Utilization review nurse serp_jobs.h1.location_city
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Utilization review nurse • houston tx
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Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers.
We are currently seeking Board-Certified Orthopedic Surgeons with an activ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
West Oaks Hospital has provided psychiatric care to the Houston area and surrounding communities for over four decades.Our -bed acute care facility is fully accredited and included a -bed residenti...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
REFER A FRIEND Current Employees Apply BACK.Job Ref : 74723 Talent Area : Case Management / Social Work Job Shift : 1st - Day Job Type : Full-Time Posted Date : Aug.
At Houston Methodist, the Sr Utilizatio...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
A company is looking for a Utilization Review Clinician - ABA.Key Responsibilities Evaluate member's care and health status related to Applied Behavioral Analysis (ABA) services Perform prior au...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Utilization Management Coordinator -PRN Opportunity.West Oaks Hospital has provided psychiatric care to the Houston area and surrounding communities for over four decades.Our 176-bed acute care fac...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
The UM RN will perform utilization review of Community members requiring authorization for health services.The UM RN will help ensure proper data entry of authorization in the managed care platform...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connect...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Utilization Management Coordinator -PRN Opportunity.West Oaks Hospital has provided psychiatric care to the Houston area and surrounding communities for over four decades.Our 176-bed acute care fac...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Harris Health System is the public healthcare safety-net provider established in 1966 to serve the residents of Harris County, Texas.
As an essential healthcare system, Harris Health champions bette...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
Clinical Operations / Utilization Management.We are seeking a detail-oriented and highly organized.Utilization Review (UR) Specialist.
The ideal candidate will be responsible for supporting clinical...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
At Relativity we make software to help users organize data, discover the truth, and act on it.Our e-discovery platform is used by more than 13,000 organizations around the world to manage large vol...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Utilization Management Coordinator -PRN Opportunity.West Oaks Hospital has provided psychiatric care to the Houston area and surrounding communities for over four decades.Our 176-bed acute care fac...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Epiq’s Cyber Incident Response group is responsible for managing and overseeing review of data exfiltrated in cyber incidents to identify, extract, and report on the individuals whose personal iden...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
We are searching for a Manager Utilization Management- To develop all of the processes and procedures for Utilization Management intake, concurrent review and processing of denial and appeals.Asses...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Townsen Memorial Hospital is looking for a Full-Time Charge Capture Specialist to join our team in our Houston TX 77072 location! The Charge Capture Specialist is responsible for entering and recon...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
Utilization Management Intake Specialist.Ethos Risk Services is a leading insurance claims investigation and medical management company committed to providing better data that translates into bette...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Revenue Cycle Quality Review Specialist.Do you want to join an organization that invests in you as a Revenue Cycle Quality Review Specialist? At Parallon, you come first.
HCA Healthcare has committe...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connect...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Utilization Management Coordinator -PRN Opportunity.West Oaks Hospital has provided psychiatric care to the Houston area and surrounding communities for over four decades.Our 176-bed acute care fac...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
We are seeking a detail-oriented.The analyst will be responsible for.This role requires strong critical thinking skills, the ability to process information rapidly, and a logical approach to evalua...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Physician Reviewer - Orthopedic Spine (Utilization Review)
Dane Street, LLCTX, USserp_jobs.filters.remote
serp_jobs.job_card.full_time
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Utilization Management Coordinator
West Oaks HospitalHOUSTON, Texasserp_jobs.job_card.full_time
Sr Utiliz. Review Spclst Nurse
Houston MethodistHouston, TXserp_jobs.job_card.full_time +1
- serp_jobs.job_card.promoted
Licensed Utilization Review Clinician
VirtualVocationsHouston, Texas, United Statesserp_jobs.job_card.full_time
Utilization Management Coordinator-PRN
Universal Health Services, Inc.Houston, TX, United Statesserp_jobs.job_card.full_time
Utilization Management RN
Harris HealthHouston, TX, USserp_jobs.job_card.full_time
Psychologist Peer Review Utilization Management - Remote
OptumHouston, TX, USserp_jobs.filters.remote
serp_jobs.job_card.full_time +1
Utilization Management Coordinator-PRN
UHSHouston, TX, United Statesserp_jobs.job_card.full_time
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Utilization Management Review Nurse
Harris Health SystemBellaire, TX, United Statesserp_jobs.job_card.full_time
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Utilization Review Specialist (Behavioral Health - Data Entry Focus)
Recruiting ChoicesHouston, TX, USserp_jobs.job_card.full_time
Product Manager - Review
RelativityHouston, TX, United Statesserp_jobs.job_card.full_time
Utilization Management Coordinator-PRN
Southwest Healthcare SystemHOUSTON, Texas, United Statesserp_jobs.job_card.full_time
Senior Review Manager
EpiqHouston, TXserp_jobs.filters.remote
serp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Manager Utilization Management
Texas Children's HospitalHouston, TX, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Charge Review Specialist
Aya HealthcareHouston, TX, USserp_jobs.job_card.full_time
Utilization Management Intake Specialist
Ethos RiskHouston, TX, USAserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Revenue Cycle Quality Review Specialist
USA JobsHouston, TX, USserp_jobs.job_card.full_time +1
- serp_jobs.job_card.promoted
Psychologist Peer Review Utilization Management - Remote
UnitedHealth GroupHouston, TX, USserp_jobs.filters.remote
serp_jobs.job_card.full_time
Utilization Management Coordinator-PRN
Foundations for LivingHOUSTON, Texas, United Statesserp_jobs.job_card.full_time
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Transcript Review Analyst
ChaseSourceHouston, TX, USserp_jobs.job_card.full_time
Physician Reviewer - Orthopedic Spine (Utilization Review)
Dane Street, LLCTX, USjob_description.job_card.30_days_ago
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- serp_jobs.job_card.full_time
- serp_jobs.filters.remote
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job_description.job_card.job_descriptionIndependent contractor (1099) status Average case takes 15 minutes or less Flat rate per case – consistent, supplemental income Fully remote – work from anywhere You control volume and availability No direct patient interaction or treatment Chronological, pre-organized medical records provided User-friendly portal and streamlined case management Full onboarding and ongoing support included Board Certification in Orthopedic Surgery Active, unrestricted Texas medical license Active clinical practice
Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently seeking Board-Certified Orthopedic Surgeons with an active Texas medical license and Workers’ Compensation Board Certification to conduct Utilization Reviews.
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling. Physicians provide objective, evidence-based opinions on the medical necessity of treatment requests and appeals. No patient contact, no treatment, and no doctor-patient relationship is established.
Key Responsibilities :
- Review medical records to determine the medical necessity of services
- Utilize state-specific workers’ compensation guidelines and nationally recognized criteria
- Submit clear, concise, and well-supported determinations
- Complete reviews within required timeframes (typically 1–5 business days)
- Participate in peer-to-peer calls as needed (coordinated by Dane Street)
- Complete addenda when new information is provided
Role Highlights :
Requirements :
About Dane Street :
Dane Street is a national leader in Utilization Review and Independent Medical Review services. We partner with highly qualified, actively practicing physicians to ensure high-quality, evidence-based clinical decisions that support better outcomes across the healthcare system.
Apply today to join our Physician Review Panel and start earning on your schedule.