- San Antonio Behavioral Health (San Antonio, TX)
- The Utilization Review Coordinator conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient ... charts and records to evaluate care concurrent with patients' treatment. Reviews treatment plans and status of approvals from insurers. Responsible for monitoring adherence to the hospital's utilization review plan to ensure the effective and efficient use of… more
- Apex Health Solutions (Houston, TX)
- …contact and resource person to Health Solutions' members for the utilization review ( UR ) of healthcare services. The UM Reviewer will be responsible for complying ... with utilization review procedures in accordance with Texas UR Certification requirements, as well as carrying out day...flags cases for review by the Appeals & Outcomes Coordinator Reports potential risk management cases or situations to… more
- Texas Health Resources (Dallas, TX)
- …Texas Nurse Practice Act, serve as a role model, intra/interdisciplinary collaborator and coordinator for quality patient care . BCLS - Basic Cardiac Life Support ... --Prior to providing Independent patient care and maintained quarterly . ACLS - Advanced Cardiac Life Support--within 90 days of hire . CPI-Crisis Prevention Intervention training within 60 days of hire is required . A high degree of confidentiality, positive… more