Utilization Review Nurse jobs in Dallas, TX

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Utilization Review Nurse
Multiple Location Third Party Payor Company - Dallas, TX
Experience in Utilization Review, Case Management or DM insurance preferred. Provide pre-procedure, pre-admission, admission, concurrent and retrospective...
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Sponsored by Multiple Location Third Party Payor Company - 6 days ago
RN Care Coordinatior Utilization Review PRN
Baylor Scott & White Health 94 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

Telephonic Case Manager RN - Richardson, TX

UnitedHealth Group 1,983 reviews - Richardson, TX
Experience in utilization review, concurrent review and/or risk management. RN Case Manager, Nurse Case Manager, CIDM, Richardson, TX, Texas....

RN Care Coordinator Utilization Review Evenings

Baylor Scott & White Health 94 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 Care Coordinator Utilization Review Weekends

Baylor Scott & White Health 94 reviews - Dallas, TX
The Utilization Review Nurse provides clinical review against standard criteria for the purpose of evaluating medical necessity, regardless of payor type....

Utilization Review Nurse

AIG 462 reviews - Dallas, TX
Perform Utilization Review of workers' compensation claims, based on review criteria and protocols in accordance with state and regulatory agency compliance....

Hospital Educator - RN

United Surgical Partners International 18 reviews - Dallas, TX
Two years of progressively responsible experience in a utilization review environment is preferred. Nurse Educator in Dallas, TX....

Care Coordinator

NaviHealth 16 reviews - Dallas, TX
Complete Utilization Management functions for authorizations. The health care team includes physicians, health plan UM/CM Nurse, hospital discharge planners,...

Utilization Review Nurse

HealthSmart Care Management Solutions - Irving, TX
Experience in Utilization Review, Case Management or DM insurance preferred. Provide pre-procedure, pre-admission, admission, concurrent and retrospective...

Utilization Management RN with Advance Healthcare and Stafin...

Advance Healthcare and Stafing - Arlington, TX
Utilization Review, Skilled Nursing Facility (SNF) Case management/discharge planning. 2 years of experience in acute hospital or SNF utilization review and...

Nurse Supervisor Case Management (Non-remote; Nursing Facili...

Molina Healthcare 141 reviews - Irving, TX
Concurrent review, utilization review, case manage, ambulance, ambulatory,. Functions as hands-on supervisor for daily Case Management activities including...

Med Mgmt Accred & Audit Coord

Blue Cross Blue Shield 1,533 reviews - Richardson, TX
3 years medical/surgical or psychiatric nursing experience, including 2 years utilization review or case management capacity....
Registered Nurse Case Manager
The Medical Center of Plano 18 reviews - Plano, TX
Performs utilization review ensuring admissions meet criteria for appropriateness of care and medical necessity. Registered Nurse Case Manager....
Sponsored by HCA Inc - 30+ days ago
RN CASE MANAGER - FT Days (11am - 7pm) - $5000/- Sign-on Bon...
Doctors Hospital at White Rock Lake 2 reviews - Dallas, TX
Current Professional Nurse License issued and/or recognized by Board of Nurse Examiners for the State of Texas....
Sponsored by Tenet Healthcare - 30+ days ago
Preservice Review Nurse RN - Richardson,Texas
UnitedHealth Group 1,983 reviews - Richardson, TX
Perform utilization and concurrent review using Milliman criteria. As a Preservice Review Nurse your duties will include:....
Sponsored by UnitedHealth Group - 13 days ago

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Company with Utilization Review Nurse jobs
18 reviews
Enjoy a career enhancement model with bonus potential, self-scheduling options and many ways to grow at our Magnet designated hospital.