Utilization Review Technician jobs in Houston, TX

Utilization Review Technician conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient charts and records to evaluate care concurrent with the patients treatment. Being a Utilization Review Technician reviews treatment plans and status of approvals from insurers. Collects and complies data as required and according to applicable policies and regulations. Additionally, Utilization Review Technician consults with nurses and physicians as needed. Position is non-RN. May require an associate degree or its equivalent. Typically reports to a supervisor. May require Registered Health Information Technician (RHIT). The Utilization Review Technician gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Utilization Review Technician typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

S
Utilization review specialist
  • Springstone, Inc.
  • Richmond, TX FULL_TIME
  • Overview

    UR SPECIALIST

    Woodland Springs is a bed behavioral hospital located in Richmond, Tx. The hospital offers inpatient and outpatient mental health and addiction treatment to adults, adolescents and their families.

    At Woodland Springs we are dedicated to Changing People’s Lives® .

    The Utilization Review department plays an essential role in helping fulfill our mission of Changing People’s Lives® . Utilization Review team members advocate on behalf of our patients to managed care providers for necessary treatment.

    As a Utilization Review Specialist, you will accurately and timely complete utilization review activities.

    Working with a highly engaged staffHealthy staffing levelsFlexible schedulingCareer growthCompetitive compensation UKG Wallet - We've partnered with UKG Wallet, a voluntary Earned Wage Access benefit, to offer employees access to their pay on their own schedule.

    Position Details

    • Acts as a liaison between managed care organizations and the facility’s behavioral health clinical treatment team.
    • Conducts clinical reviews in accordance with certification requirements of insurance plans or other managed care organizations.
    • Monitors patient length of stay and conducts initial and concurrent reviews when indicated to provide clinical information needed to support medical necessity criteria for appropriate level of care.
    • Facilitates peer to peer reviews between the facility treatment provider and the managed care physician.
    • Assists the Assessment Department with completion of the precertification process for admissions.
    • Provides ongoing support and training for staff on documentation requirements, admission and continued stay criteria, and medical necessity updates.

    Qualifications

    Qualifications :

    • Knowledge of mental health and chemical dependency terminology, symptoms, diagnoses, and treatment.
    • Ability to communicate effectively with patients, internal and external treatment providers, and managed care clinical review care managers.
    • Ability to multi-task, pay attention to detail, problem solve, utilize critical thinking skills, prioritize, and work both independently and as a part of a team.
    • Strong computer skills and ability to navigate electronic systems applicable to job functions.

    Requirements :

    • Bachelor’s degree or current clinical license required in lieu of degree
    • CPR and CPI Certification within days of employment

    Experience :

    Previous utilization review experience in a psychiatric healthcare facility preferred

    Education and experience in the field(s) of : Social Work, Psychology, Psychiatric Nursing, Marriage and Family and Child Counseling, Chemical Dependency Counseling, Registered Nursing or a closely related science field

    Last updated : 2024-02-27

  • 27 Days Ago

S
Utilization Review RN
  • St Luke's Health
  • Houston, TX FULL_TIME
  • Overview Baylor St. Luke’s Medical Center is an 881-bed quaternary care academic medical center that is a joint venture between Baylor College of Medicine and CHI St. Luke’s Health. Located in the Tex...
  • 1 Month Ago

S
Director of Utilization Review
  • Springstone, Inc.
  • Richmond, TX FULL_TIME
  • Overview DIRECTOR OF UTILIZATION MANAGMENT Westpark Springs is a 72 -bed behavioral hospital located in Richmond, Texas. The hospital offers inpatient and outpatient mental health and addiction treatm...
  • Just Posted

W
Director of Utilization Review
  • Westpark Springs
  • Richmond, TX FULL_TIME
  • Overview DIRECTOR OF UTILIZATION MANAGMENT Westpark Springs is a 72 -bed behavioral hospital located in Richmond, Texas. The hospital offers inpatient and outpatient mental health and addiction treatm...
  • Just Posted

