Utilization Review Physician Jobs in Houston, TX

CommonSpirit Health - 77002, Houston, Texas, United States

will be considered for future openings. As the Utilization Management Physician Advisor II, the Physician Advisor (PA) conducts clinical case reviews referred by case management staff and/or other health care

from: doccafe.com - 4 days ago

Houston Methodist - Houston, Texas (+1 location)

of Non-coverage. + Applies approved utilization criteria to monitor appropriateness of admissions, level of care, resource utilization, and continued stay. Reviews level of care denials to identify trends

from: HealtheCareers.com - 5 days ago

Memorial Hermann Health System - Houston, Texas

and improvement indicators, drug usage evaluation programs and cost containment programs. Develops and implements utilization reviews targeted for expensive, potentially harmful or improperly used drugs. Provides

from: resume-library.com - 7 days ago

CommonSpirit Health - Houston, Texas

, Medicare and Medicaid rules, and level of care criteria by performing data collection and analysis, concurrent and retrospective reviews, documentation audits, physician advisor referrals, and staff

from: resume-library.com - 7 days ago

Provider Healthcare - Houston, Texas, United States

care Participate in utilization and peer review programs which evaluates the quality of the medical staff and medical services being performed at the clinics Provide supervision and consultation

from: doccafe.com - 14 days ago

CommonSpirit Health - Houston, Texas

‐Seybold Clinic utilization review department, by EMAIL, on all pending pre‐certs for scheduled and non scheduled patients. 8. Contact physician’s on scheduled patients, to notify them of authorization

from: resume-library.com - 11 days ago

Premier Medical Resources - Houston, TX 77040, USA

of ensuring medical criteria / medical necessity is met prior to services are scheduled. This process includes clinical judgement, utilization management, application, understanding of payor protocols

from: applicantpro.com - More than 30 days ago

Provider Healthcare - Pasadena, California, United States

in the development of clinic protocols and procedures to ensure quality medical care Participate in utilization and peer review programs which evaluates the quality of the medical staff and medical services being

from: doccafe.com - 14 days ago

Provider Healthcare - Pasadena, California, United States

Responsibilities Provide direct primary care to patients of all ages Participate in the development of clinic protocols and procedures to ensure quality medical care Participate in utilization and peer review

from: doccafe.com - 14 days ago

Houston Methodist Clear Lake Hospital - Nassau Bay, Texas

of Non-coverage. Applies approved utilization criteria to monitor appropriateness of admissions, level of care, resource utilization, and continued stay. Reviews level of care denials to identify trends

from: resume-library.com - 2 days ago