Medical Review Nurse jobs in Murphy, TX

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Inpatient Services RN | Acute Dialysis Nurse | Full Time | D...
Fresenius Medical Care is a people business. Communicate problems or concerns to the Inpatient Program Manager, appropriately credentialed physician, patient...
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Employee Health/Infect Prev Mgr
USMD - 43 reviews - Irving, TX
Current Texas Registered Nurse (RN) License. Verbal and writing ability required to communicate effectively in informing employees, clinicians and medical staff...
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Seasonal (Fall/Winter) Inpatient RN
Minimum of two years work experience as a staff nurse. Reviews and carries out physician orders in an appropriate professional manner....
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UM Clinical Consultant (RN)

Aetna - 1,693 reviews - Dallas, TX 75207 (Near East area)
Managed care/utilization review experience preferred. Functional - Medical Management/Medical Management - Concurrent Review/1-3 Years....

QM Nurse Consultant

Aetna - 1,693 reviews - Dallas, TX 75201 (City Center District area)
Nurse Consultant role responsible for medical record reviews for HEDIS and Potential Quality of Care incidents....

Care Coordinator UM/CM II

Blue Cross Blue Shield of IL, MT, NM, OK & TX - 3,360 reviews - Richardson, TX
Knowledge of Medical Management policies and procedures. Registered Nurse (RN) with current, valid, unrestricted license to practice in state of operations....

Coding Investigator Auditor - Health Care

Blue Cross Blue Shield of IL, MT, NM, OK & TX - 3,360 reviews - Richardson, TX
Preparing documentation of findings and consulting with Medical Directors as needed Coordination with all departments involved in each case required such as...

BH Clinical Appeals Reviewer

Blue Cross Blue Shield of IL, MT, NM, OK & TX - 3,360 reviews - Richardson, TX
Analyzes appeals data, determine appeals decisions or prepare cases for Medical Director review. Registered Nurse (RN) or Masters- level Behavioral Health...

CLINICAL DOC IMPROVEMENT SPEC

Baylor Scott & White Health - 197 reviews - Garland, TX 75049
Collaboratively works with interdisciplinary teams including, but not limited to, physicians, mid-level providers, nurses, Utilization Review staff, and Care...

Nurse Healthcare Coordinator

Brookdale - Irving, TX 75061  +1 location
Medical, dental, vision, disability, life, paid time off, educational reimbursement. Ensure and conduct Personal Service Plan reviews and updates, according to...
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Major Case Spec Auto Liab

Travelers - 714 reviews - Richardson, TX
May participate in periodic file quality reviews. Actively engage in the identification, selection and direction of appropriate internal and/or external...

Health Services Nursing Manager

ResCare - 2,066 reviews - Dallas, TX 75201 (City Center District area)
Complete regulatory record review for Regional Management Team as needed; Monitor pharmacy, medical, and Medicaid expenses, and assure appropriate and efficient...

Case Management Coord II: MATERNAL/CHILD CLINICAL EXPERIENCE

Blue Cross Blue Shield of IL, MT, NM, OK & TX - 3,360 reviews - Richardson, TX
Knowledge of medical management policies and procedures. This position is responsible for performing concurrent review in accordance with accepted department...
Seasonal Fall/Winter Inpatient Nurse
Minimum of two years work experience as a staff nurse. Reviews and carries out physician orders in an appropriate professional manner....
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Cetified Surgical Technologist
She/he will assist physicians and nurses in various medical and technical procedures. Uses medical equipment in a safe manner....
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