RN Utilization Review jobs in Dallas, TX

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Quality Improvement RN
VNA of Texas - Dallas, TX
Utilization Management / Skill desired. License appropriate for education, RN Required; Oversees medical record review and coding processes to support accurate...
Sponsored by VNA of Texas - 30+ days ago
Utilization Review Nurse Job, Houston, TX
Modis 47 reviews - Dallas, TX
We are seeking a RN or LVN with 3 years of case management or utilization review experience. This Utilization Review Nurse Job is an office job and the hours...
Sponsored by Modis USA - 7 days ago

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

Aetna 382 reviews - Arlington, TX
Knowledge of managed care and utilization review preferred. RN with a current, unrestricted Texas license....
12 hours ago - save job - email - more...

Utilization Review Nurse

AIG 380 reviews - Dallas, TX
Perform Utilization Review of workers' compensation claims, based on review criteria and protocols in accordance with state and regulatory agency compliance....
6 days ago - save job - email - more...

RN Care Review Clinician II

Molina Healthcare 112 reviews - Irving, TX
Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review....
1 day ago - save job - email - more...

Care Review Clinician II

Molina Healthcare 112 reviews - Irving, TX
Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review....
10 days ago - save job - email - more...

RN CASE MANAGER (Utilization Review only)

UT Southwestern Medical Center - Dallas - Dallas, TX
Relates utilization assessment to payors that are needed to justify continued stay review and to obtain pre-certification. Experience and Education....
7 days ago - save job - email - more...

RN Utilization Review Nurse (Onsite) Bedford, Texas

CIGNA 750 reviews - Bedford, TX
RN Utilization Review Nurse (Onsite) Bedford, Texas. Maintains reporting system for Utilization Review....
14 days ago - save job - email - more...

RN Supervisor, Utilization Management II

Molina Healthcare 112 reviews - Irving, TX
Completes quality audit reviews for all clinical / non-clinical staff. Collates and reports on Care Access and Monitoring statistics including plan utilization,...
5 days ago - save job - email - more...

RN Utilization Review Nurse(NF) Bedford, Texas

CIGNA 750 reviews - Bedford, TX
RN Utilization Review Nurse(NF) Bedford, Texas. Responsible for the effective and sufficient support of all utilization activities according to policies and...
14 days ago - save job - email - more...

RN Utilization Review Nurse - Bedford, Texas

CIGNA 750 reviews - Bedford, TX
RN Utilization Review Nurse - Bedford, Texas. Responsible for the effective and sufficient support of all utilization activities according to policies and...
14 days ago - save job - email - more...

RN Care Coordinator Utilization Review

Baylor Health Care System 61 reviews - Dallas, TX
RN. 3+ years of acute inpatient case management / utilization review experience. The Utilization Review Nurse provides clinical review against standard criteria...
Baylor Health Care - 18 days ago - save job - email - more...
Data Outcomes Specialist
Baylor Health Care System 61 reviews - Dallas, TX
RN License. Clinical chart review and abstraction experience required.  Demonstrates appropriate utilization of resources necessary to obtain valid, reliable...
Sponsored by Baylor Health Care - 18 days ago
RN CASE MANAGER PRN DAYS & WEEKENDS
Tenet Health 743 reviews - Rowlett, TX
Utilization Review Qualifications :. RN:. RN - CASE MANAGER - PRN - DAYS & WEEKENDS The Case Manager RN is r esponsible for coordinating clinically complex...
Sponsored by Nurse.com - 5 days ago
RN CASE MANAGER PRN DAYS
Tenet Health 743 reviews - Dallas, TX
We are currently seeking a PRN RN Case Manager. This position integrates care coordination, utilization management, and discharge planning....
Sponsored by Nurse.com - 2 days ago

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Company with RN Utilization Review jobs
VNA is looking for caring, compassionate, committed people to serve our clients' needs in their homes.