Utilization Review Jobs in Houston
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Search Results - Utilization Review Jobs in Houston
ChenMed Family of Companies-Houston
Guide and coach physicians and clinicians, deliver training, and develop clinical training materials.
• Quality Improvement: Focus on utilization review, manage care transitions, and participate in targeted coverage time.
• Market Engagement: Contribute...
ChenMed-Houston
physicians and clinicians, deliver training, and develop clinical training materials.
• Quality Improvement: Focus on utilization review, manage care transitions, and participate in targeted coverage time.
• Market Engagement: Contribute to team meetings...
whatjobs.com -
Discovery At Home Texas-Houston
and pursues referral sources, as well as facilitates on-going relationships with various medical and health communities
• Oversees all Quality Assurance and utilization review activities and coordinates with the Quality Assurance Committee in the timely...
oasisrecruit.com -
Source Medical, LLC.-Houston
procedures Monitor patient progress and adjust treatment plans Educate patients on disease prevention, hygiene, and lifestyleAdditional Duties Participate in: Quality improvement and utilization reviews Compliance and performance initiatives Community...
whatjobs.com -
Houston
for utilization review, chart reviews, medical necessity, appropriateness of care and return to work, short and long-term disability, Family and Medical Leave Act (FMLA), Group health and workers’ compensation claims.
• Meets (when required) with Concentra...
icims.com -
Dane Street, LLC-Houston
and utilization review/management expertise
• Expanded credentials as an expert in Independent Medical Exams
• Fully prepped cases, streamlined case flow, transcription services at no cost, and a user-friendly work portal...
workable.com -
Houston
of clinical experience or 5+ years of medical record coding experience required.
• 3+ years of utilization review experience or claims auditing required.
• Working knowledge of the appeals and hearings process.
• Experience using MCG or InterQual criteria...
tiptopjob.com -
Houston Behavioral Healthcare Hospital-Houston
of Utilization Review and will be responsible to provide quality case management services to all patients and their families, to serve as a member of interdisciplinary team supporting the organization's treatment program and philosophy, and assure the deliverance...
workable.com -
Houston
approach for each claim. These responsibilities may include utilization review, pharmacy oversight and care coordination.
This position is remote with a preference of working hybrid out of one of our AmTrust office locations!
Responsibilities:
• Uses...
icims.com -
Houston
deliverables, and timelines are met.
• Evaluate and analyze productivity, utilization, efficiency, finding rates, savings, appeal overturn rate, and reviews completed by staff to identify opportunities for process improvements.
• Meet with clients and providers...
tiptopjob.com -
Dane Street, LLC-Houston
is established, and no treatment is provided. These are advisory-only opinions.
• Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management expertise
• Expanded credentials as an expert...
workable.com -
Houston
practices
• Provide input on drug utilization reviews and formulary managementSupport Medicaid Drug Rebate Program operations and assist with state pharmacy audits
• Deliver training to pharmacy providers and contribute to reporting and administrative...
tiptopjob.com -
Dane Street, LLC-Houston
These are advisory-only opinions.
• Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management expertise
• Expanded credentials as an expert in Independent Medical Exams
• Fully prepped cases...
workable.com -
Houston
for disaster preparedness, critical care, quality improvement, case management, risk management, utilization review, etc.
• Serve as a community and media representative when necessary in collaboration with hospital administration and public relations department...
tiptopjob.com -
Dane Street, LLC-Houston
These are advisory-only opinions.
• Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management expertise
• Expanded credentials as an expert in Independent Medical Exams
• Fully prepped cases...
workable.com -
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