RN Utilization Review jobs in Fort Worth, TX

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RN Utilization Review Manager - Bedford, Texas
Cigna - 1,788 reviews - Bedford, TX
RN with at least 3-5 years of clinical experience, utilization review and management experience. May coordinate and manage utilization review functions ensuring...
Baylor Scott & White Medical Center – White Rock - Dallas, TX
RN Case Manager -. RN Case Manager Responsibilities:. Participating in weekly Complex Case Review. This position integrates care coordination, utilization...
Sponsored by Tenet Healthcare
Care Manager II - Registered Nurse (RN), Field
Centene - 324 reviews - Dallas, TX 75243
Valid and unrestricted Texas RN license. Knowledge of utilization management principles and healthcare managed care....
Sponsored by Personified

Utilization Review Nurse I

JPS Health Network - 64 reviews - Fort Worth, TX
Serves as the primary contact for all payors regarding utilization review and management issues. Experience in conducting utilization review in a healthcare...

RN Utilization Review

Christus Health - 161 reviews - Irving, TX 75038
Minimum of two years case management and/or utilization review experience. Current/Active Texas RN Licensure. Minimum of three years diverse clinical experience...


Healthsmart Preferred Care - Irving, TX
Experience in Utilization Review, Case Management or Disease Management in an insurance setting preferred. Assist claims with quality reviews....

Nurse Reviewer, Utilization 2

Mitchell International, Inc. - 3 reviews - Coppell, TX 75019
Reviews requested treatment/procedures within Mitchell utilization review policies, URAC time frames or state-mandated timeframes (whichever is more restrictive...


Texas Health Resources - 230 reviews - Arlington, TX 76011 (East area)
Texas Health Resources has an opportunity for a Clinical Review RN to work PRN weekend day shift, Saturday/Sunday, 8am to 4:30pm, in a Utilization Management...

Registered Nurse

MHMR - 34 reviews - Fort Worth, TX 76107 (Arlington Heights area)
RN develops an appropriate,. And utilization of standardized clinical practice. Performance is evaluated through review of the. I) Job Purpose....

Case Manager

JPS Health Network - 64 reviews - Fort Worth, TX
Conducts rounds daily and complete a minimum of 15 reviews daily. This position is responsible for ensuring that the patient is placed in the appropriate level...


Texas Health Resources - 230 reviews - Fort Worth, TX 76132 (Wedgwood area)
Provides stewardship in the utilization of resources. Engages community resources in review of findings as indicated....

Case Manager - Literacy Program

Cook Children's Health Care System - 70 reviews - Fort Worth, TX 76104 (Southside area)
Current Texas RN license required. Previous experience in case management/utilization review preferred....

ED Case Coordinator PRN

JPS Health Network - 64 reviews - Fort Worth, TX
Interqual criteria will be used for initial review. The ED Case Coordinator is also responsible for monitoring the utilization of healthcare resources and...
Registered Nurse (RN)/Case Manager
An RN license in the state of Texas. Discuss operational issues, update staff on new/changed regulations and review records/documentation to ensure regulatory...
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Nurse Utilization Review Coordinator
American Addiction Centers - 29 reviews - Grand Prairie, TX 75050
RN or LVN. Responsible for the utilization review process between the agency and various funding sources. Current TX LVN or RN license;...
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