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19 utilization review jobs at 16 companies in Houston, TX

2mo
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UTILIZATION REVIEW NURSE - RN
Houston, Texas, United States
OnsiteFull Time
Nexus Health Systems
Nexus Health Systems: Specialized neuro-rehabilitation and pediatric inpatient medical care provider.
2+ YOERN with ADN or BSN; 2+ years acute care; 3+ years utilization review/case management; InterQual/MCG experience; TX RN license; strong analytical and communication skills.
InterQual, MCG, EHR, Meditech, Microsoft Office
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3d
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Utilization Intake Review Coordinator
Houston, Texas, United States
$22-$22/hr RemoteFull Time
Cobalt Benefits Group
Cobalt Benefits Group: Manages self-funded health and dental benefit plans for employers.
High school diploma or equivalent; proficiency with Windows, Word, Excel, Outlook, clinical platforms, internet searches, and electronic medical records. Medical office or hospital experience preferred but not required.
Microsoft Windows, Microsoft Word, Microsoft Excel, Microsoft Outlook, Electronic Medical Records (EMR), ICD-10, CPT
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2mo
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Emergency Medicine Telecommute Medical Review Stream Physician
Houston, Texas, United States
RemoteContract
Concentra
ConcentraNYSE: CON: Provider of occupational health, urgent care, and physical therapy.
Board-certified physician with TX license; utilization review, credentialing, and medical necessity experience; independent contractor telecommute.
EMR, Electronic Medical Records, Telemedicine
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1mo
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Nurse - Clinical Review
Houston, Texas, United States
$65k-$75k/yr RemoteFull Time
WNS
WNSNYSE: WNS: Provides global business process management and digital transformation services.
1+ YOEActive unrestricted RN or LPN/LVN license; 1+ year utilization review experience; proficient in Microsoft Word, Excel, and PowerPoint; knowledge of NCD/LCD, insurance terminology, and URAC/NCQA standards.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint
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3mo
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Utilization Management Medical Director - Medical Oncology - Remote anywhere in US
Houston or Chicago or Atlanta or Phoenix or Los Angeles or Saint Louis or San Diego or Dallas or Philadelphia or Seattle
$249k-$373k/yr RemoteFull Time
UnitedHealth Group
UnitedHealth GroupNYSE: UNH: Provides health insurance and technology-enabled health care services.
5+ YOEMD or DO with current medical license; Board Certification in Oncology; 5+ years clinical experience in oncology; NCCN guideline experience; able to support utilization review and case/disease management.
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1mo
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Utility Coordinator
Houston, Texas, United States
OnsiteFull Time
Camillo Companies
Camillo Companies: Develops residential communities and builds homes for sale and rent.
4+ YOE4+ years customer service, utility management, or property management experience; high school diploma or equivalent; manage utility activations/transfers/disconnections, review invoices, process resident bill-backs, maintain records and reporting; strong communication and problem-solving; experience with Entrata, QuickBase, NetSuite.
Entrata, QuickBase, NetSuite
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2mo
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Sourcing Specialist (EPC/Utilities) - Houston, TX
Houston, Texas, United States
OnsiteFull Time
Quanta Services
Quanta ServicesNYSE: PWR: Provides engineering and construction for energy and utility infrastructure.
3+ YOE3+ years sourcing/procurement or EPC experience for utility/T&D projects; vendor management, RFP/tendering, bid evaluation, contract review, negotiation, strong communication and attention to detail.
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1mo
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Clinical Documentation Specialist RN
Katy, Texas, United States
OnsitePart Time
Houston Methodist
Houston Methodist: A non-profit health system providing comprehensive hospital and specialty medical services.
5+ YOEActive Texas RN licensure, associate's or bachelor's in nursing, 5 years acute adult clinical experience, coding/utilization review preferred, and strong communication and analytical skills.
ICD10, DRG
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1mo
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Renewable Energy Analyst
Louisville or New York City or Platteview or Salt Lake City or Houston
$71k-$86k/yr OnsiteFull Time
AES
AESNYSE: AES: Provides electricity and renewable energy solutions globally.
Analytical support for M&A of utility-scale wind, solar, and storage: market research, financial modeling (DCF), valuation review, due diligence coordination, and clear communication with internal teams.
Microsoft Excel, Microsoft Word, Microsoft PowerPoint
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2w
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Project Controls Cost Analyst
The Woodlands or New Orleans or Jackson
HybridFull Time
Entergy
EntergyNYSE: ETR: Electric and natural gas utility provider.
2+ YOEB.S. in finance/accounting/project or equivalent experience; 2+ years mega-project/utility experience; cost forecasting, EVM, contract review, and advanced Microsoft Office skills required.
