RN Utilization Review jobs in Dallas, TX

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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
Employee Health Nurse
Adeptus Health - 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 Dignity Health Arizona General Hospital
RN Case Manager
Multiple Location Third Party Payor Company - Dallas, TX
Active RN license. Training and/or experience in Utilization, Case or Quality Management. Reviews authorization activity and claim reports recommending...
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Sponsored by Multiple Location Third Party Payor Company

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

Aetna 507 reviews - Arlington, TX 76018(Southeast area)
Utilization Management experience highly preferred. Click here to review the benefits associated with this position....

Nurse Medical Management I/II - Dallas Area

Anthem, Inc. 600 reviews - Grand Prairie, TX
Current unrestricted RN license in applicable state(s) required. 3-5 years acute care clinical experience or case management, utilization management or managed...

RN Case Manager (Emergency Room)

StaffPointe 3 reviews - Dallas, TX
Certification in Case Management, ED, or Utilization review preferred. EXPERIENCE AND QUALIFICATIONS FOR RN CASE MANAGER....
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Director of Nursing

The Legacy at Preston Hollow - Dallas, TX
Reviews, investigates, and resolves customer grievances in cooperation with the Administrator. Creates, reviews, and revises standards, guidelines, forms, and...
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Clinical Appeals Specialist - RN, LPN or LVN

CornerStone Staffing 72 reviews - Irving, TX
One year of experience in clinical appeals, case management, utilization reviews, medical bill review, appeals or denials....

Utilization Management (RN or LVN)

Morgan Stephens - Irving, TX
RN or LVN with prior utilization management, prior authorization experience. The Utilization Management Coordinator is a RN or LVN and w orks with the...
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Lead Medical Review RN - Audit MIC - Office or Home-based

Quality Health Strategies - Dallas, TX
Healthcare experience that demonstrates expertise in conducting utilization reviews, ICD-9 coding, CPT coding, and knowledge of Medicare and/or Medicaid...

Case Manager RN Emergency Room

Rickert Healthcare Search - Dallas, TX
Certification in Case Management, Nursing, or Utilization Review, preferred. RN with current state licensure, BSN preferred....
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RN Pharmacy

Sedgwick Claims Management Services 241 reviews - Irving, TX
Performs drug utilization reviews through the pharmacy benefit manager or vendor. Active RN license(s) required....

Registered Nurse (RN) - Temporary Telephonic Utilization Rev...

Aetna 507 reviews - Dallas, TX 75244 - +1 location
Performs utilization review activities including pre-certification, concurrent, and retrospective reviews according to guidelines....
RN - Case Manager
Vibra Healthcare - DeSoto, TX
Knowledgeable in utilization review, medical terminology, appropriate levels of care, treatment, modalities, statues, and healthcare delivery models....
Sponsored by Vibra Healthcare
RN CASE MANAGER - FT Days (8am - 5pm) - $5000/- Sign-on Bonu...
Doctors Hospital at White Rock Lake 3 reviews - 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

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