Per Diem Case Manager (Utilization Review) in Houston, Texas

The University of Texas MD Anderson Cancer Center in Houston is one of the world’s most respected centers focused on cancer patient care, research, education and prevention. It was named the nation’s No. 1 hospital for cancer care in U.S. News & World Report’s 2024-2025 rankings. It is one of the nation’s original three comprehensive cancer centers designated by the National Cancer Institute.

What you will do:

• Evaluate the necessity, appropriateness, and efficient use of medical services, procedures and setting in which the patient receives care

• Ensure appropriate payment of services that includes review of the appropriate patient class, providing clinical reviews to payers utilizing specified guidelines, and facilitate timely peer to peer or appeals to mitigate denials.

Education Required:

Bachelor’s degree in Nursing.

Experience Required:

Three years of clinical nursing experience to include experience in coordinating care for high risk and complex patients.

Preferred experience:

Utilization review experience

Licensure / Certification Required:

Current State of Texas Professional Nursing License (RN).

Basic Life Support (BLS) or Cardiopulmonary Resuscitation (CPR) certification.

Preferred: American Heart Association Basic Life Support (BLS), ACLS (Advanced Cardiac Life Support) or PALS (Pediatric Advanced Life Support) certification as required by patient care area.

It is the policy of The University of Texas MD Anderson Cancer Center to provide equal employment opportunity without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, disability, protected veteran status, genetic information, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. http://www.mdanderson.org/about-us/legal-and-policy/legal-statements/eeo-affirmative-action.html

Additional Information

• Requisition ID: 172724

• Employment Status: Per Diem

• Employee Status: Regular

• Work Week: Day/Evening

• Minimum Salary: US Dollar (USD) 49,400

• Midpoint Salary: US Dollar (USD) 49,400

• Maximum Salary : US Dollar (USD) 49,400

• FLSA: non-exempt and eligible for overtime pay

• Fund Type: Hard

• Work Location: Remote

• Pivotal Position: No

• Referral Bonus Available?: No

• Relocation Assistance Available?: No

• Science Jobs: No

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