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RN Utilization Review jobs in Dallas, TX

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Case Manager/Nurse Navigator RN
Methodist McKinney Hospital - McKinney, TX
Performs utilization review ensuring admissions meet criteria for appropriateness of care and medical necessity....
RN Case Manager - FT. Administers all aspects of case management, including utilization review, discharge planning, denials management, patient advocacy, and...
Sponsored by Tenet Healthcare
Quality Improvement Nurse Coordinator -Health Plan
Current, unrestricted RN licensure in the state of Texas required. Experience in quality improvement, utilization management, or care management....
Sponsored by Cook Children's Health Care System

Regsitered Nurse (RN) Care Review Clinician II

Molina Healthcare - 239 reviews - Irving, TX
Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review....

RN Appeals Analyst

BlueCross BlueShield of South Carolina - 3,270 reviews - Dallas, TX
Researches the substance of complex appeals or retrospective review requests, including prepay and post-payment review appeal requests....

Telephonic Case Manager RN - Richardson, TX

UnitedHealth Group - 3,967 reviews - Richardson, TX
RN, Case Management, Utilization review, Richardson, TX, Texas. Experience in utilization review, concurrent review and / or risk managementStrong...

Nurse III

Dept of Aging & Disability Svc - 26 reviews - Arlington, TX
$4,023 - $6,579 a month
Experience in utilization review and long term services and supports for the aged and disabled are highly desirable....

Utilization Management RN - Health Plan

Children's Medical Center - 121 reviews - Dallas, TX
Perform utilization review to include pre-certification, concurrent and retrospective review according to established guidelines....

Manager, Case Management - Dallas, TX

Superior Health Plan - 26 reviews - Dallas, TX
Thorough knowledge of case and/or utilization management and clinical nursing. Unrestricted RN license in applicable state(s) and valid driver's license and...

CLINICAL REVIEW RN UM- Part time weekends

Texas Health Resources - 215 reviews - Arlington, TX 76011 (East area)
Texas Health Resources has an opportunity for a Clinical Review RN to work Weekends days 8am - 4:30pm Friday, Saturday, Sunday, in a Utilization Management...

Utilization Review Case Management Lead - RN

HCA Corporate - 654 reviews - Irving, TX
HCA North Texas is in search of a Utilization Review Case Management RN Lead. Maintains current knowledge of regulatory guidelines for Utilization Review....


Demonstrate care for one another and respect for each person’s unique contributions, provides utilization review care that is non-judgmental and non...
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RN, Registered Nurse - Utilization Review

Christus Health - 148 reviews - Irving, TX 75038
Minimum of two years case management and/or utilization review experience. Current/Active Texas RN Licensure. Minimum of three years diverse clinical experience...
RN Case Manager -. RN Case Manager Responsibilities:. Participating in weekly Complex Case Review. This position integrates care coordination, utilization...
Sponsored by Tenet Healthcare

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Company with RN Utilization Review jobs
Cook Children's Health Care System takes care of children of all ages through more than 60 pediatric medical and specialty clinics in Texas.
Utilization Review Nurse salaries in Dallas, TX

$75,468 per year

1.1% lower than national average


Estimated salary from 5 employees and 9 jobs