Utilization Management Nurse jobs in Dallas, TX

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RN CASE MANAGER - FT Days - $5000 Sign-on Bonus
Doctors Hospital at White Rock Lake - Dallas, TX
This position integrates care coordination, utilization management, and discharge planning. Current Professional Nurse License issued and/or recognized by Board...
Sponsored by Tenet Healthcare
Utilization Review Nurse
Multiple Location Third Party Payor Company - Dallas, TX
Experience in Utilization Review, Case Management or DM insurance preferred. Correctly apply medical management criteria....
Easily apply
Sponsored by Multiple Location Third Party Payor Company
RN Case Manager I
The Guardian Life Insurance Company Of America 3 reviews - Dallas, TX
The Nurse Case. Excellent time management & organizational skills; Plans for ongoing case management through proactive partnering with....
Sponsored by Guardian Life Insurance Company

Appeal and Auditor Nurse

Praxis Healthcare Solutions - Plano, TX
Utilization Management or Case Management (preferred):. Working knowledge of utilization management and case management preferred....
Easily apply

Care Coordinator UM/CM II

Blue Cross Blue Shield 1,663 reviews - Richardson, TX
Knowledge of clinical utilization management/case management activities and standardized criteria set. Experience in Disease Management....

RN Care Coordinator Utilization Review

Baylor Scott & White Health 106 reviews - Dallas, TX
RN, BSN CCM or ACM certification 3+ years of acute inpatient case management / utilization review experience Strong Interqual knowledge....

Nurse Medical Management I/II - Houston or Dallas

Anthem, Inc. 617 reviews - Grand Prairie, TX
3-5 years acute care clinical experience or case management, utilization management or managed care experience....

RN Care Coordinator Utilization Review PRN

Baylor Scott & White Health 106 reviews - Dallas, TX
3+ years of acute inpatient case management / utilization review experience. The Utilization Review Nurse provides clinical review against standard criteria for...

Clinical Quality Review Spec

Blue Cross Blue Shield 1,663 reviews - Richardson, TX
Utilization management experience. Registered Nurse (RN) with unrestricted license in state of operations....

Utilization Management/Review RN

Children's Health 6 reviews - Dallas, TX
The Utilization Management Nurse is responsible for determining and managing medical necessity of acute inpatient admissions utilizing clinical criteria....

Registered Nurse, Utilization Management Appeals

HealthSmart Care Management Solutions - Irving, TX
At least 2 years experience in Utilization Management, Case Management and/or Quality Management. The Supervisor Utilization Management Nurse leads and manages...

Utlilization Review Nurse

UT Southwestern Medical Center - Dallas - Dallas, TX
Evaluates care management outcomes data to identify trends and areas for improvement (i.e. Consistently relates utilization assessment to payers that are needed...

Regional Account Manager - Oncology

Ambry Genetics Corporation - Dallas, TX
Expand menu utilization in existing accounts. You will advocate the clinical and financial benefits of our products to all levels and call points in the...
Easily apply
Clinical Appeals RN - Telecommute
UnitedHealth Group 2,133 reviews - Dallas, TX
1+ years of experience in Utilization Management or Utilization Review in a payor-based environment. Utilization review, utilization management, concurrent...
Sponsored by UnitedHealth Group
RN CASE MANAGER - FT Days - $5000 - Sign-on Bonus
Doctors Hospital at White Rock Lake - Dallas, TX
This position integrates care coordination, utilization management, and discharge planning. Current Professional Nurse License issued and/or recognized by Board...
Sponsored by Tenet Healthcare

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Company with Utilization Management Nurse jobs
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