Utilization Review Nurse jobs in Dallas, TX

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Registered Nurse, Clinical Consultant - Virtual
Prudential - Dallas, TX
pursuant to developmental goals and business needs. This is not a Utilization Review position. For candidates with Disability Industry RN, Clinical...
Sponsored by Prudential - 29 days ago
Clinical Coverage Review Medical Director - Virtual
UnitedHealth Group - Dallas, TX
of clinical coverage review for UnitedHealth Care. Conduct daily clinical review and evaluation of all... Review staff. Provide support for CCR nurses and non...
Sponsored by CareerBuilder - 10 days ago

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

Prebill Denials RN

Prebill Denial – Dallas - Irving, TX
 Work post discharge, prebill accounts efficiently and effectively on a daily basis to resolve accounts with “no auth....
HCA Inc - 5 days ago - save job - email - more...

Care Coordinator Incentive Bonus 3000

Parkland Health & Hospital System - Dallas, TX
Must have four years of hospital or community based patient care nursing, preferably in assigned clinical area. Certification/Registration/Licensure:....
5 hours ago - save job - email - more...

Preservice Review Nurse RN - Richardson, TX

UnitedHealth Group - Richardson, TX
Unrestricted, active RN license in Texas. Minimum of 3 years RN experience in an acute setting or equivalent clinical experience....
15 days ago - save job - email - more...

Utilization Review Nurse

American International Group - Dallas, TX
Valid RN required with 3 years prior managed care and / or UR experience required. CCM, CPHM or equivalent preferred....
29 days ago - save job - email - more...

RN Care Coordinator Case Management Weekends

Baylor Health Care System - Garland, TX
2 years of related experience (case management / utilization review). 4+ years of acute inpatient case management / utlizationr review experience....
Baylor Health Care - 2 days ago - save job - email - more...

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

Aetna - Dallas, TX
Utilizes clinical skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations....
4 days ago - save job - email - more...

Hospital Onsite Inpatient Care Manager RN ~ Denton, TX

UnitedHealth Group - Dallas, TX
3+ years acute inpatient care hospital experience. Outstanding written and verbal communication skills. Willingness to travel to onsite facilities daily within...
4 days ago - save job - email - more...

Hospital Onsite Inpatient Care Manager RN ~ Dallas, TX

UnitedHealth Group - Dallas, TX - +1 location
3+ years acute inpatient care hospital experience. Outstanding written and verbal communication skills. Willingness to travel to onsite facilities daily within...
4 days ago - save job - email - more...

Nurse Manager - Utilization Management and Inpatient Case Ma...

Department of Veterans Affairs - Dallas, TX
He/she coordinates recurring and non-recurring statistical reports for presentation to clinical services and/or medical center management including collection...
2 hours ago - save job - email - more...
RN office case manager
Tender heart Home Health & Hospice - Arlington, TX
Ensure that high quality case management, utilization review and discharge planning services are provided... license as a registered nurse. • At least two years...
Easily apply
Sponsored by Tender heart Home Health & Hospice - 6 days ago
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 - 3 days ago
Manager Medical Affairs
Arkansas Blue Cross and Blue Shield - Dallas, TX
following areas: UM (Utilization Management) CM (Case... to Case Management, Utilization Review, Provider Services, reimbursement review, etc. 2. Responsible for...
Sponsored by Arkansas Blue Cross and Blue Shield - 22 days ago
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