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HealthCare Support is seeking an RN Inpatient Concurrent Review to fill an opening in Houston. · ...
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RN Inpatient Concurrent Review to fill an opening in Houston Texas. · Maintains knowledge of the designated referral and provider software systems. · ...
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Maintains knowledge of the designated referral and provider software systems. Verifies member eligibility, benefit coverage and facility contract status prior to processing authorization requests. · ...
Houston3 weeks ago
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The Director Centralized Utilization Review position at Houston Methodist Continuing Care Hospital oversees all aspects of utilization review to ensure medical necessity, level of care appropriateness, and compliance with CMS Conditions of Participation. · Bachelor's and Master's ...
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The Director Centralized Utilization Review (UR) position at Houston Methodist oversees all aspects of utilization review to ensure medical necessity, level of care appropriateness, and compliance with CMS Conditions of Participation. · ...
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As part of the Quiddity Internship Program, · the Planning Intern will provide support on multiple platting projects contributing to · the design and planning of master planned residential communities, · commercial and site development projects. · ...
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At Houston Methodist Continuing Care Hospital come lead with us as Manager Centralized Utilization Review (UR). This role ensures efficient high-quality compliant utilization management practices across the organization timely initial concurrent retrospective reviews for medical ...
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The Utilization Review Coordinator is responsible for management of all utilization review and case management activities for the facility's inpatient, partial hospitalization, and outpatient programs. · ...
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The Centralized Utilization Review (UR) Manager position at Houston Methodist ensures efficient high-quality utilization management practices across the organization. · ...
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Job summary · Join Inframark's Community Management Services Team. At Inframark Community Management Services, you're not just starting a job — you're building a career. · ...
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The Centralized Utilization Review Manager position at Houston Methodist leads daily operations of the Utilization Review department to ensure efficient utilization management practices across the organization. · ...
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The Study Manager (Clinical Research Coordinator II) plays a key role in assisting in the conduct of clinical trial activities, in accordance with all applicable regulations governing the conduct of clinical trials. · Ability to recognize and synthesize information about the orga ...
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The Center Manager will be responsible for managing day-to-day operations of the center, including assessing & enrolling students and ensuring that students are provided with an enjoyable and fun learning experience. · ...
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We are seeking a Temporary Bilingual Recruiting Coordinator to join our team and support our continued growth. · ...
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The Branch Manager is responsible for the service and efficient daily operation of the credit union office. · ...
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This is a great job opportunity for you. It's a great opportunity for Mom's who love Math or retired or current Math teachers who are willing to learn and lead a team to change lives of students through Math. · ...
Katy, TX3 days ago
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+The Utilization Review Coordinator is responsible for management of all utilization review and case management activities for the facility's inpatient, partial hospitalization, and outpatient programs. · +Conducts concurrent reviews of all medical records to ensure criteria for ...
Katy, TX1 month ago
Clinical Review Nurse - Concurrent Review - J00933 - Katy - Axelon Services Corporation
Description
Location: Remote, Compact Nursing License Required, Central Time ZoneDo not wait to apply after reading this description a high application volume is expected for this opportunity.
SHIFT: Mon-Friday, 10AM to 7pm CST; Weekends and Holidays on a rotation basis based on business needs -(Weekends are more of an if needed basis but holidays are rotated
Duration: 11 months, Possibility of extending it to 12 months
Requirement: Must have a Compact RN Licensure/LVN Licensure
Description: Job Profile Summary: Performs concurrent reviews, including determining member's overall health, reviewing the type of care being delivered, evaluating medical necessity, and contributing to discharge planning according to care policies and guidelines. Assists evaluating inpatient services to validate the necessity and setting of care being delivered to the member.
Job Purpose: Needing 1 nurse to join the team to process denial letters for Medicaid Behavioral Health codes that will need prior authorization. Dependent on business needs this will extend to completing Physical Health Medicaid denial letters.
Typical Day in the Role:
Denial Letters for TX Medicaid Behavioral Health Codes
Daily Points are the measurement of production
Must meet 100% production after training period
Remote Work, Various Schedules Available
Will work within TruCare Cloud
Candidate Requirements Education/Certification Required: Required: Highschool Diploma, Nursing Degree- Associates or Above Preferred: Licensure Required: Compact Nursing License-RN, LPN, LVN. Preferred: xhuatnn Years of experience required: 1+ years,
Disqualifiers: Inability to work possible weekend hours and holidays on a rotation basis as applicable or needed by business needs
Additional qualities to look for: MCO experience, specifically with Medicaid, True Care Cloud experience is a bonus, experience working remote
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RN Inpatient Concurrent Review
Only for registered members Houston
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RN Inpatient Concurrent Review
Only for registered members Houston, TX
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RN Inpatient Concurrent Review
Only for registered members Houston
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Director Centralized Utilization Review
Only for registered members Katy
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Director Centralized Utilization Review
Only for registered members Katy
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Land Planning Internship - Summer 2026
InternshipSHIP Only for registered members Katy
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Centralized Utilization Review Manager
Only for registered members Katy
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Utilization Review Coordinator
Only for registered members Katy
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Centralized Utilization Review Manager
Only for registered members Katy
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On-Site General Manager
Full time Only for registered members Katy
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Centralized Utilization Review Manager
Only for registered members Katy, TX
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Clinical Research Coordinator II, Katy, TX
Only for registered members Katy, TX,
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Houston 65
Part time Only for registered members Katy, TX
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Infection Preventionist
Only for registered members Katy
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Education Center Manager
Only for registered members Katy, TX
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Jordan Ranch Connect Demo
Part time Only for registered members Katy, TX
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Temporary Bilingual Recruiting Coordinator
Only for registered members Katy, TX
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Branch Manager
Only for registered members Katy, TX
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Education Center Manager
Only for registered members Katy, TX
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Utilization Review Coordinator
Only for registered members Katy, TX