RN Utilization Review jobs in Dallas, TX

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RN - Mgr Healthcare Services II
Molina Healthcare 118 reviews - Irving, TX
Concurrent review, utilization review, case manage, ambulance, ambulatory,. Nurse, BSN, MSN, ADN, Field RN, field nurse, telephonic nurse, LPN, LVN, ACSW, AACN,...
Sponsored by Molina Healthcare - 30+ days ago
Telephonic Case Manager
Aetna 435 reviews - Irving, TX
Provides embedded utilization review for assigned TX files. Previous workers compensation, case management, utilization review or managed care experience...
Sponsored by Aetna - 23 days ago

Nurse Charge Auditor- remote

Adreima - Dallas, TX
Experience in medical records review, claims processing or utilization/case management in a clinical practice or managed care organization....
1 day ago - save job - email - more...

RN Utilization Review

Christus Health 94 reviews - Irving, TX
Minimum of two years case management and/or utilization review experience. Current/Active Texas RN Licensure. Minimum of three years diverse clinical experience...
1 day ago - save job - email - more...

RN - UTILIZATION MANAGEMENT

Department of Veterans Affairs 876 reviews - Dallas, TX
Qual criteria and the utilization management. Utilize critical thinking skills and sound judgment to ensure positive outcomes, maximize effective hospital...
5 days ago - save job - email - more...

Med Mgmt Accred & Audit Coord

Blue Cross Blue Shield 1,416 reviews - Richardson, TX
3 years medical/surgical or psychiatric nursing experience, including 2 years utilization review or case management capacity....
HCSC - 12 hours ago - save job - email - more...

Appeals RN, Utilization Management

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....
HealthSmart - 7 days ago - save job - email - more...

RN Care Coordinator Utilization Review

Baylor Scott & White Health 4 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 - 7 days ago - save job - email - more...

RN Quality Improvement Specialist

Christus Health 94 reviews - Irving, TX
Minimum of two years Utilization Review, Case Management, or Quality Improvement experience. Current/unrestricted Texas RN Licensure....
1 day ago - save job - email - more...

RN Clinical Documentation Specialist I

Baylor Scott & White Health 4 reviews - Plano, TX
They also validate the assigned working Diagnosis Related Group DRG to support the operations of Utilization Review and Care Coordination functions....
Baylor Health Care - 7 days ago - save job - email - more...

Utilization Review Nurse

AIG 425 reviews - Dallas, TX
Perform Utilization Review of workers' compensation claims, based on review criteria and protocols in accordance with state and regulatory agency compliance....
10 hours ago - save job - email - more...

Utilization Manager

Centene Corporation 181 reviews - Dallas, TX
D or RN. 3+ years experience in psychiatric and/or substance abuse health care settings including utilization review....
13 days ago - save job - email - more...
RN - UTILIZATION MANAGEMENT
Department of Veterans Affairs 876 reviews - Dallas, TX
Qual criteria and the utilization management. Utilize critical thinking skills and sound judgment to ensure positive outcomes, maximize effective hospital...
Sponsored by Department of Veterans Affairs - 5 days ago
Clinical Appeals RN - Telecommute
UnitedHealth Group 1,803 reviews - Dallas, TX
Utilization review, utilization management, concurrent review, appeals, provider appeals, member appeals, RN, Registered Nurse, telecommute, home based, payer,...
Sponsored by UnitedHealth Group - 16 days ago
Registered Nurse (RN)
Texas Health Resources 128 reviews - Dallas, TX
RN. Provides stewardship in the utilization of resources. Engages community resources in review of findings as indicated....
Sponsored by HospitalRecruiting.com - 13 days ago

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