RN Utilization Review Texa jobs in Dallas, TX

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UTILIZATION REVIEW NURSE
Current TX RN license; Current CPR certification RN, BSN; Consistently relates utilization assessment to payers that are needed to justify continued stay review...
AUDIT RN - Full Time
Certification as RN. Five (5) years of clinical experience as a Registered Nurse, including at least 2 years performing utilization review, charge audit, case...
Utilization Review Nurse II
JPS Health Network - 96 reviews - Fort Worth, TX
RN or LVN/LPN licensure through the Texas State Board of Nurse Examiners. Serves as the primary contact for all payors regarding utilization review and...

Utilization Management Nurse Consultant (RN)- Registered Nur...

Aetna - 2,273 reviews - Arlington, TX 76011 (East area)
The UM nurse Consultant utilizes their technical skills to multitask through multiple systems at a rapid pace in order to process Utilization Management...

UTILIZATION REVIEW NURSE

UT Southwestern Medical Center - 293 reviews - Dallas, TX 75390 (Northeast Dallas area)
Current TX RN license; Current CPR certification RN, BSN; Consistently relates utilization assessment to payers that are needed to justify continued stay review...

RN - Utilization Review - Health Plan

Children's Health - 36 reviews - Dallas, TX 75235 (Love Field area)
Perform utilization review to include pre-certification, concurrent and retrospective review according to established guidelines....

Clinical Documentation Improvement Specialist Job

Baylor Scott & White Health - 324 reviews - Plano, TX
The Clinical Documentation Improvement Specialist validates the assigned working Diagnosis Related Group (DRG) to support the operations of Utilization Review...

Case Manager of Utilization Review

DFW Support Services - Coppell, TX
Case Manager of Utilization Review. Utilization Review CM role supports the North Texas Case Management departments in admission and concurrent review adhering...

Onsite Inpatient Care Manager

UnitedHealth Group - 5,536 reviews - Dallas, TX 75215 (South Boulevard-Park Row area)
A current, unrestricted RN license in Texas is required. Perform utilization and concurrent review of inpatient cases using Milliman criteria....

RN Utilization Review Coordinator

Texas Scottish Rite Hospital for Children - 26 reviews - Dallas, TX 75219 (Oak Lawn area)
Must hold current Texas RN license or is eligible from the Texas Board of Nurse Examiners. This position will be responsible for verifying medical necessity of...

Case Manager

United Surgical Partners International - 60 reviews - Dallas, TX
Dallas, Texas, United States. Minimum of 5 years acute hospital experience with a minimum of 3 years of utilization review, discharge planning, or case...

Clinical Document Improvement Specialist - Part-time

Baylor Scott & White Health - 324 reviews - Carrollton, TX
The Clinical Documentation Improvement Specialist validates the assigned working Diagnosis Related Group (DRG) to support the operations of Utilization Review...

Case Manager- Methodist Rehab- Full time- Dallas Texas

Kindred Healthcare - 1,656 reviews - Dallas, TX 75206 (M Streets area)
Prefer experience in Case Management, Quality Management, Utilization Review, or discharge planning. Follows patients throughout the continuum of care and...
UTILIZATION REVIEW NURSE PRN
Current TX RN license; Current CPR certification RN, BSN; Consistently relates utilization assessment to payers that are needed to justify continued stay review...
RN Utilization Review Coordinator
Must hold current Texas RN license or is eligible from the Texas Board of Nurse Examiners. This position will be responsible for verifying medical necessity of...

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