Utilization Review Medical Professional

Job Description:As a Utilization Review Clinician at Elite, you will be responsible for evaluating medical treatment requests to determine their medical necessity. Using clinical expertise and evidence-based guidelines, you will review requests submitted by providers, requestors, claimants, or carriers to ensure they meet established standards. To be...

About the OpportunityAs a Clinical Utilization Review Specialist at the University of Texas Southwestern Medical Center, you will play a vital role in ensuring that our patients receive the highest quality care while minimizing unnecessary costs. This position is ideal for an experienced nurse who wants to utilize their clinical expertise to make a...

Job Title: Medical Review SpecialistEstimated Salary:$120,000 - $150,000 per yearThe University of Texas Southwestern Medical Center is seeking a highly skilled Medical Review Specialist to join our team. As a key member of our healthcare quality assurance team, you will be responsible for conducting medical necessity reviews and ensuring that patients...

Job Title: Registered Nurse - HEDIS AbstractorLocation: Remote or On-Site in the United StatesEstimated Salary: $70,000 - $90,000 per yearAbout HireOps Staffing LLCHireOps Staffing LLC is a leading healthcare staffing agency providing top talent to medical facilities across the United States.Job DescriptionThe Registered Nurse - HEDIS Abstractor will be...

About the RoleAs a Healthcare Utilization Manager at Parkland Health and Hospital System, you will play a critical role in ensuring that our patients receive high-quality, cost-effective care. In this position, you will be responsible for reviewing prior authorization and appeals requests for approval or denial of claims payment based on medical...

HireOps Staffing LLC is seeking a skilled Clinical Review Nurse to join our team. This contract position offers a competitive salary of $40/hour, commensurate with experience.The successful candidate will possess 3 years of clinical experience in a physician office, hospital/surgical setting, or healthcare insurance company. Key skills include medical...

Job Description: Workers Compensation Utilization AnalystWe are seeking a detail-oriented Workers Compensation Utilization Analyst to join our team at Elite. In this role, you will be responsible for reviewing medical data to ensure the medical necessity of treatments for our Workers Compensation clients.Key Responsibilities:Evaluate medical data for...

Job Title: Utilities ManagerCompany OverviewUniversity Partners is a leading owner/operator in the country, with over 20 years of experience in acquiring, developing, and managing student housing communities.We offer a competitive spirit and team approach, allowing us to move quickly and make the most of every opportunity. As exceptional leaders and good...

UT Southwestern Medical CenterWe are seeking a highly skilled Registered Nurse to join our team as a Medical Necessity Specialist. In this role, you will play a critical part in ensuring that patients receive the most appropriate level of care. With over 75 years of excellence in Dallas-Fort Worth, Texas, we are committed to providing the best possible care,...

Job DescriptionJob Title: Medical Professional for Armed Forces ServiceCompany: Chenega CorporationChenega Corporation is seeking a highly skilled Medical Professional to provide medical histories, physical examinations, and reviews of required medical tests and documentation pertaining to consultations and medical histories on applicants for the Armed...

Job Summary:Baylor University Medical Center is seeking a skilled Registered Nurse to join its esteemed team in the Operating Room. This is an excellent opportunity for a dedicated professional to work alongside experienced healthcare providers and contribute to delivering high-quality patient care.About the Role:This full-time position offers a competitive...

About UsAt Medical City Dallas, we are committed to providing exceptional patient care and advancing medical innovation.Salary & BenefitsWe offer a competitive salary of $83,000 - $120,000 per year, depending on experience, plus a comprehensive benefits package, including medical, dental, and vision coverage, 401(k) matching, and opportunities for...

HonestLove Global Professional Staffing, a renowned staffing agency in the healthcare industry, is seeking an Advanced Imaging Professional for a travel assignment in Dallas, Texas. This 13-week contract offers a lucrative opportunity for professionals to enhance their careers while delivering exceptional patient care.Job OverviewIn this role, you will be...

Job OverviewMethodist Dallas Medical Center is a 314-bed, full-service, acute care teaching hospital that serves the southwestern Dallas County area. Our team is dedicated to providing exceptional patient care and strives to have a diverse workforce that reflects the communities we serve.About the RoleWe are seeking a highly skilled Registered Nurse to join...

About the RoleWe're seeking a skilled Procedure Review Coordinator to join our team in Dallas, TX. In this role, you'll work in a hybrid remote environment with 3 days in-office, focusing on procedure reviews in banking, specifically credit cards, personal loans, and collections. Your strong analytical skills, attention to detail, and excellent communication...

Explore a rewarding career at Methodist Dallas Medical Center, one of North Texas' best places to work. As a Registered Nurse on our Resource Team, you will provide highly professional and technical nursing care to assigned patients, utilizing the nursing process to deliver exceptional patient outcomes.About the RoleThis is a 12-hour per day position working...

Join a dynamic team at All Medical Personnel, a national leader in healthcare staffing. Our mission is to provide exceptional medical professionals like you with opportunities for growth and development.We are seeking an experienced Certified Medical Assistant to join our team. As a key member of our team, you will work closely with physicians and other...

Job DescriptionThis is a contract assignment that will start right away and end on April 30th 2024Review NurseSUMMARY DESCRIPTION:The review nurse is responsible for medical record abstractions and overreads during the annual Healthcare Effectiveness Data and Information Set (HEDIS) survey. The review nurse is responsible for reviewing and accurately...

About the Job:We are currently seeking a highly skilled and compassionate ICU registered nurse to join our team at Baylor University Medical Center. As an ICU nurse, you will play a critical role in providing high-quality patient care to critically ill patients. You will work closely with our multidisciplinary team to develop and implement individualized...

About the RoleHutchinson Construction, LLC is seeking a qualified heavy equipment operator to fill a role within our team. The successful candidate will have experience operating multiple heavy equipment machines, including motor graders, excavators, and dozers.Key ResponsibilitiesExecute work plans as directed by foremen/superintendents.Lead team members...