Utilization Review Nurse RN/LVN - Katy, Texas - NurseRecruiter.com

Permanent Nursing Job in
Katy , Texas, 77494

  • Employer: 90 Degree Benefits
  • Profession: Registered Nurse
  • Specialty: Case Manager / Utilization Review

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Top-rated Health Administration Company offers excellent opportunity to grow in a dynamic business. We are located in Katy, just off of Highway 99 and Westpark Tollway. We have been in business since 1970 and we are on the front lines of our industry. Because we are led by the best minds in the business, we are innovative, stable and we are growing

Essential Functions and Responsibilities:

Assuring high quality, cost efficient medical outcomes for those members needing inpatient and/or outpatient preauthorization
Reviewing records for medical necessity, level of care, length of stay, experimental/investigational treatment and appropriate coding.
Screening for Case Management and Disease Management
Assist in maintaining accurate records as well as preparation of reports

Job Requirements

Current, unrestricted RN or LVN license in the State of Texas
Bachelor's degree in Nursing (BSN)
Minimum 2 years of clinical experience as a RN/LVN working directly with patients
Knowledge of ICD-9/10, CPT and HCPC coding preferred.
Experience with Deerwalk software preferred.
Ability to navigate a Windows based environment and create, edit, save and send documents utilizing Microsoft Word & Excel. Ability to navigate Outlook and conduct Internet searches.
Proficiency with navigating multiple computer programs simultaneously while talking on the phone.
Ability to work independently toward established priorities and goals.
Previous experience in a telephonic role is a plus.
Bilingual fluency with English and Spanish is a plus.


Katy, Texas , 77494

Employment Type



90 Degree Benefits

Date Posted

Sep 8th, 2021

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