Utilization Management jobs in Texas

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TEXAS INSTITUTE UTILIZATION MANAGEMENT NURSE -DALLAS

Five years inpatient clinical nursing experience in an acute care hospital setting required. Minimum of two years Utilization Management acute care setting experience required. Minimum of one year drafting an...

CompanyAdecco
AddressDallas, TX
CategoryHuman Resources
Salary$ 80000 - $ 90000 / Year
Job typeContract/Temporary
Date Posted 2 days ago See detail

Texas Institute Utilization Management Nurse -Dallas

Adecco

Dallas, TX

$ 80000 - $ 90000 / Year

Five years inpatient clinical nursing experience in an acute care hospital setting required. Minimum of two years Utilization Management acute care setting experience required. Minimum of one year drafting an...

Utilization Manager Needed in Dallas, TX

Adecco

Dallas, TX

$ 80000 - $ 90000 / Year

Mandatory five years of inpatient clinical nursing experience within an acute care hospital setting. Minimum of two years' experience in Utilization Management within an acute care setting. Proficiency with drafting and submitting...

Sr. Manager of Utilization Management/Case Management

Verda Healthcare

Houston, TX

You'll be responsible for managing a team who is providing clinical review of cases using standard criteria to determine the medical appropriateness of inpatient and outpatient services while supporting our members through assessm...

Utilization Management LVN Nurse - Remote

Conifer Value

Frisco, TX

$27.30 - $40.95 an hour

Responsible for providing timely referral determination by accurate:Usage of the Milliman Care Guidelines.Identification of referrals to the medical director for review.Appropriate letter language (i.e. denials).Appropriate sele...

Utilization Management Clinical Registered Nurse (RN) - Clinic

Texas Children's Hospital

Bellaire, TX

In addition, discharge planning and provider education are major components of this process.Think you've got what it takes?Responsibilities* Analyze submitted information including clinical assessments, treatment plan, regulatory...

LVN- Utilization Management

Ks Management Services, Llc

Pearland, TX

$54,186 - $66,936 a year

Medical, Vision, and Dental. Tuition Reimbursement. Company Matching 401K. Employee Reward and Recognition Program. Paid time off for vacation, sick, and holidays. Employee Assistance Program. Continuing Medical Education allowanc...

Utilization Management Medical Director - WellMed Medical Group

Optum

San Antonio, TX

$122K - $154K a year

Assists in development and maintaining an efficient UM program to meet the needs of the health plan members and commensurate with company values. Educates primary care physicians regarding systems, structures, processes and outcom...

Primary Nurse Case Administrator - Utilization Management - Texas

Hcsc

Richardson, TX

$76.6K - $96.9K a year

Registered Nurse (RN) with current, valid, unrestricted license in state of operations 2 years clinical practice experience of direct clinical care to the customer 1 year experience in Condition Management or Case Management in a...

Utilization Management Department Trainer (LVN)

Ks Plan Administrators, Llc

Pearland, TX

$64,369 - $79,496 a year

Medical, Vision, and Dental. Tuition Reimbursement. Company Matching 401K. Employee Reward and Recognition Program. Paid time off for vacation, sick, and holidays. Employee Assistance Program. Continuing Medical Education allowanc...

Utilization Management Nurse

Neuehealth

Dallas, TX

$25.50 - $38.25 an hour

Perform prospective, retrospective, or concurrent medical necessity reviews for an assigned panel of members. Review cases for medical necessity and apply the appropriate clinical criteria; to include, but not limited to Medicare...

Utilization Review Case Manager CMC

Utmb Health

Friendswood, TX

Demonstrates thorough knowledge of Inter Qual Criteria, CMC Specialty Referral Guidelines and Protocols used to determine status for inpatient admission or observation in Community Hospitals and UTMB-TDCJ Hospital. Performs utiliz...

Registered Nurse Case Manager - Utilization Management

Knapp Medical Center

Weslaco, TX

Knapp serves as the only acute care hospital in the Mid-Valley area, as well as Weslaco's only Level III Trauma Center, Advanced Primary Stroke Center, and Level II Newborn Nursery. For more information, please call956-968-8567o...