- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) who comprehensively conducts point ... this position is able to cover a multitude of utilization review functions through point of entry,...**LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact Licensure -… more
- Olympus Corporation of the Americas (Houston, TX)
- …self-study programs. + Obtain instruction and understanding of customer repair cost utilization analyses reports and learn how to review service contract ... at Olympus (https://www.olympusamerica.com/careers) . **Job Description** The Endoscopy Support Specialist I position provides positive customer experiences by delivering… more
- Houston Methodist (Houston, TX)
- …caring for adults in an acute care hospital setting is required; coding and utilization review experience preferred + For Medical School graduate - One year ... At Houston Methodist, the Clinical Documentation Specialist is responsible for improving the overall quality...**LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure and/or Compact State Licensure… more
- Molina Healthcare (Houston, TX)
- …Managed Care Experience in the specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service and Support, ... outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously denied cases… more
- Houston Methodist (Sugar Land, TX)
- …Health Nurse (ABOHN) **OR** + COHN/S - Certified Occupational Health Nurse Specialist (ABOHN) **KNOWLEDGE, SKILLS, AND ABILITIES** + Demonstrates the skills ... At Houston Methodist, the Occupational Health Nurse PRN position provides expert, integrated, cost-effective, quality patient care through the coordination of… more
- Molina Healthcare (Houston, TX)
- …assurance, or recovery auditing, ideally in a DRG/ Clinical Validation * 3+ years of Utilization Review and/or Medical Claims Review experience. * 3+ years ... & Education **Preferred License, Certification, Association** Active and unrestricted Registered Nurse (RN) license and Certified Coding Specialist (CCS), (CIC),… more