RN Utilization Review jobs in Dallas, TX

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Clinical Appeals RN - Telecommute
UnitedHealth Group 1,733 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 - 14 days ago
RN - Wound & Ostomy
Department of Veterans Affairs 843 reviews - Dallas, TX
Practice, ethics and resource utilization, Professional Development:. Applying online will allow you to review and track the status of your application....
Sponsored by Nurse.com - 8 hours ago
RN - Spinal Cord Injury (SCI)
Department of Veterans Affairs 843 reviews - Dallas, TX
Practice, ethics and resource utilization, Professional Development:. Applying online will allow you to review and track the status of your application....
Sponsored by Nurse.com - 10 days ago

RN Medical Case Manager

Travelers 59 reviews - Richardson, TX
For nurses handling Workers Compensation Claims, perform Utilization Review according to established guidelines....
11 hours ago - save job - email - more...

Utilization Review Nurse

AIG 410 reviews - Dallas, TX
Perform Utilization Review of workers' compensation claims, based on review criteria and protocols in accordance with state and regulatory agency compliance....
2 days ago - save job - email - more...

Registered Nurse\Utilization Review Excel Lewisville

Universal Health Services - Lewisville, TX
Requires a current license as a RN in the State of Texas. Must have experience in patient assessment, family motivation, treatment planning and communication...
1 day ago - save job - email - more...

RN Utilization Review

CHRISTUS Health 89 reviews - Irving, TX
Minimum of two years case management and/or utilization review experience. Current/Active Texas RN Licensure. Minimum of three years diverse clinical experience...
17 hours ago - save job - email - more...

Care Coordinator (Dallas)

Innovista Health Solutions - Dallas, TX
Participates in weekly Complex Case Review. Calling the identified member to offer a review of the Disease Management program,....
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1 day ago - save job - email - more...

Clinical Appeals RN - Telecommute

UnitedHealth Group 1,733 reviews - Dallas, TX
Utilization review, UR, utilization management, UM, TPA, managed care, insurance, concurrent review, appeals, provider appeals, member appeals, RN, Registered...
14 days ago - save job - email - more...

Utilization Review Nurse

HealthSmart Care Management Solutions - Irving, TX
Active RN license. Training and/or experience in Utilization, Case or Quality Management. Reviews authorization activity and claim reports recommending...
HealthSmart - 9 days ago - save job - email - more...

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

Aetna 422 reviews - Arlington, TX 76018 (Southeast area)
Knowledge of managed care and utilization review preferred. RN with a current, unrestricted Texas license....
7 days ago - save job - email - more...

Care Coordinator UM/CM II

Blue Cross Blue Shield 1,368 reviews - Richardson, TX
Knowledge of clinical utilization management/case management activities and standardized criteria set. This position is responsible for performing concurrent...
HCSC - 18 days ago - save job - email - more...

Utilization Review RN

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...
15 days ago - save job - email - more...
RN - Mgr Healthcare Services II
Molina Healthcare 116 reviews - Irving, TX
Concurrent review, utilization review, case manage, ambulance, ambulatory,. Nurse, BSN, MSN, ADN, Field RN, field nurse, telephonic nurse, LPN, LVN, ACSW, AACN,...
Sponsored by Molina Healthcare - 14 days ago
RN/SCI Outpatient Case Manager
Department of Veterans Affairs 843 reviews - Dallas, TX
Practice, ethics and resource utilization, Professional Development:. Applying online will allow you to review and track the status of your application....
Sponsored by Nurse.com - 4 days ago

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Company with RN Utilization Review jobs
1,733 reviews
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