Utilization Review Jobs in Austin
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Search Results - Utilization Review Jobs in Austin
Valid8 Financial, Inc.Austinmindmatch.ai
A health insurance startup is looking for an experienced Medical Director to oversee utilization reviews and prior authorizations. This remote position demands a strong clinical background with a doctorate in medicine and board certification...
Humana IncAustinappcast.io
A leading healthcare company seeking a Medical Director to conduct clinical reviews and evaluate health claims. This role requires a physician with significant clinical experience and strong analytical skills. Responsibilities include reviewing...
Curative HR LLCAustintrinethire.com
to join our growing team. This pivotal role will be responsible for overseeing and performing utilization reviews, prior authorizations, and making crucial medical necessity determinations. The Medical Director will serve as a key clinical expert, ensuring...
Heart Hospital of AustinAustin
and develops own professional competencies.
• Maintains and promotes a team spirit through active cooperation and collaboration.
• Assists in interdepartmental service coordination.
• Actively participates in the Performance Improvement and Utilization...
Humana IncAustinappcast.io
Medicine, or those experienced in Utilization Review are encouraged to apply.
Role Overview
• Perform expert clinical review of inpatient medical records, assessing medical necessity based on national guidelines, CMS regulations, Humana policies...
Heart Hospital of AustinAustin
Maintains and promotes a team spirit through active cooperation and collaboration.
• Assists in interdepartmental service coordination.
• Actively participates in the Performance Improvement and Utilization Review programs.
• Assumes a role...
Austinicims.com
Overview:
Works with the Utilization Management team responsible for prior authorizations, inpatient and outpatient medical necessity/utilization review and other utilization management activities aimed at providing members with the right care...
GQR HealthcareRound Rock, 29 mi from Austin
Job Description
GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Round Rock, Texas.
Job Description & Requirements
• Specialty: Utilization Review
• Discipline: RN
• Start Date: ASAP...
GQR HealthcareRound Rock, 29 mi from Austin
GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Round Rock, Texas.
Job Description & Requirements
• Specialty: Utilization Review
• Discipline: RN
• Start Date: ASAP
• Duration: 13 weeks...
University HealthSeguin, 42 mi from Austin
Bachelor’s degree in Nursing is highly preferred. Three to five years nursing experience required. Work experience in case management, utilization review or hospital quality is preferred.
LICENSURE/ CERTIFICATIONS
Current licensure as a Registered Nurse...
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