Utilization Review Nurse jobs in Dallas, TX

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Manager Medical Affairs
Arkansas Blue Cross and Blue Shield 7 reviews - Dallas, TX
following areas: UM (Utilization Management) CM (Case... to Case Management, Utilization Review, Provider Services, reimbursement review, etc. 2. Responsible for...
Sponsored by Arkansas Blue Cross and Blue Shield - 11 days ago
Nurse Manager - Med/surg Job
Texas Health Resources 95 reviews - Arlington, TX
Nurse Manager - Med/surg Location: Texas Health... is in search of a Nurse Manager to add to our team on the Med/Surg Unit. The Nurse Manager reports to the...
Sponsored by Texas Health Resources - 9 days ago

Utilization Management Nurse

HealthSmart Care Management Solutions - Irving, TX
Unrestricted, active RN license for the state in which you work plus three years clinical experience. HealthSmart is an Equal Opportunity Employer....
HealthSmart - 4 days ago - save job - email - more...

Utilization Review Nurse

American International Group 307 reviews - Dallas, TX
Valid RN required with 3 years prior managed care and / or UR experience required. CCM, CPHM or equivalent preferred....
18 days ago - save job - email - more...

Registed Nurse (RN) - Clinical Program Consultant

Aetna 314 reviews - Arlington, TX 76018 (Southeast area)
General Business/Demonstrating Business and Industry Acumen. You will work in partnership with Care Management Team, Medical Directors, and Aetna account team...
18 hours ago - save job - email - more...

RN - Utilization Management (UM)

Department of Veterans Affairs 642 reviews - Dallas, TX
The UM Nurse assesses and collects health data based upon the InterQual review. Qual criteria and the utilization management....
23 hours ago - save job - email - more...

Case Manager I

Molina Healthcare 96 reviews - Irving, TX
(CCM), Certified Professional in Healthcare Management Certification (CPHM), Certified Professional in Health Care Quality (CPHQ), or other healthcare or...
2 days ago - save job - email - more...

Preservice Review Nurse RN

UnitedHealth Group 1,352 reviews - Richardson, TX
Must be able to work in a fast-paced production environment. Perform utilization and concurrent review using Milliman criteria....
3 days ago - save job - email - more...

RN Care Coordinator Utilization Review TDA

Baylor Health Care System 54 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 - 24 days ago - save job - email - more...

Intake Coordinator

GENEX 52 reviews - Dallas, TX
High school diploma or general education degree (GED) required;. CPT and ICD-9 coding strongly preferred. Communicate with external and internal customers via...
2 days ago - save job - email - more...

Registered Nurse (RN) – Case Manager

Aetna 314 reviews - Arlington, TX 76001 (Southwest area)
Spanish Bilingual is preferred. Nursing/Certified Case Manager (CCM) is desired. In doing this, the Care Manager develops a proactive course of action to...
2 days ago - save job - email - more...

Registered Nurse (RN) - Clinical Health Service Supervisor

Aetna 314 reviews - Arlington, TX 76018 (Southeast area)
This individual requires highly proficient communication skills, will promote cross functional communication and collaboration, build and inspire internal...
1 day ago - save job - email - more...
Telephonic Utilization Management RN- Telecommute in TX
UnitedHealth Group 1,352 reviews - Dallas, TX
UHC_Telephonic_UM_Nurse.pdf Telephonic Inpatient... Perform inpatient utilization management, utilization review, and/or concurrent review over the phone for...
Sponsored by UnitedHealth Group - 14 days ago
Telephonic Utilization Management Nurse RN - Multiple Locati...
UnitedHealth Group 1,352 reviews - Dallas, TX
Utilization Management Nurse RN. The Utilization Management Nurse responsibilities include: * Performs utilization management, utilization review, or...
Sponsored by CareerBuilder - 3 days ago
Utilization Review Nurse
UniMed Direct - Plano, TX
Description: Job Description: Registered Nurse for WC Utilization Review Seeking experienced Utilization Review RN at our Plano office location. Familiarity...
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Sponsored by ZipRecruiter - 21 days ago
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Company with Utilization Review Nurse jobs
7 reviews
We Love our Employees! At Arkansas Blue Cross, we care about the health, wellness and even education of our employees. Come join us today!
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