LVN Utilization Review Specialist - Pearland, TX

We are seeking a Utilization Review Specialist (LVN) to join our team at Kelsey-Seybold Clinic.The Utilization Review Specialist will conduct medical reviews, benefit verification, and apply criteria to determine medical necessity for health care services requiring authorization ...

+Job summary · Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partner ...

The Utilization Review Specialist is responsible for conducting medical reviews and applying criteria to determine medical necessity for health care services requiring authorization prior to rendering services. The position serves as a liaison in reviewing requests for medical an ...

The Utilization Review Specialist is responsible for conducting medical reviews and applying criteria to determine medical necessity for health care services requiring authorization prior to rendering services to members. · Work remotely as you take on some tough challenges. · ...

The Contract Review Specialist will support the review, analysis, negotiation and administration of contracts for construction projects within our Structures division. This role is pivotal in ensuring our contracts not only 'check the boxes' but actively enable project success. K ...

Zedcor is seeking a Video Review Specialist that is responsible for reviewing and analyzing video footage to investigate incidents and to conduct thorough job site evaluations. · Conduct detailed reviews of video footage to identify, assess, and report on incidents. · ...

The Contract Review Specialist will support the review, analysis and negotiation of contracts for construction projects within our Structures division. · Review prime contracts and amendments. · Analyze contract terms for risk exposure. · ...

· The Utilization Review Specialist is responsible for the clinical appropriateness review of inpatients and observation patients in assigned areas of admission and patient placement. · ...

Responsible for clinical appropriateness review of patients in assigned area of admission. Utilization reviews may extend through continued stay and involve discharge planning activities. · Graduate of an accredited school of professional nursing. · Current license/permit to prac ...

Lensa does not hire directly for these jobs but promotes them on LinkedIn. Houston Methodist seeks an Utilization Review Specialist Nurse who conducts point of entry review for medical necessity and level of care. · ...

Come lead with us at Houston Methodist Hospital. The Utilization Review Specialist Nurse position is responsible for conducting point of entry and concurrent medical record review for medical necessity and level of care using nationally recognized acute care indicators and criter ...

+The Sr URSN position leads comprehensive utilization review activities including reviewing for appropriateness of treatment plans relative to patient preferences. · ...

We are seeking a Senior Utilization Review Specialist Nurse to join our team at Houston Methodist Hospital. The ideal candidate will have seven years of hospital clinical nursing experience, including five years in utilization review and/or case management. · The Sr URSN position ...

We are seeking a Utilization Review Specialist (LVN) to join our team at Kelsey-Seybold Clinic. As a key member of our health care organization, you will be responsible for conducting medical reviews, benefit verification, and applying criteria to determine medical necessity for ...

We have an exciting opportunity for a Utilization Review Specialist (LVN) to join our team at Kelsey-Seybold Clinic in Houston. · The successful candidate will be responsible for conducting medical reviews, benefit verification, and applying criteria to determine medical necessit ...

We are seeking a Utilization Review Specialist to conduct medical reviews, benefit verification, and apply criteria to determine medical necessity for health care services requiring authorization prior to rendering services to members. · The selected candidate will serve as a lia ...

We are seeking a Utilization Review Specialist (LVN) to join our team at Kelsey-Seybold Clinic. As a key member of our utilization review team, you will be responsible for conducting medical reviews and applying criteria to determine medical necessity for healthcare services requ ...

The Utilization Review Specialist (LVN) serves as a liaison in reviewing requests for medical and surgical procedures, services and admissions. · Conduct medical reviews, benefit verification, and apply criteria to determine medical necessity for health care services requiring au ...

We are partnering with a well-established project-based services company to identify a detail-oriented Payroll Specialist. This role is ideal for payroll professionals with strong accounting fundamentals. · ...

The Data Intake Specialist is responsible for accurately entering, reviewing, and validating data in departmental processing systems. · ...