Utilization Management Nurse jobs in Dallas, TX

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Clinical Appeals RN - Telecommute
UnitedHealth Group 1,811 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 - 17 days ago
Telephonic Case Manager
Aetna 436 reviews - Irving, TX
Previous workers compensation, case management, utilization review or managed care experience preferred. Nursing/Registered Nurse (RN) is desired....
Sponsored by Aetna - 24 days ago
CASE COORDINATOR
Methodist Health System 32 reviews - Dallas, TX
Participates in MHD’s Value Management, Service Management, and Recognition Programs and related activities. CCM in Case Management preferred....
Sponsored by Methodist Health System - 30+ days ago

RN OPC Transitional Care

Parkland Health & Hospital System 195 reviews - Dallas, TX
Prefer case management, utilization review or discharge planning experience. Monitors patient's level of compliance with the plan of care and assures...
6 days ago - save job - email - more...

Manager, Field Service Coordination

Bravo Health 28 reviews - Bedford, TX
Case Load Management:. Strong organizational and time management skills. Collaborate to compile and review reports to identify utilization trends, assist in...
4 days ago - save job - email - more...

Appeals RN, Utilization Management

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...
HealthSmart - 9 days ago - save job - email - more...

Ambulatory Service Representative - Heart Center - Clinic

Children's Medical Center 91 reviews - Dallas, TX
Complete daily provider utilization grid. Provide phone management support for ambulatory clinic or department....
2 days ago - save job - email - more...

Nurse Charge Auditor- remote

Adreima - Dallas, TX
Experience in medical records review, claims processing or utilization/case management in a clinical practice or managed care organization....
2 days ago - save job - email - more...

LSW / MSW Field Case Manager I (Remote)

Molina Healthcare 118 reviews - Dallas, TX
Case Management experience with a Medicaid/Medicare Population. Three or more years of case management experience....
15 days ago - save job - email - more...

Utilization Review Manager

Baylor Scott & White Health 6 reviews - Dallas, TX
Manager Utlization Review The Manager of Clinical Resource Management provides direct oversight for Utilization Review (UR) and the Denial Resource Center (DRC)...
Baylor Health Care - 9 days ago - save job - email - more...

Branch Manager - Telephonic Case Management

GENEX 68 reviews - Dallas, TX
Prior case management, utilization review, quality assurance or workers’ compensation experience required....
17 days ago - save job - email - more...

Bilingual Clinic Nurse, LVN

Metrocrest Community Clinic - Dallas, TX
Metrocrest Community Clinic is seeking an energetic Licensed Vocational Nurse to serve as Clinical Nurse for the delivery of high quality primary health care to...
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15 days ago - save job - email - more...

RN Utilization Review

CHRISTUS Health 94 reviews - Irving, TX
€¢ Minimum of two years case management and/or utilization review experience. Health Care, Nurse, Professional Services....
4 days ago - save job - email - more...
Vice President, Medical Management Operations -Dallas/Ft. Wo...
UnitedHealth Group 1,811 reviews - Dallas, TX
Utilization management, NCQA regulations, managed care, disease management, discharge planning, complex care case management, Dallas, Fort Worth, Texas....
Sponsored by UnitedHealth Group - 29 days ago
Manager Care Management for WellMed - Dallas, TX
UnitedHealth Group 1,811 reviews - Dallas, TX
The Manager of Care Management is responsible for facilitating communication and directing the operations of all Disease Management (DM), Utilization Management...
Sponsored by UnitedHealth Group - 12 days ago

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Company with Utilization Management Nurse jobs
1,811 reviews
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