Cognos, Power BI, Maximo, Power Plan, Microsoft Word, Microsoft Excel, Microsoft PowerPoint, ERP, JDE, SAP, Ecosys, Oracle, Cura
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1mo
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Senior Structural Engineer – Substation
Denver or New York City or Los Angeles or Chicago or Houston or Philadelphia or San Antonio or Chattanooga
$114k-$150k/yr HybridFull Time
Jacobs
JacobsNYSE: J: Global provider of professional engineering and technical services.
10+ YOEBachelor's in civil/structural engineering, PE preferred, 10+ years structural engineering experience for utility/substation projects, proficiency with structural analysis tools, experience leading technical design and reviews.
Mathcad, RISA, STAAD, STAAD Foundation, RISA3D, RISA Foundation, LPile
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1mo
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Civil 3D CAD Designer - Site Development
Houston, Texas, United States
OnsiteFull Time
BGE
BGE: Provides civil engineering, surveying, and infrastructure consulting services.
5+ YOE5+ years drafting experience with Autodesk Civil 3D, grading and drainage plan preparation, utility and site development plan knowledge, ability to review and mentor junior CAD staff; GIS experience a plus.
Autodesk Civil 3D, GIS
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1mo
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RN Case Manager
Shenandoah, Texas, United States
OnsiteFull Time
Nexus Health Systems
Nexus Health Systems: Specialized neuro-rehabilitation and pediatric inpatient medical care provider.
Current Texas RN license required; BSN preferred; ACM or CCM preferred; prior pediatric/rehab/acute/behavioral/complex case management experience preferred; strong communication and utilization review skills a plus.
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2d
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Care Coordinator-NICU
Houston, Texas, United States
OnsiteFull Time
Texas Children's Hospital
Texas Children's Hospital: Provides specialized pediatric and maternal healthcare and clinical research.
3+ YOEBachelor’s in nursing or associate nursing degree with BSN enrollment; Texas RN license, BLS, and 3 years acute-care nursing experience required. Complex pediatric care, case management, or utilization review preferred.
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2mo
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Discharge Planner
Pearland, Texas, United States
OnsiteFull Time
The Medical Resort at Pearland
The Medical Resort at Pearland: Provides skilled nursing and rehabilitation services to senior residents.
1+ YOEActive Texas RN or LVN/LPN license, 1+ years clinical nursing experience (skilled nursing/long-term/acute care), case management experience preferred, knowledge of Medicare/Medicaid and utilization review, proficiency with EHR (PointClickCare).
Electronic Health Records (EHR), PointClickCare
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1mo
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Facility Electrical Assessment Consultant 1
Overland Park or Cary or Houston or Orlando or Charlotte or Dallas or Tualatin or Atlanta or Austin or Phoenix or Tampa or Gaithersburg or Bloomington or Chicago or Denver or Kansas City or Walnut Creek or Olathe
HybridFull Time
Black & Veatch
Black & Veatch: Provides engineering, procurement, and construction services for global infrastructure.
4+ YOEDevelop and perform electrical asset assessments and inspections for water, wastewater, power and utility facilities; review test results and prepare technical reports; 4+ years consulting experience preferred; bachelor’s in electrical engineering preferred; knowledge of FERC, IEEE, NEC.
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1mo
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Case Management Director
Houston, Texas, United States
OnsiteFull Time
Encompass Health
Encompass HealthNYSE: EHC: Operates a national network of inpatient rehabilitation hospitals.
3+ YOEThree years hospital-based case management experience including utilization review and discharge planning. CCM or ACMTM preferred. Must complete assessments within scope; active discipline licensure required if applicable. BSN + RN for nursing; bachelor's required for other clinicians.
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2mo
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Medical Compliance Auditor
Bellaire or Houston
OnsiteFull Time
Texas Children's Hospital
Texas Children's Hospital: Provides specialized pediatric and maternal healthcare and clinical research.
4+ YOEAssociate degree or vocational nursing diploma required; LVN or RN license (Texas or Nursing Licensure Compact); 3 years clinical experience and 4 years medical auditing experience; CPC preferred; experience with utilization review, medical necessity, and Medicaid managed care.
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2mo
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Corporate Director of Care Management
Houston, Texas, United States
OnsiteFull Time
Nexus Health Systems
Nexus Health Systems: Specialized neuro-rehabilitation and pediatric inpatient medical care provider.
7+ MgmtBSN and MSN required, Texas RN license required, case management certification required or to be obtained within two years, minimum 7 years progressive hospital case management leadership, multi-site leadership, knowledge of utilization review, InterQual, CMS and accreditation standards.
InterQual, EHR
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