160 utilization review opportunities in Irving updated today
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· Page 1 / 8Utilization Review Nurse 100% Remote from IL, TX, TN, NM, OK Only Contract to hire Description: remote within IL, TX, TN, NM, OK, MT . Registered Nurse responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and
PRN Position for Inpatient and Outpatient (PHP/IOP) Utilization. Your Experience Matters Mesa Springs is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide excepti
PRN Position for Inpatient and Outpatient (PHP/IOP) Utilization. Your experience matters Mesa Springs is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide excepti
The Regional Utilization Review Coordinator is responsible for management of all utilization review and/or case management activities at the assigned inpatient facilities. May include partial hospitalization, and/or outpatient programs. Conducts concurrent reviews of all medical records to ensure cr
ADDICTION AND MENTAL HEALTH SERVICES, LLCThis 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
Flexible Independent Contractor (1099) Opportunity REQUIREMENT: Missouri license to practice as a Chiropractor ABOUT MRIoA Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology-driven utilization manag
About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are We serve faithfully by doing what's right with
About Legent Health At Legent Health, our mission is simple yet profound: “To provide first-class health care that puts YOU first.” Our vision reflects our commitment to excellence: “Through robust physician partnerships, become a nationwide leader in compassionate, quality healthcare focused on the
Kindred Hospital Tarrant County Southwest is a long-term acute care (LTAC) hospital specializing in the treatment of patients recovering from post-intensive care and medically complex conditions. Our hospital provides both intensive care and telemetry-level services, offering advanced monitoring and
Who We Are JPS Health Network is a $950 million, tax-supported healthcare system in North Texas. Licensed for 582 beds, the network features over 25 locations across Tarrant County, with John Peter Smith Hospital a Level I Trauma Center, Tarrant County's only psychiatric emergency center, and the la
Christus HealthDescription Are you ready to apply Make sure you understand all the responsibilities and tasks associated with this role before proceeding. Summary: The Utilization Review Nurse is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital reso
Christus HealthDescription 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
Christus HealthDescription 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
Christus HealthDescription 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
Christus HealthDescription 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
Overview Are you an accomplished Board Certified Podiatrist? Candidates must have a TX license. Are you passionate about your work/life balance? We are seeking flexible and experienced physicians for our medical reviewstream division. This telecommute role provides the ability for you to customize y
ConcentraOverview Are you an accomplished Board Certified Podiatrist? Candidates must have a TX license. Are you passionate about your work/life balance? We are seeking flexible and experienced physicians for our medical reviewstream division. This telecommute role provides the ability for you to customize y
Pharmacy CareersFormulary Strategy & 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 pre
UR Coordinator Sierra Health and Wellness use evidence-based methods to accomplish the restoration of families, relationships, and self-worth. By transforming the character, we give life back to the people who have lost it through substance abuse and mental health issues. Position Open: Full-time- r
Christus HealthDescription 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
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
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
JOB DESCRIPTION: Under the direction of the VP of Case Management & Continuing Care, the Sr. Director of Utilization Review (UR) is responsible for overseeing the development, implementation, and performance management of Utilization Review services performed across the Tenet enterprise. Leads Tenet
*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 retrospecti
A company is looking for a Utilization Review & Quality Assurance Specialist. Key Responsibilities Evaluate clinical information and write/review various reports, ensuring compliance with standards Perform quality assurance reviews of peer reports and provide feedback to ensure clarity and professio
A company is looking for a Utilization Review Specialist. Key Responsibilities Perform admission and continued stay reviews to determine medical necessity and maintain documentation Facilitate interactions between medical center personnel and payers to address potential denials and ensure reimbursem
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, yo
w3r Consulting*Job Title:** Utilization Review Nurse *Location:** Richardson, TX *Contract Duration:** 7 months *Description:** RN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and appropriateness of the treatment plan. This position is respo
$40,000 – $63,000/year
Estimation confidence: Low
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