RN Utilization Review 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...
RN Utilization Review (UR)
Performs utilization review ensuring admissions meet criteria for appropriateness of care and medical necessity....
Utilization Management Nurse
HealthSmart Holdings, Inc. - Irving, TX
Experience in Utilization Review, Case Management or Disease Management in an insurance setting preferred. Assist claims with quality reviews....
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Utilization Management Nurse Associate

Aetna - 2,273 reviews - Dallas, TX
Promotes/supports quality effectiveness of Healthcare Services and benefit utilization. Click here to review the benefits associated with this position....

Medical Review Nurse

NCI Information Systems, Inc. - 6 reviews - Dallas, TX
At least 2 years utilization/quality assurance review and ICD-9/10-CM/CPT-4 coding experience. As the Medicare Medical Review Nurse ( Medical Reviewer ), you...

Utilization Review Nurse

Medix - 68 reviews - Richardson, TX
Knowledge of clinical utilization management/case management activities and standardized criteria set. (RN's preferred, however LPN's with previous Utilization...

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 RN

Medix - 68 reviews - Richardson, TX
RN Registered Nurse - Utilization Review- Chart Review- Healthcare. RN Registered Nurse - Utilization Review - Healthcare....

UM Clinical Consultant

Aetna - 2,273 reviews - Dallas, TX
RN license required. Managed care/utilization review experience preferred. Requires an RN with unrestricted active license....

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...

Clinical Care Manager

Aetna - 2,273 reviews - Dallas, TX  +1 location
Click here to review the benefits associated with this position. Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate...

Behavioral Health Care Advocate

UnitedHealth Group - 5,536 reviews - Richardson, TX 75080
Administer benefits and review treatment plans. As a Behavioral Health Care Advocate you will be responsible for case management and utilization review of...

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....
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...
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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