Utilization Review Nurse jobs in Dallas, TX

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RN Care Case Manager
Arkansas Blue Cross and Blue Shield 10 reviews - Dallas, TX
Referral sources: • Utilization Management (Pre-cert... social work, and discharge planning or concurrent review. 5. Keyboarding skills. 6. Average PC navigation...
Sponsored by Arkansas Blue Cross and Blue Shield - 29 days ago
UM Nurse
HCSC 24 reviews - Richardson, TX
This position is responsible for performing concurrent review and case management activities in accordance with... etc. *Knowledge of Utilization Management/Case...
Sponsored by HCSC - 30+ days ago
Utilization Management Nurse, RN
UnitedHealth Group 1,430 reviews - Richardson, TX
UM_Nurse.pdf Utilization Management Nurse responsibilities include: Perform utilization management, utilization review, or concurrent review (on-site or...
Sponsored by UnitedHealth Group - 1 day ago

Registered Nurse (RN) Utilization Management (UM) Nurse Cons...

Aetna 334 reviews - Arlington, TX 76018 (Southeast area)
The RN performs utilization review and management of bed days on Aetna Medicare members that are hospitalized in Skilled Nursing Facilities, Long Term Acute...
12 hours ago - save job - email - more...

Licensed Utilization Management (UM) Nurse Associate - LPN /...

Aetna 334 reviews - Dallas, TX 75247 (Northwest Dallas area)
-Promotes/supports quality effectiveness of Healthcare Services and benefit utilization. -Utilizes clinical skills to support coordination, documentation and...
6 hours ago - save job - email - more...

Utilization Management (UM) Nurse Associate (LPN /LVN)

Aetna 334 reviews - Dallas, TX 75247 (Northwest Dallas area)
-Promotes/supports quality effectiveness of Healthcare Services and benefit utilization. -Utilizes clinical skills to support coordination, documentation and...
6 hours ago - save job - email - more...

Utilization Management Nurse, RN

UnitedHealth Group 1,430 reviews - Richardson, TX
Click here to view the Realistic Job Preview:. Perform utilization management, utilization review, or concurrent review (on-site or telephonic inpatient care...
1 day ago - save job - email - more...

Medicaid Clinical Health Service Supervisor (RN)

Aetna 334 reviews - Dallas, TX 75247 (Northwest Dallas area)
Candidate promotes communication, both internal and external, to enhance effectiveness of concurrent reviews....
6 hours ago - save job - email - more...

Quality Improvement RN

The Visiting Nurse Association of Texas - Dallas, TX
VNA is seeking a fulltime Quality Improvement ("QI Nurse") to Utilize AIM-PDSA methodology, develop, implement and evaluate a comprehensive, agency-wide...
2 days ago - save job - email - more...

RN - Inpatient Case Manager

Department of Veterans Affairs 688 reviews - Dallas, TX
The incumbent will be supervised by the Nurse Manager for Utilization Management and Inpatient Case Management for Patient Administrative Service....
17 hours ago - save job - email - more...

Care Coordinator II, Case Management - JBS - BCBSTX

HCSC 24 reviews - Richardson, TX
This position is responsible for performing concurrent review and case management activities in accordance with approved departmental guidelines;....
22 days ago - save job - email - more...

Utilization Management Nurse

HealthSmart Care Management Solutions - Irving, TX
The position involves coordination of services to improve and maintain quality patient care and appropriate utilization of resources....
HealthSmart - 14 days ago - save job - email - more...

Nurse Auditor - Internal Audit

Children's Medical Center 70 reviews - Dallas, TX
At least 2 years experience in utilization review, nurse audit or other clinical audit function required. Two-year Associate's degree or equivalent experience...
7 days ago - save job - email - more...
Quality Improvement RN
The Visiting Nurse Association of Texas - Dallas, TX
Quality Improvement ("QI Nurse") to Utilize AIM-PDSA... Program CEU - eligible learning activities Utilization Management / Skill desired. Responsibilities...
Sponsored by The Visiting Nurse Association of Texas - 2 days ago
RN - CASE MANAGER
Centennial Medical Center 41 reviews - Frisco, TX
all aspects of case management, including utilization review, discharge planning, denials management... Must be a Registered Nurse Must have 3 - 5 years...
Sponsored by Tenet Healthcare - 24 days ago

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Company with Utilization Review Nurse jobs
10 reviews
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