Utilization Review Nurse jobs in Dallas, TX

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RN Care Coordinatior Utilization Review PRN
Baylor Scott & White Health 91 reviews - Dallas, TX
The Utilization Review Nurse provides clinical review against standard criteria for the purpose of evaluating medical necessity, regardless of payor type....
Sponsored by Baylor Scott & White Health - 30+ days ago
RN Quality Improvement Performance Specialist
StoneGate Care Team - Irving, TX
Current Licensure as a Registered Nurse. This review includes verification of appropriate coding, documentation, quality of care provided, visit utilization,...
Easily apply
Sponsored by StoneGate Care Team - 17 days ago
Registered Nurse RN Care Manager - Dallas, TX $3,000 Sign-on...
UnitedHealth Group 1,941 reviews - Dallas, TX
Registered Nurse with current licensure to practice in the applicable state. Knowledge of utilization management, quality improvement, discharge planning, and...
Sponsored by UnitedHealth Group - 3 days ago

Nurse Reviewer

GENEX 70 reviews - Dallas, TX
Utilization Review/ Case Management and/or Workers' compensation-related experience strongly preferred. Responsible for the performance of Utilization Review...

RN Care Coordinator Utilization Review (Evenings)

Baylor Scott & White Health 91 reviews - Dallas, TX
The Utilization Review Nurse provides clinical review against standard criteria for the purpose of evaluating medical necessity, regardless of payor type....

Unit Mgr Clinical Operations

Blue Cross Blue Shield 1,505 reviews - Richardson, TX
2 years utilization review/ managed care experience. Registered Nurse (RN), with current, unrestricted license to practice in state of operations....

LVN Case Corordinator Utilization Management Nurse - Bedford...

Cigna 871 reviews - Bedford, TX
Year Utilization review experience. LVN Case Corordinator Utilization Management Nurse - Bedford, Texas. Must have current licensure as a Licensed Practical...

Clinical Auditor

Baylor Scott & White Health 91 reviews - Dallas, TX
Prepares audit reports and reviews them with both Internal Audit and client management. Identifies opportunities for control and/or process improvements to...

Medical Case Manager (Work from Home with some local travel)

Broadspire 24 reviews - Dallas, TX
Nurse, insurance, employee health, office nurse, return to work, injured. Nurse, field case manager, occupational health....

LTC Field Registered Nurse (RN) Case Mgr II (Remote)

Molina Healthcare 131 reviews - Irving, TX
Concurrent review, utilization review, case manage, ambulance, ambulatory,. Nurse, BSN, MSN, ADN, Field RN, field nurse, telephonic nurse, LPN, LVN, ACSW, AACN,...

Preservice Review Nurse RN

UnitedHealth Group 1,941 reviews - Richardson, TX
Perform utilization and concurrent review using Milliman criteria. As a Preservice Review Nurse your duties will include:....

ASC Nurse Administrator

SurgCenter of Plano - Plano, TX
Oversees and reviews all center purchases; Evaluates the efficient utilization of all resources. Plans, monitors, and reviews all service expansion activities...
Easily apply

Care Review Processor II

Molina Healthcare 131 reviews - Irving, TX
One year or more in a Utilization Review Department in a Managed Care Environment. Works within the Care Access and Monitoring (CAM) team to provide clerical...
Registered Nurse, RN Transition Care Manager - Dallas, TX $3...
UnitedHealth Group 1,941 reviews - Dallas, TX
Case manager, care manager, registered nurse, ccm, cm, RN, Fort Worth, TX, Texas, RN, Inpatient, Registered Nurse....
Sponsored by UnitedHealth Group - 4 days ago
RN Case Manager Weekends
Baylor Scott & White Health 91 reviews - Garland, TX
2 years of related experience (case management / utilization review). 4+ years of acute inpatient case management / utlizationr review experience....
Sponsored by Baylor Scott & White Health - 30+ days ago

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