Utilization Review Jobs in San Antonio
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Search Results - Utilization Review Jobs in San Antonio
University Health-San Antonio
a minimum of three years managed care experience including two years as a Medical Director, and a minimum of ten years clinical experience. Previous managed care experience is preferred. Understanding of population health, utilization review, quality...
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University Health-San Antonio
preferred. Work experience in documentation improvement, utilization review or hospital quality assurance is preferred. Knowledge and experience in data analysis is preferred. Certification in Health Care Quality (CPHQ) or Healthcare Accreditation...
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mindmatch.ai -
University Health-San Antonio
for Quality Assurance (NCQA) that promotes Healthcare Effectiveness Data and Information Set (HEDIS) metrics, Utilization Review Accreditation Commission (URAC), and the Joint Commission (TJC).
Duties:
• Communicates and interacts positively and professionally...
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Humana-San Antonio
in Hospital Medicine, Critical Care, Emergency 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...
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San Antonio
approach for each claim. These responsibilities may include utilization review, pharmacy oversight and care coordination.
This position is remote in Texas.
Responsibilities:
• Uses clinical/nursing skills to determine whether all aspects of a patient’s...
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icims.com -
University Health-San Antonio
a minimum of three years managed care experience including two years as a Medical Director, and a minimum of ten years clinical experience. Previous managed care experience is preferred. Understanding of population health, utilization review, quality...
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tiptopjob.com -
Amazon-San Antonio
based on
operational needs and customer centric volume
• Perform thorough DUR (Drug Utilization Review) and ensure accurate documentation in
pharmacy systems
• Monitor, receive, and manage pharmacy inventory effectively and compliantly
• Work...
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amazon.jobs -
San Antonio Behavioral Healthcare Hospital-San Antonio
We are seeking a Utilization Review (UR) Coordinator to join our team. The UR Coordinator is a healthcare professional who bridges the gap between medical providers, patients, and insurance companies. They evaluate medical records to ensure...
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workable.com -
San Antonio
ScriptPro); responsible for calibration, maintenance, stocking, proper report execution
• Oversees third-party prescription processing, adjudication review, and resolution of third-party issues
• Performs drug utilization reviews
• Ensures accurate...
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heb.com -
University Health-San Antonio
National Committee for Quality Assurance (NCQA) that promotes Healthcare Effectiveness Data and Information Set (HEDIS) metrics, Utilization Review Accreditation Commission (URAC), and the Joint Commission (TJC).
Duties: Communicates and interacts...
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tiptopjob.com -
Amazon-San Antonio
on
operational needs and customer centric volume
• Perform thorough DUR (Drug Utilization Review) and ensure accurate documentation in
pharmacy systems
• Monitor, receive, and manage pharmacy inventory effectively and compliantly
• Work collaboratively...
Read more
amazon.jobs -
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