Utilization Review Jobs in Houston, MS

    Performs utilization review of cases to determine if the request meets medical necessity criteria in accordance with medical policies agreed upon with the Client and any applicable governing body.     Facilitates resolution of escalated cases tha More...

    Performs utilization review of cases to determine if the request meets medical necessity criteria in accordance with medical policies agreed upon with the Client and any applicable governing body.     Facilitates resolution of escalated cases tha More...

Fulltime Permanent Director of Case Management opportunity located near Houston TX. Details are below!Salary: $100000 $105000/annuallyDirector of Case Management:Assume responsibility for the daytoday operations and human resource management of the Case Management departmentOversee t More...

The RN Nights Supervisor will be responsible for assessing clients in an inpatient/residential drug and alcohol detoxification program and administering medication and nursing care to admitted patients.Responsibilities Performing completing and validating assessments utilizing proper More...

We are actively recruiting for an CAL RNs to join our rapidly growing Population Health team.  The primary role of the Care Manager will be to provide our patients with ondemand telephonebased care management services through a 24/7 Nurse Advice Line (i.e. telephone triage). &#xa More...

Overview of the Role:The Medical Assistant provides high quality care to meet departmental goals; responsibly and cost effectively manages equipment supplies and ancillary services; establishes communication and maintains good working relationships with physicians and office personnel More...

Overview of the Role:The Medical Assistant provides high quality care to meet departmental goals; responsibly and cost effectively manages equipment supplies and ancillary services; establishes communication and maintains good working relationships with physicians and office personnel More...

Manage all production and personnel activities in the Houston location including Security HSE facilities/equipment maintenance and direct personnel at the siteCoordinate production schedules for Industrial Hydraulics Service (IHS) work tasks and resources in order to meet customer del More...

General SummaryWork closely with end users source data owners and customers to provide support and maintenance for the performance analytics applications. Accountable for overall system maintenance and functionality for assigned applications and reporting. Develop maintain and ensure More...

AECOM Buildings Places is seeking a Regional Architecture Discipline Lead located in one of our prominent US West Design Studios which include locations such as Los Angeles Chicago Colombus Cleveland Detroit Houston Denver or San Francisco.  The ideal candidate will h More...

Must be local for this role Location: Remote/ Houston is preferred Duration: 6Month Contract to Hire Job Summary: We are seeking a motivated and experienced Prophet 21 Support Analyst to join clients team on a contracttohire basis. The ideal candidate will have a minimum of 2 year More...

Location: Remote/ Houston is preferred Duration: 6Month Contract to Hire Job Summary: We are seeking a motivated and experienced Prophet 21 Support Analyst to join our clients team on a contracttohire basis. The ideal candidate will have a minimum of 2 years of experience supporting More...

RRD has an immediate opening for a Manager of Manufacturing in our Houston TX facility supporting our Supply Chain Solutions Division!  Job SummaryThe Manager of Manufacturing is primarily responsible for planning organizing directing and controlling the activities of produc More...

Job Description:Care Manager RN at Santa Monica CA.Case Management is a collaborative practice including patients caregivers nurses social workers physicians payers support staff other practitioners and the community. The Case Management process facilitates communication and care coor More...

Job SummaryThe National Account Director GPO Trade and Distribution is responsible for developing and maintaining business relationships with Oncology and Immunology Institutional and Community GPOs and Hospital and Community Immunologists Rheumatologists Endocrinologists and Oncologi More...

To analyze business requirements to derive tests and manage test deliverables for all test phases as per Enterprise business standards and quality in the stipulated timelines with effective utilization of resources. To design and execute comprehensive test plans and test cases for as More...

This Position is Contingent on Contract Award.This position is in support of a proposed repatriation initiative.  The purpose of the facilities is to provide comprehensive care for migrant individuals who are awaiting reunification or repatriation.  This care will begin as s More...

Manage the strategic initiatives of the department aligning to the organizational goals of the systemSupport motivate and manage the people and processes responsible for accurate and optimal data collection data processing data modeling data analysis and insights to drive value.Ensure More...

Role: Test Engineer Location: Houston TX (day one onsite) Mandatory Skills Selenium With Java Framework Development Experience API Testing (Postman ReadyAPI and RestAssure) Experience Required 6 yrs Job description To analyze business requirements to derive tests and manage te More...

Job Title: OCI System Administrator Job Type: C2C / Full Time Job Location: Houston US Job Description: Manage and maintain cloudbased servers and applications on Oracle Cloud Infrastructure. Ensure high availability and performance of OCI environments. Install configure and update s More...