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Utilization Review Jobs in Houston

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Search Results - Utilization Review Jobs in Houston
HCA Houston Healthcare Medical Center-Houston
and excellence through every patient and family interaction What qualifications you will need:  •  ADN required, Bachelor’s degree in Nursing preferred  •  Minimum of five (5) years recent acute care experience required  •  Minimum of two (2) years of utilization...
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
clinical experience or 5+ years medical record coding experience required  •  3+ years utilization review experience or claims auditing required  •  Working knowledge of the appeals and hearings process  •  Experience using MCG or InterQual criteria preferred...
tiptopjob.com -
GQR Healthcare-Webster (TX), 21 mi from Houston
Job Description GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Webster, Texas. Job Description & Requirements  •  Specialty: Utilization Review  •  Discipline: RN  •  Start Date: 05/04/2026...
Houston
with hospital leadership and clinical committees to design and implement processes that enhance patient care quality, efficiency, and resource stewardship.  •  Serve as Chair of the Utilization Review Committee, providing administrative and clinical oversight...
tiptopjob.com -
GQR Healthcare-Webster (TX), 21 mi from Houston
GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Webster, Texas. Job Description & Requirements  •  Specialty: Utilization Review  •  Discipline: RN  •  Start Date: 05/04/2026  •  Duration: 13 weeks...
MedPro Healthcare Staffing-Webster (TX), 21 mi from Houston
status or veteran status. Key Words: RN Travel, Travel Nurse, Contract Nurse, Agency Nurse, Travel Contract, Travel Nursing, Case Manager, Case Management, Utilization Review, Case Manager RN  •  Weekly payment estimates are intended for informational...
Dane Street, LLC-Houston
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 in Independent Medical Exams...
workable.com -
Houston
supports the need for a service, based on clinical criteria, coverage policies, and utilization and practice guidelines as defined by the review methodologies specific to the contract. This involves accessing proprietary systems to audit medical records...
tiptopjob.com -
Dane Street, LLC-Houston
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 in Independent Medical Exams...
workable.com -

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