RN Utilization Review jobs in Dallas, TX

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Preservice Review Nurse RN
UnitedHealth Group 1,921 reviews - Richardson, TX
Perform utilization and concurrent review using Milliman criteria. Unrestricted, active RN license. 3 years RN experience in an acute setting....
Sponsored by UnitedHealth Group - 1 day ago
RN Quality Improvement Performance Specialist
StoneGate Care Team - Irving, TX
This review includes verification of appropriate coding, documentation, quality of care provided, visit utilization, appropriate contacts with physicians,...
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Sponsored by StoneGate Care Team - 7 days ago
Senior Clinical Practice Consultant - Telecommuter - Texas
UnitedHealth Group 1,921 reviews - Dallas, TX
He/she will guide practices in achieving targeted goals that include improved quality, efficiency and utilization....
Sponsored by UnitedHealth Group - 8 days ago

Preservice Review Nurse RN

UnitedHealth Group 1,921 reviews - Richardson, TX
Perform utilization and concurrent review using Milliman criteria. Unrestricted, active RN license. 3 years RN experience in an acute setting....

Utilization Review Nurse

HealthSmart Care Management Solutions - Irving, TX
Active RN license. Training and/or experience in Utilization, Case or Quality Management. Reviews authorization activity and claim reports recommending...

Care Coordinator UM/CM II

Blue Cross Blue Shield 1,491 reviews - Richardson, TX
Knowledge of clinical utilization management/case management activities and standardized criteria set. This position is responsible for performing concurrent...

Clinical Review-RN-UM-Variable Shift-THR Job

Texas Health Resources 137 reviews - Arlington, TX
RN. Texas Health Resources has an opportunity for a Clinical Review RN working full time, on the variable shift, in a Utilization Review position....

RN Care Coordinator Utilization Review (Evenings)

Baylor Scott & White Health 89 reviews - Dallas, TX
RN. 3+ years of acute inpatient case management / utilization review experience. The Utilization Review Nurse provides clinical review against standard criteria...

Hospital Educator - RN

United Surgical Partners International Inc (USPI) - Dallas, TX
Two years of progressively responsible experience in a utilization review environment is preferred. The Hospital Educator plans, develops and coordinates...

LPN/RN Utilization Review Nurse

Medix Staffing Solutions Inc. - Plano, TX
Utilization review of cases. We are currently seeking a LPN/RN for a Utilization Review Nursing opportunity!...

Utilization Review Nurse

AIG 450 reviews - Dallas, TX
Perform Utilization Review of workers' compensation claims, based on review criteria and protocols in accordance with state and regulatory agency compliance....

Utilization Management Nurse Consultant

LanceSoft Inc. - Plano, TX 75093
It includes utilization review of cases primarily from California and requires a Texas RN license. This position will be reporting to a customer site, AIG in...
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Clinical and Behavioral Health Liaison

Blue Cross Blue Shield 1,491 reviews - Richardson, TX
This position is involved in oversight of clinical and behavioral health vendor agreements including review of adherence to contract requirements and may draft...
Utilization RN / Registered Nurse
Supplemental Health Care 130 reviews - Dallas, TX
I have a Utilization Review position for an RN in Dallas,TX. Active TX RN license. Minimum of 1 year experience as an RN....
Sponsored by Supplemental HealthCare - 8 days ago
RN CASE MANAGER - PT Weekends
Doctors Hospital at White Rock Lake 2 reviews - Dallas, TX
RN CASE MANAGER - PT Weekends. RN Case Manager - Case Management. This position integrates care coordination, utilization management, and discharge planning....
Sponsored by Tenet Healthcare - 18 days ago

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Company with RN Utilization Review jobs
1,921 reviews
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