Utilization Review Manager - Home Care jobs in Texas

Utilization Review Manager - Home Care ensures quality and level of care for patients are up to established standards and comply with federal, state, and local regulations. Investigates and resolves reports of inappropriate care. Being a Utilization Review Manager - Home Care may require a bachelor's degree. Typically reports to a head of a unit/department. To be a Utilization Review Manager - Home Care typically requires 4 to 7 years of related experience. Contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. (Copyright 2024 Salary.com)

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RN Case Manager/Utilization Review
  • Midas Consulting
  • Odessa, TX CONTRACTOR
  • Responsibilities:

    • Conducting intake assessments with patients and families.
    • Ensuring that families feel sufficiently equipped and supported.
    • Developing individualized treatment plans that account for physical, financial, and other constraints.
    • Adjusting treatment protocols, as needed.
    • Suggesting and coordinating appropriate follow-up services to promote wellness.
    • Ensuring that patients have transport to and from their homes and all pertinent healthcare facilities.
    • Meeting with members of healthcare teams to discuss patients' progress, and to deliberate on appropriate care.
    • Checking to see whether patients have sufficient insurance coverage or finances to pay for their treatment.
    • Devising innovative solutions or suggesting appropriate referrals for patients who cannot afford to access treatment.

    Job Type: Contract

    Pay: $60.00 - $62.00 per hour

    Schedule:

    • 10 hour shift
    • Day shift

    Work setting:

    • Acute care
    • Hospital

    Experience:

    • Case management: 1 year (Required)
    • Utilization Review: 1 year (Preferred)
    • Coordination and discharge: 1 year (Preferred)
    • ICU/CCU/ER units: 1 year (Preferred)

    License/Certification:

    • RN (Required)
    • BLS Certification (Required)
    • Covid vaccine (Required)

    Ability to Commute:

    • Odessa, TX 79761 (Required)

    Work Location: In person

  • 5 Days Ago

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Utilization Management/Utilization Review
  • Windmill Wellness Ranch LLC
  • Canyon, TX FULL_TIME
  • Windmill Wellness opened the Ranch in May of 2017. We are nestled in the Texas Hill Country and are sitting on 76 acres. The mission of Windmill Wellness Ranch Is to improve the physical, spiritual an...
  • 18 Days Ago

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Nurse Case Manager - Inpatient Utilization Review
  • jpshealthnet
  • Fort Worth, TX FULL_TIME
  • Description: The Nurse Case Manager - Inpatient is responsible for coordinating the care and service of assigned patients with physicians, nurses, social workers and other members of the healthcare te...
  • 6 Days Ago

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Care Manager RN - Utilization
  • Covenant Health
  • Lubbock, TX OTHER
  • DescriptionComprehensively plans for case management services for a targeted patient population. Carries out activities related to utilization management, discharge planning, care coordination and ref...
  • 2 Months Ago

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LVN Utilization Review- Utilization Management
  • Kelsey-Seybold
  • Pearland, TX FULL_TIME
  • Responsibilities The Utilization Review LVN nurse will perform documentation review for medical necessity and benefit correlation of requested medical and surgical procedures, services and admissions ...
  • 16 Days Ago

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Strategic Product Manager - Utilization Management
  • Health Care Service Corporation
  • Richardson, TX FULL_TIME
  • Job DetailsAt HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their...
  • 2 Days Ago

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Director Utilization Management
  • Heritage Valley Health System
  • Beaver, PA
  • Department: Utilization Review Work Hours: Primarily Monday through Friday, extended hours as needed to support organiza...
  • 6/12/2024 12:00:00 AM

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PSM & Utility Manager
  • Land O'Lakes, Inc.
  • Spencer, WI
  • PSM & Utility Manager The PSM & Utilities Manager is responsible for managing plant utilities and ammonia refrigeration ...
  • 6/11/2024 12:00:00 AM

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Environmental and Utilities Manager
  • Leprino Foods
  • Lubbock, TX
  • For our future state-of-the art 600+ person Lubbock, TX cheese and whey manufacturing facility, Leprino is seeking an En...
  • 6/11/2024 12:00:00 AM

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Gas Utilities Manager
  • Accenture
  • Austin, TX
  • We Are: Our Utility Industry, Transmission & Distribution Practice is powering the progress to a safe, connected, and su...
  • 6/10/2024 12:00:00 AM

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Director Utilization Management
  • Heritage Valley Health System, Inc.
  • Beaver, PA
  • Department: Utilization Review. Work Hours: Primarily Monday through Friday, extended hours as needed to support organiz...
  • 6/9/2024 12:00:00 AM

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Supervisor, Utilization Management
  • Centene Corporation
  • Tallahassee, FL
  • You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Managem...
  • 6/9/2024 12:00:00 AM

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Director of Utilization Management
  • Oceans Healthcare
  • Jackson, MS
  • Description The Director Utilization Management is responsible for oversight and management of all utilization review/ca...
  • 6/8/2024 12:00:00 AM

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Manager, Utilization Management
  • Hiring Now!
  • New York, NY
  • Creates and upholds policies and procedures for coverage determinations. Serves as subject matter expert for Medicare co...
  • 6/8/2024 12:00:00 AM

Texas (/ˈtɛksəs/, locally /ˈtɛksɪz/; Spanish: Texas or Tejas Spanish pronunciation: [ˈtexas] (listen)) is the second largest state in the United States by both area and population. Geographically located in the South Central region of the country, Texas shares borders with the U.S. states of Louisiana to the east, Arkansas to the northeast, Oklahoma to the north, New Mexico to the west, and the Mexican states of Chihuahua, Coahuila, Nuevo León, and Tamaulipas to the southwest, while the Gulf of Mexico is to the southeast. Houston is the most populous city in Texas and the fourth largest in the...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Manager - Home Care jobs
$74,974 to $95,580