Utilization Management Assistant
4 weeks ago
Job Summary:
We are seeking a highly skilled Utilization Management Assistant to join our team at Integrated Resources. As a key member of our healthcare operations team, you will be responsible for processing initial incoming faxes or phone requests into the intake department. Your primary duties will include gathering demographic and benefit data, documenting in appropriate systems, and adhering to time frames and turn-around times.
Key Responsibilities:
* Process initial incoming faxes or phone requests into the intake department
* Gather demographic and benefit data and document in appropriate systems
* Adhere to time frames and turn-around times
* Route and evaluate all calls and faxes to refer and assign as necessary to other staff
* Perform data entry of authorization information into systems
* Implement nuances of product line and regulatory requirements in the processing of all authorization requests
Requirements:
* Managed care experience, preferably in a medical management department
* Ability to operate PC, Windows, Word, fax machine, photocopier, computer, and multi-line telephone
* Excellent customer service skills and phone etiquette
* Ability to handle high volume of calls, prioritize work, be flexible, and perform as a member of a team
Preferred Qualifications:
* ICD and CPT coding skills
* Previous health plan experience
* Typing and data entry skills
* Medical terminology knowledge
Work Schedule:
* Hybrid day shift: 8:00 am to 5:00 pm or 8:30 am to 5:30 pm or 9:00 am to 6:00 pm
-
Utilization Management Specialist
3 weeks ago
Bellaire, Texas, United States Texas Children's Hospital Full timeJob Title: Utilization Management SpecialistLocation: Houston, TXJob Type: ContractDuration: 3+ monthsPay: $20-$24 per hourJob Description:We are seeking a skilled Utilization Management Specialist to join our team at Texas Children's Hospital. As a Utilization Management Specialist, you will be responsible for processing initial incoming faxes or phone...
-
Clinical Utilization Manager RN
1 month ago
Bellaire, Texas, United States Texas Children's Hospital Full timeUtilization Management Clinical RNWe are seeking a skilled Utilization Management Clinical RN to join our team at Texas Children's Hospital. In this role, you will play a critical part in ensuring the efficient use of healthcare resources while maintaining high-quality patient care.Key Responsibilities:Analyze submitted information, including clinical...
-
Healthcare Utilization Specialist
3 weeks ago
Bellaire, Texas, United States Integrated Resources Full timeJob Title: Healthcare Utilization SpecialistJob Summary:Integrated Resources is seeking a skilled Healthcare Utilization Specialist to join our team. As a key member of our medical management department, you will be responsible for processing initial incoming faxes or phone requests into the intake department. Your primary duties will include gathering...
-
Medical Management Assistant
4 weeks ago
Bellaire, Texas, United States Texas Children's Health Plan Full timeJob Title:Medical Management Assistant Job Specialty:Healthcare Operations Job Duration: 13 weeks Shift: Hybrid - Day shift (8:00 am to 5:00 pm or 8:30 am to 5:30 pm or 9:00 am to 6:00 pm)Guaranteed Hours: 40.00 per week Experience: Previous experience in managed care, especially in a medical management department, claims, or member service. Healthcare...
-
Licensed Physical Therapist Assistant
3 weeks ago
Bellaire, Texas, United States Advance Rehabilitation Management Group Full timeJob OverviewWe are seeking a highly skilled Physical Therapist Assistant to join our team at Advance Rehabilitation Management Group. As a Physical Therapist Assistant, you will play a vital role in providing high-quality patient care and contributing to the success of our outpatient orthopedic and neurological rehabilitation...
-
Nurse Case Manager
4 weeks ago
Bellaire, Texas, United States Texas Children's Hospital Full timeJob SummaryWe are seeking a skilled Registered Nurse Case Manager to join our team at Texas Children's Health Plan. As a key member of our care management team, you will play a vital role in coordinating and managing the care of high-risk members to ensure optimal outcomes.Key ResponsibilitiesConduct comprehensive assessments of members' biophysical,...
-
Care Management Professional
4 weeks ago
Bellaire, Texas, United States Harris Health System Full timeJob SummaryThe Manager of Care Management is accountable for the operational management of an assigned area, assisting the Admin Director of Care Management with human resource, quality, and financial management. The role oversees the implementation of management strategies, ensuring the delivery of high-quality care services. Key responsibilities include...
-
Store Operations Manager
3 weeks ago
Bellaire, Texas, United States Walgreens Full timeJob Description:As a Shift Lead at Walgreens, you will be responsible for ensuring the smooth operation of the store during your shift. This includes opening and closing the store, managing cash handling, and maintaining a clean and organized store environment.Key Responsibilities:Customer Experience:Engage with customers and provide assistance with products...
