Utilization Review Nurse jobs in Dallas, TX

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Clinical Appeals RN - Telecommute
UnitedHealth Group 1,739 reviews - Dallas, TX
Utilization review, UR, utilization management, UM, TPA, managed care, insurance, concurrent review, appeals, provider appeals, member appeals, RN, Registered...
Sponsored by UnitedHealth Group - 15 days ago
RN - Non-VA Care Coordination Case Mgr.
Department of Veterans Affairs 843 reviews - Dallas, TX
Publication.asp?Pub_ID=464&FType=2 Registered Nurse. Practice, ethics and resource utilization, Professional Development:....
Sponsored by Nurse.com - 13 hours ago

Utilization Review Nurse

AIG 410 reviews - Dallas, TX
Perform Utilization Review of workers' compensation claims, based on review criteria and protocols in accordance with state and regulatory agency compliance....
20 hours ago - save job - email - more...

RN Clinical Care Manager (Dallas)

Innovista Health Solutions - Dallas, TX
Perform telephonic and on-site concurrent review and/or admission review on all hospital/snf admissions. Knowledge/training in utilization and Medicare criteria...
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2 days ago - save job - email - more...

RN Care Coordinator Utilization Review

Baylor Scott & White Health 4 reviews - Dallas, TX
The Utilization Review Nurse provides clinical review against standard criteria for the purpose of evaluating medical necessity, regardless of payor type....
Baylor Health Care - 13 days ago - save job - email - more...

OASIS Review Specialist

Jordan Health Services 37 reviews - Addison, TX
Experience with quality and utilization review preferred. The OASIS Review Specialist is a Registered Nurse with certifications in OASIS (COS-C) and ICD-9...
6 days ago - save job - email - more...

Registered Nurse (RN) Case Manager

Aetna 422 reviews - Arlington, TX 76018 (Southeast area)
Nursing/Registered Nurse is required. Click here to review the benefits associated with this position. Through assessment and member-centered care planning,...
2 hours ago - save job - email - more...

Registered Nurse\Utilization Review Excel Lewisville

Universal Health Services - Lewisville, TX
The Utilization Review Registered Nurse is responsible for managing the treatment activities offered to patients, including the appropriate clinical screening...
2 days ago - save job - email - more...

Behavioral Health Care Coordinator

Blue Cross Blue Shield 1,372 reviews - Richardson, TX
Utilization review experience. Registered Nurse (RN) with current license or Masters-level Behavioral Health Professional with current licenseto practice at the...
HCSC - 3 hours ago - save job - email - more...

Utilization Management Nurse Associate (LPN/LVN)

Aetna 422 reviews - Dallas, TX - +1 location
Nursing/Licensed Vocational Nurse (LVN)or Licensed Practical Nurse (LPN) required. Promotes/supports quality effectiveness of Healthcare Services and benefit...
2 days ago - save job - email - more...

Registered Nurse (RN) - Utilization Management Nurse Consult...

Aetna 422 reviews - Arlington, TX 76018 (Southeast area)
Knowledge of managed care and utilization review preferred. The nurse will telephonically review inpatient hospital admissions and assist with coordination of...
8 days ago - save job - email - more...

Utilization Review Nurse

HealthSmart Care Management Solutions - Irving, TX
Training and/or experience in Utilization, Case or Quality Management. Reviews authorization activity and claim reports recommending placement in case...
HealthSmart - 10 days ago - save job - email - more...
Regional Case Manager - RN/CCM
Cornerstone Healthcare Group 18 reviews - Dallas, TX
In depth knowledge of case management, discharge planning, and utilization review practices and ability to incorporate successful current trends....
Sponsored by Cornerstone Healthcare Group - 30+ days ago
RN/Nurse Manager (SCI)
Department of Veterans Affairs 843 reviews - Dallas, TX
Practice, ethics and resource utilization, Professional Development:. VA Handbook 5005/27, Part II, Appendix G-6 NURSE QUALIFICATION STANDARD Physical...
Sponsored by Nurse.com - 13 hours ago
RN - Wound & Ostomy
Department of Veterans Affairs 843 reviews - Dallas, TX
VA Handbook 5005/27, Part II, Appendix G-6 NURSE QUALIFICATION STANDARD Registered Nurse Physical Requirements:....
Sponsored by Nurse.com - 1 day ago

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Company with Utilization Review Nurse jobs
1,739 reviews
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