RN Utilization Review jobs in Fort Worth, TX

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Registered Nurse Case Manager
Plaza Medical Center of Fort Worth - Fort Worth - Fort Worth, TX
Performs utilization review; RN with current licensure or RN with temporary permit to practice from the Board of Nurse Examiners for the State of Texas....
Sponsored by HCA Inc
RN Coder/ Nurse Auditor - Remote Position
- Texas
Medical Review Nurse-Coder. Conduct medical chart reviews. Active unrestricted RN license in good standing....
Sponsored by NurseCareerBoard.com
Case Manager / Health Plan (Complex Case Management)
Cook Children's Health Plan 51 reviews - Fort Worth, TX
Three years of experience in case management/utilization review required in a managed care environment. Performs case management activities across the continuum...
Sponsored by Cook Children's Health Care System

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

Aetna 505 reviews - Arlington, TX 76018(Southeast area)
Utilization Management experience highly preferred. Click here to review the benefits associated with this position....

RN Team Leader - Quality Assurance

Cygnet Health Recruiters - Fort Worth, TX
This review includes verification of appropriate documentation, quality of care provided, visits utilization, appropriate contacts with physicians, adherence to...

Primary Nurse Case Administrator I

Blue Cross Blue Shield 1,605 reviews - Fort Worth, TX
The Primary Nurse Coordinator performs concurrent review, discharge planning and care coordination; This position is responsible for performing all functions of...

Care Coordinator II

Blue Cross Blue Shield 1,605 reviews - Fort Worth, TX
Knowledge of clinical utilization management/case management activities and standardized criteria set. This position is responsible for performing concurrent...

Nurse Charge Auditor

Adreima - Fort Worth, TX
Nurse charge auditor, neuro specialty, utilization review, meditech system. Experience in medical records review, claims processing or utilization/case...

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

Aetna 505 reviews - Arlington, TX
Performs utilization review activities including pre-certification, concurrent, and retrospective reviews according to guidelines....

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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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....

OCOK Care Coordinator

ACH Child and Family Services 7 reviews - Benbrook, TX
Complete Utilization Review for clients in residential facilities. Reviews youth’s Serious/Critical Incident Reports....

Utilization Management RN with Advance Healthcare and Stafin...

Advance Healthcare and Stafing - Arlington, TX
Utilization Review, Skilled Nursing Facility (SNF) Case management/discharge planning. 2 years of experience in acute hospital or SNF utilization review and...
Case Manager - Appeals
Cook Children's Medical Center 51 reviews - Fort Worth, TX
Current Texas RN license. Three years of experience in case management/utilization review preferred. The Appeals Case Manager has primary accountability for...
Sponsored by Cook Children's Health Care System
Case Manager, Quality Improvement
Cook Children's Medical Center 51 reviews - Fort Worth, TX
Current Texas RN license required. The RN Case Manager for Case Management Quality will be an RN CCM charged with establishing protocols in conjunction with...
Sponsored by Cook Children's Health Care System

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Company with RN Utilization Review jobs
At Plaza Medical Center of Fort Worth, there is a Difference.