-
Administrative Support Manager
3 weeks ago
Bellaire, Texas, United States CURO Health Services Full timeCURO Health Services, a leading healthcare organization, is seeking an experienced Administrative Coordinator to join our team. This role will report directly to our senior leadership team, including the Assistant Director PC, AVP of Managed Care, Branch Director, Branch Director PC, Office Manager I, Office Manager II, Regional Quality Manager...
-
Senior Property Accountant
4 weeks ago
Bellaire, Texas, United States Artemis Professionals, LLC Full timeJob OverviewArtemis Professionals, LLC seeks a highly skilled Senior Property Accountant to join our team. The ideal candidate will possess a strong background in real estate accounting, with expertise in financial reporting, reconciliation, and tax compliance.Key Responsibilities:Prepare and manage financial statements for multiple properties, ensuring...
-
Clinical Manager RN
3 weeks ago
Bellaire, Texas, United States Amedisys Full timeOverview:Shift: Full-Time DaysA highly skilled and compassionate registered nurse (RN) is sought after to lead our homecare team as a clinical manager at Amedisys, one of the largest and most trusted home health and hospice companies in the U.S.Attractive PayMinimum Salary: $95,000Maximum Salary: $105,000Enjoy great perks and benefitsA comprehensive benefits...
-
Physician Advisor for Independent Medical Exams
3 weeks ago
Bellaire, Texas, United States Dane Street, LLC Full timeJob OpportunityDane Street, LLC is seeking a skilled Physician Advisor to review medical records and provide expert opinions on insurance appeals and claims. As a Telehealth Reviewer, you will utilize your clinical expertise to ensure that medical necessity and utilization review/management expertise are met.The ideal candidate will have a strong background...
-
Clinical Research Assistant
3 weeks ago
Bellaire, Texas, United States Retina Consultants of Texas Full timeJob SummaryWe are seeking a detail-oriented Clinical Research Assistant to join our team at Retina Consultants of Texas. This role will involve providing patient care to patients enrolled in research clinical trials, coordinating subject visits, and preparing visit-specific documentation.Key ResponsibilitiesCoordinate and schedule subject visits within...
-
Structural Project Manager
4 weeks ago
Bellaire, Texas, United States Quiddity Full timeJob Title: Structural Project ManagerJob SummaryWe are seeking a highly skilled Structural Project Manager to join our team at Quiddity. As a key member of our civil engineering team, you will be responsible for managing and overseeing the planning and design of structural projects, including water and wastewater plants, junction boxes, and bridges.Key...
-
Hospice Nurse Case Manager
4 weeks ago
Bellaire, Texas, United States Gentiva Hospice Full timeMake a Difference in Hospice CareAs a Hospice RN Case Manager at Gentiva Hospice, you will play a vital role in providing compassionate care to patients and their families. You will serve as the primary liaison between the physician, patient, and hospice team, ensuring seamless communication and coordination of care.Key Responsibilities:Provide direct...
-
Wheelchair Van Driver
3 weeks ago
Bellaire, Texas, United States Emt Ambulance Full timeJob Summary:As a Wheelchair Van Driver at Emt Ambulance, you will provide safe and efficient transportation services for patients traveling to doctor's appointments, physical therapy, or other medical treatments.Key Responsibilities:• Provide safe and efficient transport of patients in the ambulette as scheduled by dispatch.• Assist patients to and from...
-
Branch Operations Supervisor
4 weeks ago
Bellaire, Texas, United States Frost Bank Full timeJob SummaryAs a Branch Operations Manager with Frost Bank, you will be responsible for overseeing the day-to-day operational functions within an agency branch. This includes supervising administrative functions, acting as the branch liaison to Insurance Accounting and Statewide Operations Manager, and serving as the branch contact for Frost's audit...
-
Senior Fraud Investigator
4 weeks ago
Bellaire, Texas, United States Texas Children's Hospital Full timeWe are seeking a highly skilled Senior Fraud Investigator to oversee the Special Investigations Unit (SIU) and Fraud, Waste & Abuse (FWA) Program at Texas Children's Health Plan.The ideal candidate will have 8 years of experience in fraud, waste & abuse investigations or special investigations unit, including 1 year of experience working with...
-
Experienced Remodeler
4 weeks ago
Bellaire, Texas, United States Handyman Hub Inc Full timeJob OpportunityWe are seeking a skilled and experienced remodeler to join our team at Handyman Hub Inc in Houston. As a remodeler, you will work independently in customers' homes, utilizing your expertise to deliver high-quality results.Key Responsibilities:Remodel residential spaces with a focus on quality and customer satisfactionWork independently in...
-
Spine Surgical/Neuro Elective Nurse, Nights
1 week ago
Bellaire, Texas, United States Memorial Hermann Health System Full timeJob SummaryCollaborates with an interdisciplinary team in the delivery of patient care, utilizing the nursing process. Provides professional nursing care to patients, including conducting nursing assessments, assisting with exams and treatment, patient education, and maintenance of medical records.ResponsibilitiesDelivers safe and appropriate care to...