Medical Claims Review Manager jobs in Lubbock, TX

Medical Claims Review Manager oversees the performance, productivity, and quality of the medical claims review staff. Responsible for hiring, training, and firing medical claims review staff. Being a Medical Claims Review Manager evaluates medical claims review processes and recommends process improvements. Serves as a technical resource for all medical review workers. Additionally, Medical Claims Review Manager typically requires an RN or BSN. Requires a bachelor's degree. Typically reports to a head of a unit/department. The Medical Claims Review Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Medical Claims Review Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)

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Utilization Review Specialist
  • Medical Center Hospital
  • Odessa, TX FULL_TIME
  • Position Summary:

    The Utilization Review Specialist/Outcomes Specialist conducts concurrent and retrospective review functions in support of the hospital Utilization Review Program and makes appropriate referrals to designated Physician Advisors.

    Education:

    Holds a current Texas license as a Registered Nurse.

    Training and Experience:

    Three years clinical nursing experience in general medical/surgical setting or appropriate specialty area; at least one year in an acute care setting.

    Job Knowledge:

    Excellent verbal and written skills well rounded critical thinking skills, self-motivated, flexible, and goal oriented. Ability to tolerate frequent interruptions and demanding workload

  • 27 Days Ago

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RN Case Manager/Utilization Review
  • Midas Consulting
  • Odessa, TX CONTRACTOR
  • Responsibilities: Conducting intake assessments with patients and families. Ensuring that families feel sufficiently equipped and supported. Developing individualized treatment plans that account for ...
  • 1 Month Ago

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Auto Damage Photo Runner
  • Volta Claims Service
  • Portales, NM FULL_TIME
  • Get paid to snap photos of cars at your own schedule! No experience needed!Who we are:Volta is Texas-based firm that provides a wide array of claims support and inspection services for self-insured fi...
  • 3 Days Ago

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Property Maintenance
  • Eagle Manager LLC
  • Odessa, TX FULL_TIME
  • POSITION SUMMARY:The Property Maintenance Person is responsible for the overall maintenance of the property and equipment as assigned by members of Management. The Property Maintenance Person function...
  • 10 Days Ago

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Guest Services Representative
  • Eagle Manager LLC
  • Odessa, TX FULL_TIME
  • POSITION SUMMARY:The Guest Services Representative is responsible for creating a hospitable guest experience and for performing tasks associated with the front desk. The Guest Services Representative ...
  • 14 Days Ago

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Head Housekeeper
  • Eagle Manager LLC
  • Odessa, TX FULL_TIME
  • POSITION SUMMARY:The Head Housekeeper i s responsible for the delivery of a clean comfortable room and great service. The Head Housekeeper is required to supervise the work activities of the Clean Tea...
  • 14 Days Ago

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0 Medical Claims Review Manager jobs found in Lubbock, TX area

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Care Manager II RN
  • Centene Corporation
  • Lubbock, TX
  • You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Managem...
  • 4/18/2024 12:00:00 AM

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LVN Home Care High Tech Training
  • Thrive Skilled Pediatric Care LLC
  • Lubbock, TX
  • Weekly pay and up to 80 hours of PTO per year! Offering High-Tech Training! Thrive Skilled Pediatric Care, one of the le...
  • 4/18/2024 12:00:00 AM

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RN LVN Private Duty
  • Thrive Skilled Pediatric Care LLC
  • Lubbock, TX
  • Weekly pay and up to 80 hours of PTO per year! Thrive Skilled Pediatric Care, one of the leading providers of skilled pe...
  • 4/18/2024 12:00:00 AM

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Home Health RN LVN Will Train New Grads
  • Thrive Skilled Pediatric Care LLC
  • Lubbock, TX
  • Weekly pay and up to 80 hours of PTO per year! Thrive Skilled Pediatric Care, one of the leading providers of skilled pe...
  • 4/18/2024 12:00:00 AM

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LVN
  • Thrive Skilled Pediatric Care LLC
  • Lubbock, TX
  • Weekly pay and up to 80 hours of PTO per year! Thrive Skilled Pediatric Care, one of the leading providers of skilled pe...
  • 4/18/2024 12:00:00 AM

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Wound Care Specialist - MD/DO or NP/PA
  • Advantage Surgical and Wound Care
  • Lubbock, TX
  • Job Description Job Description Are you a medical professional with a passion for wound care? Ready to break free from t...
  • 4/16/2024 12:00:00 AM

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Remote Licensed Psychiatrist
  • Headway
  • Lubbock, TX
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/15/2024 12:00:00 AM

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Remote Licensed Psychiatric Nurse Practitioner
  • Headway
  • Lubbock, TX
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/15/2024 12:00:00 AM

Lubbock (/ˈlʌbək/ LUB-ək) is the 11th-most populous city in the U.S. state of Texas and the county seat of Lubbock County. With a population of 256,042 in 2015, the city is also the 83rd-most populous in the United States. The city is located in northwestern part of the state, a region known historically and geographically as the Llano Estacado, and ecologically is part of the southern end of the High Plains, lying at the economic center of the Lubbock metropolitan area, which has a projected 2020 population of 327,424. Lubbock's nickname, "Hub City", derives from it being the economic, educat...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$87,132 to $111,094
Lubbock, Texas area prices
were up 1.2% from a year ago

Medical Claims Review Manager in Paramus, NJ
Support management with leading Medical Review team to ensure all types of claims requiring medical reviews are completed in compliance with State, Federal, accreditation standards and other applicable regulations.
February 01, 2020
Medical Claims Review Manager in Nashua, NH
By truly combining claims and bill review, the two systems are kept in sync utilizing the scheduled jobs of the aforementioned standard model; however, for real-time data updates, claims examiners are granted access to the entire live bill review system.
January 13, 2020
Medical Claims Review Manager in Davenport, IA
Complex claim errors can only be caught by physician reviewers with the clinical experience to spot mistakes that automated systems can’t detect.
January 03, 2020