Utilization Review Nurse jobs in Dallas, TX

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Regional Case Manager w/CDI - RN required
Cornerstone Healthcare Group - Dallas, TX
outcomes, maximize resource utilization, and improve... of case management, discharge planning, and utilization review practices and ability to incorporate...
Sponsored by Cornerstone Healthcare Group - 15 days ago
RN Care Coordinator \ Case Manager
Baylor Health Care System 47 reviews - Dallas, TX
for Medicare utilization review. Status: Full-time... utilization review) Strongly preferred: RN, BSN 4+ years of acute inpatient case management / utilization...
Sponsored by Baylor Health Care - 30+ days ago

Licensed BH Utilization Management Clinician

Aetna 276 reviews - Dallas, TX 75219 (Oak Lawn area) - +4 locations
Aetna does not permit the use of tobacco related products or drugs in the workplace. TECHNOLOGY EXPERIENCESTechnical - Desktop Tools/Microsoft Outlook/1-3 Years...
5 days ago - save job - email - more...

Registered Nurse (RN) - Remote Clinical Nurse Educator

Aetna 276 reviews - Dallas, TX 75219 (Oak Lawn area) - +1 location
General Business/Applying Reasoned Judgment/ADVANCEDGeneral Business/Communicating for Impact/FOUNDATIONLeadership/Collaborating for Results/FOUNDATIONDESIRED...
4 days ago - save job - email - more...

Clinical Advisor - UM

Humana 519 reviews - Irving, TX
Performing prospective, concurrent, retrospective, and on-site reviews in a timely and efficient manner and certifying care in accordance with LifeSynch...
6 days ago - save job - email - more...

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 - 8 days ago - save job - email - more...

RN Care Case Manager

ABCBS - Dallas, TX
3. A bachelors (or higher) degree in a health related field preferred. The incumbent's charge is to work with referrals from multiple sources to identify... $56,800 a year
Arkansas Blue Cross and Blue Shield - 29 days ago - save job - email - more...

Clinical Health Services Manager - RN

Aetna 276 reviews - Dallas, TX 75219 (Oak Lawn area)
Communicates strategic plan and specific tactics to meet plan. Aetna does not permit the use of tobacco related products or drugs in the workplace....
14 days ago - save job - email - more...

RN Utilization Review Nurse - Bedford , Texas

Cigna 558 reviews - Bedford, TX
Determines whether services provided to plan members were actually medically necessary. Requires a RN with typically three years of clinical experience....
4 days ago - save job - email - more...

RN Utilization Review Nurse - Bedford, Teaxs

Cigna 558 reviews - Bedford, TX
Determines whether services provided to plan members were actually medically necessary. Requires a RN with typically three years of clinical experience....
4 days ago - save job - email - more...

Case Manager

HealthSmart Care Management Solutions - Irving, TX
1-3 years experience in hospital or other clinical setting. Develops plan of care in conjunction with the patient's significant other, provider and payor....
HealthSmart - 8 days ago - save job - email - more...

Quality Review Nurse

Brookdale - Arlington, TX
A career with Brookdale has never been more rewarding. As a senior living solutions company, Brookdale is committed to providing the best options for the...
14 days ago - save job - email - more...
LVN Telephonic Service Coordinator - Telecommute in Harris C...
UnitedHealth Group 1,174 reviews - Texas
Care. Ensure appropriate utilization and consistent... and forwarding information to appropriate staff for review. The Training Location is at Sugar Creek on the...
Sponsored by UnitedHealth Group - 1 day ago
Nurse Navigator - ED Job
Texas Health 7 reviews - Bedford, TX
with physicians, nurses, ancillary staff and... that reflects the American Nurses Association Code of Ethics and Standards for Nurses and supports the...
Sponsored by Health Callings - 13 days ago
Clinical Documentation and Resource Utilization Nurse
LifeCare Hospitals of North Texas - Plano - Plano, TX
and Resource Utilization Nurse is responsible for... and supports strong utilization management functions, and monitors the utilization of clinical services...
Sponsored by LifeCareJobBoard.com - 30+ days ago
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1,174 reviews
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