Utilization Management Specialist

Job 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...

Job Title: Utilization Management AssistantJob 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...

Utilization 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...

Job 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...

Job Summary:We are seeking an experienced Administration Specialist to join our team at PRIDE Health. As a key member of our Quality Management department, you will be responsible for ensuring the highest standards of quality in our administrative processes.Key Responsibilities:* Provide administrative support to the Quality Management team* Develop and...

Job Title: Business Process SpecialistJob Summary:We are seeking a highly skilled Business Process Specialist to join our team at Texas Children's Health Plan. The successful candidate will be responsible for supporting and developing programs aligned with strategic health plan goals, conducting effective and timely assessments, and implementing processes...

Job DescriptionWe are seeking a highly skilled Business Process Specialist to join our team at Dean's Professional Services. As a Business Process Specialist, you will play a critical role in supporting and developing programs aligned with health plan strategic goals.Key Responsibilities:Support the facilitation of process and/or system changes through...

Job SummaryAs a Sterile Processing Technician III at Memorial Hermann Health System, you will play a critical role in ensuring the highest level of patient care by providing sterilized surgical instruments, supplies, and equipment to the operating room and other areas of the hospital.This position requires a high level of attention to detail, organizational...

Job SummaryWe are seeking a dedicated and compassionate Animal Care Specialist to join our team at Westheimer Animal Clinic Bellaire.The successful candidate will be responsible for providing exceptional care and attention to the animals in our facility, ensuring their physical and emotional well-being.Key Responsibilities:Feed and bathe animals, maintaining...

Job 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,...

Job 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...

Behavioral Therapist - Student Case ManagerCompany OverviewSunbelt Staffing is a trusted staffing agency dedicated to providing top talent to schools and educational institutions nationwide. Our team of experts is committed to delivering exceptional service and support to our clients and candidates.SalaryThe salary for this position is competitive and based...

Job DescriptionAre you a skilled and compassionate Registered Nurse looking to take your career to the next level? We are seeking a talented Ambulatory Infusion Nurse Specialist to join our team at Paragon Healthcare in Bellaire, TX.Job Summary:The successful candidate will be responsible for administering ordered therapies, preparing medications, and...

At Memorial Hermann Health System, we strive to deliver exceptional care and create a positive work environment for our employees. When our employees feel valued and supported, they are empowered to provide outstanding care to our patients.Job SummaryThis position is responsible for providing sterilized surgical instruments, supplies, and equipment to the...

Job SummaryWe are seeking a skilled Truck Equipment Installation Specialist to join our team at Reading Truck. As a key member of our installation team, you will be responsible for the installation of specialty truck equipment, including dump bodies, crane bodies, and bumper cranes.Key ResponsibilitiesMount hitches, shelves, and drawersInstall ladder racks,...

Key Responsibilities:Verify third-party information with carriers, employers, and review agencies to ensure accurate billing and reimbursement for services. Obtain authorizations, pre-certifications, and verify third-party coverage to guarantee seamless healthcare delivery. Collaborate with cross-functional teams to optimize benefits and reimbursement...

Job 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...

Job SummaryWe are seeking a highly skilled Senior Business Development Liaison to join our team at Texas Children's Hospital. As a key member of our business development team, you will be responsible for developing and executing strategic plans to acquire, grow, and nurture strong relationships with physicians and their staff. Your goal will be to drive...

Job DetailsSunbelt Staffing is seeking a Board-Certified Behavior Analyst (BCBA) to work with a school district in Bellaire, TX. The ideal candidate will have a minimum of 1+ years of experience as a Behavior Specialist and be certified through the BACB.On-site position with a caseload of K-12th grade studentsFull-time opportunity with competitive weekly pay...

As a Registered Nurse in Medical Surgical Oncology at Memorial Hermann Health System, you will be responsible for delivering high-quality patient care and managing complex diagnoses. We are seeking a clinically proficient professional who can contribute to our vision of creating healthier communities.Key ResponsibilitiesProvide leadership in patient care and...