RN Utilization Review jobs in Dallas, TX

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Clinical Appeals RN - Telecommute
UnitedHealth Group 1,667 reviews - Dallas, TX
Utilization review, UR, utilization management, UM, TPA, managed care, insurance, concurrent review, appeals, provider appeals, member appeals, RN, Registered...
Sponsored by UnitedHealth Group - 26 days ago
Facility Based Behavioral Care Advocate - Richardson, TX
UnitedHealth Group 1,667 reviews - Richardson, TX
Administer benefits and review treatment plans. As a Behavioral/Mental Health Care Advocate you will be responsible for case management and utilization review...
Sponsored by UnitedHealth Group - 14 days ago

RN Care Case Manager

ABCBS 10 reviews - Dallas, TX
$57,900 a year
Utilization Management (Pre-cert./Pre-notification). Experience in case management, home health, critical care, medical/surgical, social work, and discharge...
Arkansas Blue Cross and Blue Shield - 6 days ago - save job - email - more...

Utilization Review Nurse

AIG 388 reviews - Dallas, TX
Perform Utilization Review of workers' compensation claims, based on review criteria and protocols in accordance with state and regulatory agency compliance....
1 day ago - save job - email - more...

Registered Nurse (RN) - Utilization Management Nurse Consult...

Aetna 402 reviews - Arlington, TX 76018 (Southeast area)
Knowledge of managed care and utilization review preferred. RN with a current, unrestricted Texas license....
3 days ago - save job - email - more...

Utilization Review Nurse

UT Southwestern Medical Center - Dallas - Dallas, TX
Current TX RN license; Current CPR certification RN, BSN; Consistently relates utilization assessment to payers that are needed to justify continued stay review...
16 days ago - save job - email - more...

Care Coordinator Registered Nurse

Parkland Health & Hospital System 180 reviews - Dallas, TX
Prefer case management, utilization review, and/or discharge planning experience. Must have current, valid RN license or temporary RN license from the Texas...
1 day ago - save job - email - more...

CLINICAL REVIEW RN UM Job

Texas Health Resources 116 reviews - Arlington, TX
CLINICAL REVIEW RN UM. Texas Health Resources has an opportunity for a Clinical Review RN working part time dau shift in a Utilization Management position....
1 day ago - save job - email - more...

Manager, Utilization Management

Centene Corporation 164 reviews - Dallas, TX
Compile and review multiple reports on work function activities for statistical and financial tracking purposes to identify utilization trends and make...
9 days ago - save job - email - more...

Case Manager II

HealthSouth Corporation 146 reviews - Plano, TX - +1 location
The CM II performs ongoing utilization review and acts as a liaison to the payor while assuring that cost effective treatment is provided by the team....
19 days ago - save job - email - more...

CDI Specialist - Nurse

LifeCare Hospitals of North Texas - Dallas - Dallas, TX
RN with bachelor’s degree in a related field. This position provides integration of the patient’s condition with the medical record documentation, facilitates...
LifeCareJobBoard.com - 29 days ago - save job - email - more...

Utilization Manager

Centene Corporation 164 reviews - Dallas, TX
D or RN. 3+ years experience in psychiatric and/or substance abuse health care settings including utilization review....
9 days ago - save job - email - more...
Regional Case Manager - RN/CCM
Cornerstone Healthcare Group 16 reviews - Dallas, TX
In depth knowledge of case management, discharge planning, and utilization review practices and ability to incorporate successful current trends....
Sponsored by Cornerstone Healthcare Group - 30+ days ago
Manager Care Management for WellMed - Dallas, TX
UnitedHealth Group 1,667 reviews - Dallas, TX
Case manager, RN, manager case management, care manager, care management, CCM, managed care, rn manager, nurse manager, disease management, utilization...
Sponsored by UnitedHealth Group - 9 days ago
RN - OPC Transitional Care-Quality Care OPCT
Supplemental Health Care 120 reviews - Dallas, TX
Prefer case management, utilization review or discharge planning experience. Must have current RN license or valid temporary permit with the Texas Board of...
Sponsored by Supplemental HealthCare - 19 days ago

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Company with RN Utilization Review jobs
1,667 reviews
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