RN Utilization Review jobs in Dallas, TX

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UM Nurse
HCSC 24 reviews - Richardson, TX
This position is responsible for performing concurrent review and case management activities in accordance with... Registered Nurse (RN) with current, valid...
Sponsored by HCSC - 30+ days ago
RN Care Case Manager
Arkansas Blue Cross and Blue Shield 10 reviews - Dallas, TX
Referral sources: • Utilization Management (Pre-cert... social work, and discharge planning or concurrent review. 5. Keyboarding skills. 6. Average PC navigation...
Sponsored by Arkansas Blue Cross and Blue Shield - 27 days ago

Appeals RN, Utilization Management

HealthSmart Care Management Solutions - Irving, TX
The Supervisor Utilization Management Nurse leads and manages the UM appeals process for compliance with URAC and PPACA....
HealthSmart - 6 days ago - save job - block - email - more...

RN Utilization Review

Christus Health 79 reviews - Irving, TX
• Minimum of three years diverse clinical experience as RN. • Minimum of two years case management and/or utilization review experience....
7 days ago - save job - block - email - more...

Utilization Review Nurse

American International Group 328 reviews - Dallas, TX
Perform Utilization Review of workers' compensation claims, based on review criteria and protocols in accordance with state and regulatory agency compliance....
15 days ago - save job - block - email - more...

Utilization Management Nurse

HealthSmart Care Management Solutions - Irving, TX
Serves as a liaison between the hospital and all external payers on issues related to intensity of service and severity of illness for members....
HealthSmart - 12 days ago - save job - block - email - more...

Medical Review RN

Quality Health Strategies - Dallas, TX
We have an exciting opportunity for an experienced Medical Review RN in our Dallas office. This mid-level professional position performs medical record and...
13 days ago - save job - block - email - more...

RN - CM/UM

Universal American (UAM) - Dallas, TX
This individual will facilitate pre-certification, concurrent review, discharge planning and case management as assigned....
2 days ago - save job - block - email - more...

Supervisor Utilization Review

American International Group 328 reviews - Dallas, TX
The primary responsibility of this position is to manage the daily operations of the Utilization Review unit, including evaluation of data, quality assurance,...
5 days ago - save job - block - email - more...

Nurse Auditor - Internal Audit

Children's Medical Center 70 reviews - Dallas, TX
represent Children's in external billing audits with payors;. and identify potential billing, charging or documentation issues....
5 days ago - save job - block - email - more...

Care Coordinator UM/CM III

HCSC 24 reviews - Richardson, TX
This position is responsible for performing concurrent review and case management activities in accordance with approved departmental guidelines....
2 days ago - save job - block - email - more...

CLINICAL REVIEW SPECIALIST UM - PT 2nd Shift Job

Texas Health Resources 104 reviews - Arlington, TX
CLINICAL REVIEW SPECIALIST UM - PT 2nd Shift. Clerical/Admin. Qualifications/Duties....
8 days ago - save job - block - email - more...
RN - Inpatient Case Manager
Department of Veterans Affairs 685 reviews - Dallas, TX
Service!. A position for a RN as an Inpatient Case... will be supervised by the Nurse Manager for Utilization Management and Inpatient Case Management for...
Sponsored by Department of Veterans Affairs - 4 days ago
Data Outcomes Specialist
Baylor Health Care System 54 reviews - Dallas, TX
test.  RN License  Minimum one year experience in hospital surgery department, surgery clinic, clinical research or medical records. Clinical chart review and...
Sponsored by Baylor Health Care - 9 days ago
Regional Case Manager w/CDI - RN required
Cornerstone Healthcare Group - Dallas, TX
Minimum Qualifications: RN with current state... of case management, discharge planning, and utilization review practices and ability to incorporate...
Sponsored by Cornerstone Healthcare Group - 30+ days ago

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Company with RN Utilization Review jobs
10 reviews
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