Top 45 Utilization review nurse Jobs in Sugar Land Tx

RN Outpatient Utilization Review Remote Texas
Healthcare Support —Houston, TX
- $38 - $42 an hour
- Multiple hires
- Remote
- Microsoft Excel
- Microsoft Outlook
- RN License
- Health insurance
- Dental insurance
Quick Apply
11d
Case Manager-Registered Nurse (RN)
Houston Methodist Hospital —Houston, TX
- Full-time
- Acute care
- Nursing
- Microsoft Excel
19h
Case Manager - Registered Nurse (RN) PRN
Houston Methodist Hospital —Houston, TX
- PRN
- Acute care
- Nursing
- Microsoft Excel
3d
Case Manager-Registered Nurse (RN)
Houston Methodist Hospital —Houston, TX
- Part-time
- Acute care
- Nursing
- Microsoft Excel
19h
Case Manager / RN (PRN)
Houston Methodist Willowbrook Hospital —Houston, TX
- PRN
- Nursing
- Microsoft Excel
- Microsoft Outlook
7d
Remote UTILIZATION REVIEW NURSE - RN
Nexus Health Systems Ltd —Houston, TX
- Full-time
- Remote
- Nursing
- RN License
- Bachelor of Science
- Paid holidays
- Health insurance
Quick Apply
Utilization Mgmt Clinical RN
Texas Children's Hospital —Bellaire, TX
- Full-time
- Nursing
- RN License
- Research
2d
Nurse, Concurrent Review
HealthHelp - A WNS Company —Houston, TX
- $75,000 a year
- Weekends as needed
- Remote
- Nursing
- Microsoft Excel
- RN License
- AD&D insurance
- Paid holidays
Quick Apply
BH Utilization Manager RN
Harris Health —Houston, TX
- $67,200 - $85,000 a year
- Full-time
- Remote
- Microsoft Word
- Nursing
- Microsoft Outlook
- Health insurance
- Dental insurance
Supp Case Mgr
Memorial Hermann Health System —Sugar Land, TX
- Part-time
- Master of Social Work
- Nursing
- RN License
MDS Coordinator
Paradigm Healthcare —Houston, TX
- $35 - $45 an hour
- Full-time
- Skilled nursing facility
- LVN
- RN License
- Health insurance
- Dental insurance
Quick Apply
Hospice Clinical Team Manager (RN Required)
VITAS Healthcare —Houston, TX
- Full-time
- Nursing
- RN License
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
Nurse Manager of NICU RN - Sign On Bonus: $20k
All Med Search —Houston, TX
- $45.79 - $60.09 an hour
- Full-time
- Background check
- Experience working with individuals with developmental disabilities
- Nursing
Quick Apply
Hybrid MDS Nurse
Paradigm Healthcare LLC —Houston, TX
- Full-time
- Hybrid work
- Nursing
- Skilled nursing facility
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
Case Manager - PRN
Houston Methodist Sugar Land Hospital —Sugar Land, TX
- PRN
- Nursing
- Microsoft Excel
- Microsoft Outlook
13d
Case Manager
Texas Children's Hospital —Houston, TX
- Full-time
- Nursing
- RN License
- Hospital
1d
Case Manager
Memorial Hermann Health System —Houston, TX
- Full-time
- Master of Social Work
- Nursing
- RN License
Care Manager Clinical Denials - Mon. - Friday / Telecommute / Hybrid.
Harris Health —Houston, TX
- $86,985.60 - $109,304.00 a year
- Full-time
- Microsoft Word
- Nursing
- RN License
Care Coordinator- IRU
Texas Children's Hospital —Houston, TX
- Full-time
- Nursing
- RN License
- Customer service
Care Coordinator-NICU
Texas Children's Hospital —Houston, TX
- Full-time
- Nursing
- RN License
- Customer service
5d

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utilization review nurse jobs near sugar land tx

RN Outpatient Utilization Review Remote Texas

Healthcare Support -
Houston, TX

Quick Apply

Job Details

$38 - $42 an hour
11 days ago

Benefits

Health insurance
Dental insurance
Employee assistance program
Life insurance

Qualifications

Microsoft Excel
Microsoft Outlook
RN License
Utilization management
Resource utilization in healthcare
Nursing

Full Job Description

RN Outpatient Utilization Review Remote Texas

HealthCare Support is actively seeking multiple Outpatient Utilization Review Registered Nurses with our prestigious Healthcare Client. Applications must reside in Texas. Houston, TX candidates are preferred.

Daily Responsibilities for RN Outpatient Utilization Review Remote Texas:

Review telephonic and faxed clinical information to authorize medically necessary inpatient and outpatient care, utilizing nationally recognized evidenced based clinical criteria or approved medical guidelines. Refers cases that do not meet criteria to Medical Director for review.
Assists in discharge planning especially Home Health Nursing requests and DME requests for members at the time of discharge as well as new requests for members who have not had recent hospitalization. Review any requests for extension of these services and if not meeting criteria, refer to the Medical Director.
Participates in Community Nursing Rounds if applicable with Medical Director and is adequately prepared. Assists co-workers with difficult cases through open discussion. Communicates concerns that arise in these discussions to the Manager and/or Medical Director.
Monday to Friday 8-5 six positions available
Thurs- Sun 10 hr days six positions available

Required Qualifications for RN Outpatient Utilization Review Remote Texas:

RN, current Texas License
3 years of UR/UM
Highlight lines of business worked- Texas Medicaid, CHIP, marketplace
Highlight experience - was it inpatient or outpatient
Microsoft Office (Word, Outlook, Excel)

Benefits for RN Outpatient Utilization Review Remote Texas:

Health Insurance
Dental Insurance
Life Insurance
Employee Assistance Program (EAP)
Access to Investment Accounts
Career and educational tools within our Ingenovis ACT (advocacy) Program

Pay Details: $38 - $42/ Hour

Interested in Being Considered?
If you are interested in applying to this position, please click Apply Now for immediate consideration.

For additional questions, you may contact us at [email protected]. Please include your phone number, Job Title, and location and our recruiters will reach out.

Healthcare Support Staffing, LLC is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

Quick Apply

Refine Your Search

utilization review nurse jobs in sugar land tx

RN Outpatient Utilization Review Remote Texas

Case Manager-Registered Nurse (RN)

Case Manager - Registered Nurse (RN) PRN

Case Manager-Registered Nurse (RN)

Case Manager / RN (PRN)

Remote UTILIZATION REVIEW NURSE - RN

Utilization Mgmt Clinical RN

Nurse, Concurrent Review

BH Utilization Manager RN

Supp Case Mgr

MDS Coordinator

Hospice Clinical Team Manager (RN Required)

Nurse Manager of NICU RN - Sign On Bonus: $20k

Hybrid MDS Nurse

Case Manager - PRN

Case Manager

Case Manager

Care Manager Clinical Denials - Mon. - Friday / Telecommute / Hybrid.

Care Coordinator- IRU

Care Coordinator-NICU

I want to receive the latest job alert for utilization review nurse in sugar land tx

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