Utilization Review Nurse jobs in Dallas, TX

Sort by: relevance - date
Salary Estimate
Title
Company
Location
Job Type
Employer/Recruiter
Jobs 1 to 10 of 139
Upload your resume - Let employers find you
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...
Easily apply
Sponsored by Multiple Location Third Party Payor Company
Employee Health Nurse
Facility Corporate - Lewisville, TX
Oversee the appropriate utilization of employee health services and resources; Certified Occupational Health Nurse (COHN) or Certified Occupational Health Nurse...
Sponsored by Adeptus Health
RN Case Manager
Multiple Location Third Party Payor Company - Dallas, TX
Training and/or experience in Utilization, Case or Quality Management. Reviews authorization activity and claim reports recommending placement in case...
Easily apply
Sponsored by Multiple Location Third Party Payor Company

RN Care Coordinator Utilization Review

Baylor Scott & White Health 105 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 Management/Review RN

Children's Health 6 reviews - Dallas, TX
Minimum 1 year Utilization Review or Case Management experience, required. Registered Nurse, required. The Utilization Management Nurse is responsible for...

Registered Nurse, Utilization Management Appeals

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

Appeal and Auditor Nurse

Praxis Healthcare Solutions - Plano, TX
Licensed Registered Nurse. Perform medical chart review for charge capture accuracy. Direct experience in medical chart review for inpatient providers preferred...
Easily apply

Utilization Review Nurse

AIG 507 reviews - Dallas, TX
Perform Utilization Review of workers' compensation claims, based on review criteria and protocols in accordance with state and regulatory agency compliance....

Nurse Medical Management I/II - Houston or Dallas

Anthem, Inc. 616 reviews - Grand Prairie, TX
The ideal candidate must have acute care and utilization review experience. 3-5 years acute care clinical experience or case management, utilization management...

Clinical Quality Review Spec

Blue Cross Blue Shield 1,657 reviews - Richardson, TX
Utilization management experience. Registered Nurse (RN) with unrestricted license in state of operations. This position is responsible for facilitating Member...

Workers Compensation Concierge Nurse - Ft. Worth

The Travelers Companies, Inc. 3 reviews - Richardson, TX
For nurses handling Workers Compensation Claims, perform Utilization Review according to established guidelines....

Care Coordinator UM/CM II

Blue Cross Blue Shield 1,657 reviews - Richardson, TX
Knowledge of clinical utilization management/case management activities and standardized criteria set. Registered Nurse (RN) with current, valid, unrestricted...

Utlilization Review Nurse

UT Southwestern Medical Center - Dallas - Dallas, TX
Consistently relates utilization assessment to payers that are needed to justify continued stay review and to obtain pre-certification....
RN Director of Utilization Management
Multiple Location Third Party Payor Company - Dallas, TX
Analysis and review for new business opportunities. Review all denials/appeals for appropriate documentation and turn-around time....
Easily apply
Sponsored by Multiple Location Third Party Payor Company
RN Case Manager I
The Guardian Life Insurance Company Of America 3 reviews - Dallas, TX
The Nurse Case. Follows best practices for developing reviews and sharing feedback. Review and assess claimant subjective reports and objective medical....
Sponsored by Guardian Life Insurance Company

Never miss a job. Get new jobs emailed to you daily.

Get email updates for the latest Utilization Review Nurse jobs in Dallas, TX
You can cancel email alerts at any time.
Get new jobs for this search by email
You can cancel email alerts at any time.