RN Utilization Review jobs in Dallas, TX

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Data Outcomes Specialist
Baylor Health Care System 60 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
Case Manager ED-Case Management
Medical City - Dallas, TX
Performs utilization review ensuring admissions meet criteria for appropriateness of care and medical necessity. Current licensure as an RN....
Sponsored by HCA North Texas - 22 days ago
Clinical Manager (RN) 5K Sign On Bonus Available
Fresenius Medical Care 873 reviews - Dallas, TX
Reviews and approves facility payroll. Reviews profit and loss statements with Area Manager. Accountable for completion of the Annual Standing Order Review and...
Sponsored by Fresenius Medical Care - 11 days ago

RN - Utilization Review

Molina Healthcare 107 reviews - Irving, TX
Concurrent review, utilization review, case manage, ambulance, ambulatory,. Provides daily review and evaluation of members that require hospitalization and/or...
3 hours ago - save job - email - more...

Utilization Review Nurse

AIG 364 reviews - Dallas, TX
Perform Utilization Review of workers' compensation claims, based on review criteria and protocols in accordance with state and regulatory agency compliance....
7 days ago - save job - email - more...

RN Utilization Review

Christus Health 84 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...
3 days ago - save job - email - more...

Registered Nurse (RN) - Utilization Management (UM) Nurse Co...

Aetna 369 reviews - Arlington, TX
Previous utilization management experience; Requires an RN with unrestricted active license. Click here to review the benefits associated with this position....
6 days ago - save job - email - more...

RN Telephonic Case Manager II; Non-remote

Molina Healthcare 107 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,...
7 days ago - save job - email - more...

Registered Nurse (RN) - Case Manager

Aetna 369 reviews - Arlington, TX 76018 (Southeast area)
Click here to review the benefits associated with this position. Through the use of clinical tools and information/data review, conducts assessments of member's...
7 hours ago - save job - email - more...

Service Center Supervisor -Utilization Review

AIG 364 reviews - Dallas, TX
Valid RN license is required. 3-5 years nursing experience in a managed care or utilization review agency environment with at least 3 years of clinical...
9 days ago - save job - email - more...

RN Quality Improvement Specialist

Christus Health 84 reviews - Irving, TX
Minimum of two years Utilization Review, Case Management, or Quality Improvement experience. Current/unrestricted Texas RN Licensure....
3 days ago - save job - email - more...

Utilization Review Nurse (RN or LVN) - Dallas, TX

Global Employment Solutions 26 reviews - Dallas, TX
$32 an hour
RN:. Position summary - Perform Utilization Review of select workers' compensation cases, comparing treatment episodes to clinical criteria for certification or...
2 days ago - save job - email - more...

Utilization Review Coordinator

Universal Health Services - Arlington, TX - +1 location
RN, LMSW, LCSW, LPC or. The Utilization Review Coordinator is responsiblefor managing the treatment activities offered to patients, includingthe appropriate...
13 days ago - save job - email - more...
Clinical Appeals RN
United Health Group 1,577 reviews - Dallas, TX
Utilization review, UR, utilization management, UM, TPA,managed care, insurance, concurrent review, appeals, provider appeals, member appeals, RN, Registered...
Sponsored by NurseJobsNationwide.com - 15 days ago
Registered Nurse (RN) Job
Texas Health Resources 113 reviews - Arlington, TX
RN. Texas Health Resources has an opportunity for a Clinical Review RN working PRN on the Variable Shift in a Utilization Management position....
Sponsored by HospitalRecruiting.com - 12 days ago

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