Utilization Review Nurse jobs in Dallas, TX

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UTILIZATION REVIEW NURSE
Consistently relates utilization assessment to payers that are needed to justify continued stay review and to obtain pre-certification....
UTILIZATION REVIEW NURSE PRN
Consistently relates utilization assessment to payers that are needed to justify continued stay review and to obtain pre-certification....
Utilization Review Manager
Participates in the Utilization Review Committee and attends all meetings. Assists facility in analysis of data to evaluate the effectiveness of processes in...

Utilization Management Nurse Associate

Aetna - 2,224 reviews - Dallas, TX
Promotes/supports quality effectiveness of Healthcare Services and benefit utilization. Click here to review the benefits associated with this position....

Utilization Management Nurse Consultant (RN)- Registered Nur...

Aetna - 2,224 reviews - Arlington, TX 76011 (East area)
The Registered Nurse (RN) - Utilization Management Nurse Consultant utilizes clinical skills to support the coordination, documentation and communication of...

Medical Reviewer III

Ansible Government Solutions, LLC - Dallas, TX
Assesses results of post-pay reviews conducted by Medical Review Nurses and ensures coordination of workflow between Program Integrity (PI) and Medical Review...

UTILIZATION REVIEW NURSE

UT Southwestern Medical Center - 277 reviews - Dallas, TX 75390 (Northeast Dallas area)
Consistently relates utilization assessment to payers that are needed to justify continued stay review and to obtain pre-certification....

Clinical Appeals Nurse - US - Telecommuter (Full Time)

Conifer - 517 reviews - Dallas, TX
Performs retrospective (post –discharge/ post-service) medical necessity reviews to determine appellate potential of clinical disputes/denials or those eligible...

Care Coordinator UM II (Registered Nurse)

Blue Cross Blue Shield of IL, MT, NM, OK & TX - 17 reviews - Dallas, TX
Knowledge of clinical utilization management/case management activities and standardized criteria set. This position is responsible for performing concurrent...

Care Coordinator UM/CM II

Blue Cross Blue Shield of IL, MT, NM, OK & TX - 17 reviews - Richardson, TX
Knowledge of clinical utilization management/case management activities and standardized criteria set. Registered Nurse (RN) with current, valid, unrestricted...

UM Clinical Consultant 38753BR

Aetna - 2,224 reviews - Dallas, TX
Managed care/utilization review experience preferred. Functional - Clinical / Medical/Concurrent review / discharge planning/4-6 Years....

RN Utilization Management- Telecommute and Days

TTF Healthcare Search - Dallas, TX
$34 - $39 an hour
TTF is recruiting for REMOTE Utilization Review Nurses for a well-respected healthcare organization that has locations nationwide....
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RN Case Manager - Outpatient Services - Dallas, TX - $3k Sig...

UnitedHealth Group - 5,402 reviews - Dallas, TX 75215 (South Boulevard-Park Row area)
Registered Nurse with current licensure to practice in the applicable state. Knowledge of utilization management, quality improvement, discharge planning, and...
RN Utilization Review Coordinator
Must hold current Texas RN license or is eligible from the Texas Board of Nurse Examiners. This position will be responsible for verifying medical necessity of...
Utilization Review Nurse II
JPS Health Network - 96 reviews - Fort Worth, TX
The Utilization Review Nurse II (URN) functions as the primary liaison between all third-party payers and the Case Management department....

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