50WuRH1 We’re officially a Great Place To Work®! We’ve always believed that supporting our team is just as important as supporting our patients. Now, we’re proud to share that we’ve earned Great Place To Work® Certification - based entirely on

About the Role The Utilization Review Coordinator plays a critical role in ensuring that patients at our facility receive the appropriate level of care while managing treatment costs. This position involves coordinating, assessing, and authorizing treatment plans, collaborating with medical staff, a

Utilization Review Pharmacist Shape the drug benefit landscape-analyze and optimize medication use. Key Responsibilities: Review prescribing trends and propose cost-saving alternatives. Maintain evidence-based formularies across multiple payers. Conduct retrospective DUR and prepare stakeholder repo

CHRISTUS Health

Description Summary: The Utilization Review Nurse is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. This nurse is responsible for performing a variety of pre-admission, concurrent, and retrospective

A company is looking for a Utilization Review Specialist. Key Responsibilities Complete preadmission and concurrent reviews to obtain treatment authorizations and ensure ongoing communication with payors Coordinate peer reviews and manage the provision of Letters of Medical Necessity as needed Suppo

Summary The Utilization Review Nurse is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. This nurse performs pre-admission, concurrent, and retrospective UM related reviews and functions. They compete