Top 12 Utilization review Jobs in Angleton, Tx

Case Manager
Nurturing Haven LLc —Rosharon, TX
- $23.55 - $28.36 an hour
- Full-time
- Bilingual
- Background check
- HIPAA
Quick Apply
OT-FT
Cypress Woods Care Center —Angleton, TX
- Full-time
- CPR Certification
- Management
- Doctoral degree
Quick Apply
7d
Utilization Management Reviewer
Amerihealth Caritas —United States
- Full-time
- Hybrid work
- Nursing
- Microsoft Outlook
- RN License
- Paid holidays
- Health insurance

Discover related jobs

Based on your search for utilization review jobs.

Remote UTILIZATION REVIEW NURSE - RN
Nexus Health Systems Ltd —Houston, TX
Current, unrestricted Texas RN license or Compact RN license. If you're a detail-oriented RN with experience in utilization review, case management, or…
Quick Apply
STAR+PLUS Appeals Nurse RN
Harris Health —Houston, TX
' Children's Health Insurance Program (CHIP) for the children of low-income parents, which includes CHIP Perinatal benefits for unborn children of pregnant…
$80,000 - $100,000 a year

Show more related jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Utilization Review Specialist - Autism
Nationwide Children's Hospital —Columbus, OH
Bachelor’s Degree in Social Work, Psychology, or related field, required. Documents all case reviews and maintains accurate records of all clinical activities…
Homecare Prior Authorization Supervisor
Nationwide Children's Hospital —Columbus, OH
Assists with compliance to applicable laws and regulations from federal, state, and local bodies, and from accrediting organizations.

Show more jobs in cities nearby

I want to receive the latest job alert for utilization review in angleton, tx

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

utilization review jobs near angleton, tx

Occupational Therapist jobs in Angleton, TX

Fertility Nurse jobs in Dayton, OH

Remote Document Review jobs in Michigan

Utilization Review Nurse jobs in Abilene, TX

Utilization Review Nurse jobs in Boca Raton, FL

Utilization Review Nurse jobs in Olympia, WA

Utilization Review Nurse jobs in Fort Lauderdale, FL

Pediatric Occupational Therapist jobs in Nashville, TN

Occupational Therapist jobs in San Jose, CA

Respiratory Therapist jobs in St. Louis, MO

Occupational Therapist jobs in Oklahoma City, OK

Occupational Health Safety jobs in Kansas City, MO

Occupational Therapist jobs in Wilmington, NC

Radiation Therapist jobs in Vancouver, WA

Occupational Therapist jobs in Madison, WI

Property Manager jobs in Tampa, FL

Case Manager jobs in Baltimore, MD

Case Manager jobs in Baton Rouge, LA

Project Manager jobs in Boulder, CO

Remote Work From Home Case Manager jobs in Texas

Case Manager

Nurturing Haven LLc
Rosharon, TX

Quick Apply

Job Details

Full-time
$23.55 - $28.36 an hour

Qualifications

Customer communication
ICD-9
Health information regulatory compliance

Full Job Description

Job Overview

We are seeking a dedicated and compassionate Case Manager to join our dynamic healthcare team. In this vital role, you will coordinate and oversee patient care plans, ensuring seamless communication between patients, families, and healthcare providers. Your expertise will help facilitate discharge planning, manage complex cases, and support patients through their recovery journey. This position offers an exciting opportunity to make a meaningful impact on patient outcomes while working in a fast-paced, collaborative environment. The ideal candidate will bring critical care experience, hospital familiarity, and a passion for delivering exceptional patient service.

Responsibilities

Assess patient needs through comprehensive intake interviews and medical record reviews, ensuring accurate understanding of their health status and social circumstances.
Develop personalized care plans that incorporate medical terminology, discharge planning strategies, and social services to optimize patient recovery.
Coordinate with multidisciplinary teams including social workers, physicians, nurses, and therapists to facilitate appropriate care delivery within hospital settings such as ICU, PICU (Pediatric Intensive Care Unit), or Level I/II trauma centers.
Conduct utilization review and management activities to ensure appropriate resource utilization while adhering to HIPAA regulations and health insurance requirements.
Manage patient documentation using EMR (Electronic Medical Records) or EHR (Electronic Health Records) systems with precision and compliance.
Facilitate communication with patients and their families across diverse cultural backgrounds to provide clear information about treatment options, insurance coverage, and community resources.
Support discharge planning by coordinating social services, home health referrals, and follow-up care to promote smooth transitions from hospital to home or other care facilities.

Qualifications

Proven experience in hospital or acute care settings such as ICU, emergency medicine, or trauma centers; experience in pediatric or behavioral health settings is highly desirable.
Strong knowledge of medical terminology, CPT coding, ICD-9/10 coding systems, and utilization management processes.
Background in nursing or social work with demonstrated expertise in case management practices within managed care environments.
Familiarity with EMR/EHR systems and Microsoft Office applications for documentation and communication purposes.
Excellent client communication skills with the ability to work effectively with individuals from diverse cultural backgrounds.
Knowledge of HIPAA regulations alongside health insurance policies related to discharge planning and patient service.
Bilingual abilities are a plus for serving diverse populations effectively; certification in utilization review or case management is preferred.

Join us in delivering compassionate care that transforms lives! We are committed to fostering an inclusive environment where every team member can thrive while making a real difference in the communities we serve.

Pay: $23.55 - $28.36 per hour

Work Location: In person

Quick Apply

Refine Your Search

utilization review jobs in angleton, tx

Case Manager

OT-FT

Utilization Management Reviewer

Discover related jobs

Explore jobs in cities nearby

I want to receive the latest job alert for utilization review in angleton, tx

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected