10 Utilization Review Physician Jobs in Harris County
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Pediatrician Needed| Excellent Compensation Package| Pasadena, California 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 14 days ago
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Physician Advisor II 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 4 days ago
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Case Manager (RN) PRN 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 2 days ago
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Case Manager-RN (PRN /Days) at Houston Methodist Houston Methodist - Houston, 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 5 days ago
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Clinical Pharmacy Specialist- Hematology-Anticoagulation Stewardship 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 7 days ago
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Utilization Review RN 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 7 days ago
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Family Practice Physician Needed| Excellent Pay and Benefits| FQHC| Houston, TX 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 14 days ago
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Insurance Verification Rep 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 11 days ago
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Family Practice Physician Needed| Excellent Pay and Benefits| FQHC| Pasadena, CA 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 14 days ago
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Clinical Pre-Service Nurse Auditor (LVN) 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 More than 30 days ago
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