• Utilization Review Specialist (LVN)

    Kelsey-Seybold Clinic (Houston, TX)
    …Title: Utilization Review Specialist (LVN)** **Location: Remote** **Department:** ** Utilization Management ** **Job Type: Full Time** **Salary Range: $59,108 ... care services requiring authorization prior to services being rendered for members. The Utilization Review Specialist (LVN) serves as a liaison in reviewing… more
    Kelsey-Seybold Clinic (01/23/25)
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  • Utilization Review Case Mgr- CMC-Clear Lake…

    UTMB Health (Webster, TX)
    …efficient use of medically appropriate services. Integrates and coordinates utilization management activities, care coordination, discharge planning functions, ... UTMB TDCJ Hospital to specialty services hospitals. **_ESSENTIAL JOB FUNCTIONS_** **:** Utilization Management + Demonstrates thorough knowledge of Inter Qual… more
    UTMB Health (01/14/25)
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  • UM Reviewer

    Apex Health Solutions (Houston, TX)
    …or Licensed Vocational Nurse required and current unrestricted Certification in Utilization Review/ Utilization Management preferred Qualifications: One (1) ... support an efficient, effective and quality-oriented pre-authorization process Serves as a liaison with participating hospitals' Case Management staff in order… more
    Apex Health Solutions (12/08/24)
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  • Rehab Specialist

    HCA Healthcare (San Antonio, TX)
    …population served (if applicable). 4. Preferred: Experience as a clinical liaison coordinating admissions for inpatient rehabilitation preferred or clinical ... clinical screenings and assessments in collaboration with both hospital Case Management and the Rehab Medical Director. The Clinical Rehabilitation Specialist works… more
    HCA Healthcare (11/13/24)
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  • Clinical Ops Administrator - LCC (Casual…

    UTMB Health (League City, TX)
    …Appointment) **League City, Texas, United States** **New** Nursing & Care Management UTMB Health Requisition # 2500052 **EDUCATION & EXPERIENCE:** **Minimum ... nursing experience and + Three (3) years supervisory or management experience (ie Charge Nurse, Nurse Manager, Assistant Nurse...to staff, patients, and families while acting as a liaison for the hospital administrator on call and the… more
    UTMB Health (01/18/25)
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  • Business Office Manager - TH Flower Mound Ortho SC

    Surgery Care Affiliates (Flower Mound, TX)
    …and differentiated ways as part of Optum and with our new Specialty Management Solutions business. + We have pioneered a physician-led, multi-site model of practice ... (but not limited to): Human Resources, Medical Records, Credentialing, Admissions /Intake, Accounts Payable, Billing, Collections, Clinical Logs, month end reporting… more
    Surgery Care Affiliates (12/31/24)
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