Utilization Management Nurse 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. Correctly apply medical management criteria....
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Sponsored by Multiple Location Third Party Payor Company
Clinical Appeals RN - Telecommute
UnitedHealth Group 2,190 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
Registered Nurse Case Manager Part-Time Weekends
Medical Center Alliance - Fort Worth, TX
Certification in Case Management, Nursing, or Utilization Review, preferred. RN - Registered Nurse - Case Manager....
Sponsored by HCA Inc

Nurse Reviewer

GENEX 77 reviews - Dallas, TX
Utilization Review/ Case Management and/or Workers' compensation-related experience strongly preferred. Provision of comprehensive Utilization Management,...

Registered Nurse (RN) - Clinical Health Services Supervisor

Aetna 552 reviews - Dallas, TX 75207 (Near East area)
Accountable for the day-to-day management of the utilization management team for appropriate implementation and adherence with established practices, policies...

Clinical Auditor

Baylor Scott & White Health 111 reviews - Dallas, TX
Communicates results to area/department and senior management. Prepares audit reports and reviews them with both Internal Audit and client management....

Clinical Support Specialist - Dallas, TX

Getinge Group 4 reviews - Dallas, TX
Effective time/workload management skills required. Physicians, nurses and other hospital personnel. Make management aware of any actual or potential hazards in...
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DIR CLINICAL INFORMATICS

Baylor Scott & White Health 111 reviews - Dallas, TX
Monitors adoption and champions application utilization via coordination of super user activities; Master's Degree Preferred In Lieu of Education 8 Plus Years...

Utilization Review Nurse Remote/Local

ezURs.com Inc - Richardson, TX 75080
Utilization Review Nurse. EzURs is currently hiring Utilization Review Nurses Remote/Local (Richardson, TX)....

Manager of Quality Management

Las Colinas Medical Center - Irving, TX
Knowledge of Texas Nurse Practice Act and Safe Harbor. The Manager of Quality Management provides support to the medical staff peer review and credentialing...

Transitional Care Coordinator

Evolution Health 9 reviews - Dallas, TX
Current State License as a Licensed Vocational Nurse, Registered Nurse or Nurse Practitioner. Three (3) to five (5) years of clinical experience, home health...

Corporate Quality Assurance Nurse

StoneGate Senior Living 2 reviews - Lewisville, TX
One to three years medical management experience within a long term care organization preferred, performing utilization management functions (i.e., prior...

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

Aetna 552 reviews - Arlington, TX 76018 (Southeast area)
Utilization Management experience highly preferred. The Utilization Management Nurse Consultant duties include, but are not limited to, the following:....
Registered Nurse
Healogics - Dallas, TX
Providing case management for patients. Nurses work within the framework of the State Nurse Practice Act and follows Wound Care Centers, INC, and affiliate...
Sponsored by Healogics
Clinical Health Liaison - Registered Nurse RN
Blue Cross Blue Shield of IL, MT, NM, OK & TX - Richardson, TX
And as assigned as nurse liaison for several medical groups, responsible for Clinical Management including Utilization Management (UM) Case Management (CM)...
Sponsored by HCSC

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Company with Utilization Management Nurse jobs
UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier