Utilization Review Nurse jobs in Dallas, TX

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Clinical Appeals RN - Telecommute
UnitedHealth Group 1,827 reviews - Dallas, TX
Utilization review, utilization management, concurrent review, appeals, provider appeals, member appeals, RN, Registered Nurse, telecommute, home based, payer,...
Sponsored by UnitedHealth Group - 2 days ago
Utilization Review Nurse
HealthCare Scouts, Inc. - Dallas, TX
Responsibilities of the Utilization Review Registered Nurse (RN) will include reviewing patient treatment plans in order to determine efficiency and medical...
Sponsored by Miracle Workers - 15 days ago
RN - UTILIZATION MANAGEMENT
Department of Veterans Affairs 890 reviews - Dallas, TX
Qual criteria and the utilization management. Practice, ethics and resource utilization, Professional Development:....
Sponsored by Nurse.com - 4 days ago

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)...

Utilization Review Nurse

AIG 427 reviews - Dallas, TX
Perform Utilization Review of workers' compensation claims, based on review criteria and protocols in accordance with state and regulatory agency compliance....

Med Mgmt Accred & Audit Coord

Blue Cross Blue Shield 1,429 reviews - Richardson, TX
3 years medical/surgical or psychiatric nursing experience, including 2 years utilization review or case management capacity....

Utilization Review Nurse (RN)

Randstad Healthcare 2 reviews - Dallas, TX
Length of Assignment: 20 Weeks Shift: 8 Hour,Days,Evenings Come work for one of the leading diversified health care benefits companies providing medical,...
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RN Case Manager/Utilization Review

Medix - Plano, TX
Utilization Management Nurse Consultant AND Case Manager. Previous workers compensation, case management, utilization review or managed care experience...
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Appeals RN, Utilization Management

HealthSmart Care Management Solutions - Irving, TX
The Supervisor Utilization Management Nurse leads and manages the UM appeals process for compliance with URAC and PPACA....

Care Coordinator

Parkland Health & Hospital System 197 reviews - Dallas, TX
Prefer case management, utilization review, and/or discharge planning experience. Responsible for the maintaining the knowledge and skill set related to...

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....

RN Care Case Manager

ABCBS 13 reviews - Dallas, TX
Utilization Management (Pre-cert./Pre-notification). Registered Nurse with current state license and in good standing with clinical practice experience....

RN Care Coordinator Utilization Review

Baylor Scott & White Health 6 reviews - Dallas, TX
The Utilization Review Nurse provides clinical review against standard criteria for the purpose of evaluating medical necessity, regardless of payor type....
RN Supervisor, Utilization Management II
Molina Healthcare 118 reviews - Irving, TX
Completes quality audit reviews for all clinical / non-clinical staff. Collates and reports on Care Access and Monitoring statistics including plan utilization,...
Sponsored by Molina Healthcare - 30+ days ago
RN - CASE MANAGEMENT MENTAL HEALTH
Department of Veterans Affairs 890 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 - 9 hours ago

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Company with Utilization Review Nurse jobs
1,827 reviews
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