RN Utilization Review jobs in Dallas, TX

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Appeal and Auditor Nurse
Praxis Healthcare Solutions - Plano, TX
Perform medical chart review for charge capture accuracy. Direct experience in medical chart review for inpatient providers preferred....
Easily apply
Sponsored by Praxis Healthcare Solutions
Employee Health Nurse
Facility Corporate - Lewisville, TX
Oversee the appropriate utilization of employee health services and resources; Develop and revise policies and procedures as necessary and review policies and...
Sponsored by Adeptus Health
RN Case Manager I
The Guardian Life Insurance Company Of America 3 reviews - Dallas, TX
Utilization of independent. Follows best practices for developing reviews and sharing feedback. Review and assess claimant subjective reports and objective...
Sponsored by Guardian Life Insurance Company

Utilization Management/Review RN

Children's Health 6 reviews - Dallas, TX
Minimum 1 year Utilization Review or Case Management experience, required. Performs discharge review of all patients discharged within 72 hours of inpatient...

RN Care Coordinator Utilization Review

Baylor Scott & White Health 106 reviews - Dallas, TX
RN, BSN CCM or ACM certification 3+ years of acute inpatient case management / utilization review experience Strong Interqual knowledge....

Utilization Review Nurse

AIG 511 reviews - Dallas, TX
Perform Utilization Review of workers' compensation claims, based on review criteria and protocols in accordance with state and regulatory agency compliance....

Clinical Quality Review Spec

Blue Cross Blue Shield 1,660 reviews - Richardson, TX
Utilization management experience. This position is responsible for facilitating Member and Provider Appeals;...

Registered Nurse, Utilization Management Appeals

HealthSmart Care Management Solutions - Irving, TX
Clinical staff audits, appeal productivity analysis and review. Review all denials/appeals for approriate documentation and turn-around time....

Utilization Review Coordinator

American Addiction Centers - Grand Prairie, TX 75050
Responsible for the utilization review process between the agency and various funding sources. Coordinates all UR functions with the Admissions Department and...
Easily apply

Nurse Medical Management I/II - Houston or Dallas

Anthem, Inc. 617 reviews - Grand Prairie, TX
The ideal candidate must have acute care and utilization review experience. Current unrestricted RN license in applicable state(s) required....

Appeal and Auditor Nurse

Praxis Healthcare Solutions - Plano, TX
Perform medical chart review for charge capture accuracy. Direct experience in medical chart review for inpatient providers preferred....
Easily apply

Utilization Review Coordinator

Sedgwick Claims Management Services 246 reviews - Dallas, TX
Utilization Review Coordinator. To assign utilization review requests; Accesses, triages and assigns cases for utilization review (UR)....

Clinical Review Specialist UM Job

Texas Health Resources 153 reviews - Arlington, TX
Supports utilization management/ denials and appeals activities under the direction of the UM RN or Denials and Appeals RN:....
RN CASE MANAGER - FT Days (8am - 5pm) - $5000/- Sign-on Bonu...
Doctors Hospital at White Rock Lake - Dallas, TX
RN Case Manager - Case Management. RN CASE MANAGER - FT Days (8am - 5pm) - $5000/- Sign-on Bonus. Doctors Hospital at White Rock Lake is inviting applications...
Sponsored by Tenet Healthcare
Utilization Review Nurse
Multiple Location Third Party Payor Company - Dallas, TX
Experience in Utilization Review, Case Management or DM insurance preferred. Do you have an active RN licence in Texas?:....
Easily apply
Sponsored by Multiple Location Third Party Payor Company

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