U
Utilization Review Case Manager CMC
  • UTMB Health Careers
  • Friendswood, TX FULL_TIME
  • The mission of Correctional Managed Care is to address the healthcare needs of underserved patient populations within the Texas Department of Criminal Justice (TDCJ) and the Texas Juvenile Justice Dep...
  • 25 Days Ago

S
Utilization Review Specialist - UR Specialist
  • Springstone, Inc.
  • Richmond, TX FULL_TIME
  • Overview UR SPECIALIST WestPark Springs is a 72 bed behavioral hospital located in Richmond, Tx. The hospital offers inpatient and outpatient mental health and addiction treatment to adults, adolescen...
  • 7 Days Ago

Filters

Clear All

Filter Jobs By Location
  • Filter Jobs by companies
  • More

0 Utilization Review Technician jobs found in Houston, TX area

B
Inspection Technical Specialist-NDT
  • BuildSubmarines.com
  • Houston, TX
  • Job Description The NDT Level II/Inspection Technical Specialist conducts training of production employees in various m...
  • 3/29/2024 12:00:00 AM

W
Process Technical Professional I
  • Wood PLC
  • Houston, TX
  • Job Description Entry-level position within the Process Engineering Department. Works under the close supervision of an ...
  • 3/29/2024 12:00:00 AM

A
Lab Tech Specialist (964)
  • Aramco Services Company
  • Houston, TX
  • Basic Function Aramco's Sensors Development Team in Houston develops better solutions to measurement challenges in the u...
  • 3/29/2024 12:00:00 AM

M
Technical Specialist III
  • MRE Consulting
  • Houston, TX
  • Technical Specialist III are responsible for implementing technological solutions to solve business problems, creating a...
  • 3/28/2024 12:00:00 AM

N
IT Technician
  • Northwest - Carlton Staffing
  • Houston, TX
  • Job Description Job Description DIRECT HIRE opportunity for a Fleet IT Technician in Houston, TX! Apply today! An Oil an...
  • 3/28/2024 12:00:00 AM

N
Inspection Technical Specialist-NDT
  • NOV, Inc.
  • Houston, TX
  • Job Description The NDT Level II/Inspection Technical Specialist conducts training of production employees in various me...
  • 3/27/2024 12:00:00 AM

K
Associate Tech Specialist TECHM-JOB-31198
  • Keylent
  • Houston, TX
  • Associate Tech Specialist TECHM-JOB-31198 Location: HOUSTON TX Skill: SQL for Data Analysis-1 O contribute TO a project ...
  • 3/26/2024 12:00:00 AM

A
technician
  • A Tech Plus
  • Houston, TX
  • Job Description Job Description Low Voltage Technician Benefits after the 1st of the month following 90 Days from DOH Lo...
  • 3/26/2024 12:00:00 AM

Houston is located 165 miles (266 km) east of Austin, 88 miles (142 km) west of the Louisiana border, and 250 miles (400 km) south of Dallas. The city has a total area of 627 square miles (1,620 km2); this comprises 599.59 square miles (1,552.9 km2) of land and 22.3 square miles (58 km2) covered by water. The Piney Woods are north of Houston. Most of Houston is located on the gulf coastal plain, and its vegetation is classified as temperate grassland and forest. Much of the city was built on forested land, marshes, swamp, or prairie and are all still visible in surrounding areas.[citation need...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Technician jobs
$63,864 to $89,113
Houston, Texas area prices
were up 2.3% from a year ago

Utilization Review Technician in Winston Salem, NC
When considering cost of living, this places Durham, NC as 3rd out of the 4 largest nearby metros in terms of quality of life for Utilization Review Technicians**.
January 02, 2020
Utilization Review Technician in Fairbanks, AK
Current National Pharmacy Technician Certification (PTCB, ExCPT or NCCT) required.
February 03, 2020
Utilization Review Technician in Little Rock, AR
Based on our compensation data, the estimated salary potential for Utilization Review Technician will increase 16 % over 5 years.
February 07, 2020