- 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 ... of appeal letters. + Tracks denial information for reporting to Quarterly UR Committee. + Maintains liaison with the Social Services department to facilitate… more
- Covenant Health (Lubbock, TX)
- …Social Workers (SW), RN Care Managers (RN-CM), Utilization Review RN's ( UR -RN) and Payer Denial Specialists by performing multiple administrative supportive duties ... that facilitate a seamless transition of patients from the inpatient hospital setting, using current knowledge of hospital processes and community services. Providence caregivers are not simply valued - they're invaluable. Join our team at Covenant Health… 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 SKILLS: . The professional nurse exhibits… more