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
Registered Nurse Case Manager Part-Time Weekends
Medical Center Alliance - Fort Worth, TX
Certification in Case Management, Nursing, or Utilization Review, preferred. RN - Registered Nurse - Case Manager....
Sponsored by HCA Inc
Clinical Health Liaison - Registered Nurse RN
Blue Cross Blue Shield of IL, MT, NM, OK & TX - Richardson, TX
Bachelor's degree in Nursing, Registered Nurse (RN) and an unrestricted license in the state of Operation. And as assigned as nurse liaison for several medical...
Sponsored by HCSC

Utilization Management Nurse Consultant

HealthCare Scouts, Inc. - Plano, TX
$70,000 a year
Worker’s Comp Utilization Review preferred. If so, check out this opportunity as a Utilization Management Nurse Consultant Nurse (RN)....
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Nurse Reviewer

GENEX 77 reviews - Dallas, TX
Utilization Review/ Case Management and/or Workers' compensation-related experience strongly preferred. Responsible for the performance of Utilization Review...

Registered Nurse (RN) Care Review Clinician II

Molina Healthcare 159 reviews - Irving, TX
Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review....

Registered Nurse (RN) - Utilization Management (UM) Nurse Co...

Aetna 552 reviews - Arlington, TX 76018 (Southeast area)
The Utilization Management Nurse Consultant duties include, but are not limited to, the following:. The Utilization Management Nurse Consultant works to...

Medication Nurse Reviewer

Cantex Continuing Care Network - Addison, TX
Current Texas State license as a Licensed Vocational Nurse. Daily review prior authorizations and coordinate the approval with documentation upon completion....
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Clinical Auditor

Baylor Scott & White Health 111 reviews - Dallas, TX
Prepares audit reports and reviews them with both Internal Audit and client management. Identifies opportunities for control and/or process improvements to...

Nurse Auditor Billing Radiology Job

Texas Health Resources 160 reviews - Arlington, TX
Plans, coordinates and evaluates Radiology / utilization review activities. Nurse Auditor Billing Radiology. Three (3) years as staff nurse in appropriate acute...

Registered Nurse (RN) - Clinical Health Services Supervisor

Aetna 552 reviews - Dallas, TX 75207 (Near East area)
Nursing/Registered Nurse (RN) is required. Application and/or interpretation of appropriate clinical criteria and guidelines to reviews....

Utilization Review RN

Baylor Scott & White Health 111 reviews - Dallas, TX
The Utilization Review Nurse is a registered nurse who provides clinical review against standard criteria for the purpose of evaluating medical necessity for...

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...
Clinical Appeals RN - Telecommute
UnitedHealth Group 2,190 reviews - Dallas, TX
Utilization review, utilization management, concurrent review, appeals, provider appeals, member appeals, RN, Registered Nurse, telecommute, home based, payer,...
Sponsored by UnitedHealth Group
Nurse Clinical Auditor, MCR
Connolly iHealth Technologies, LLC 20 reviews - Frisco, TX
Utilization Review, Concurrent Review and/or Medical Necessity/Medical Coverage experience is required. Nurse Auditor, CCR (Complex Chart Review) position is...
Sponsored by Connolly iHealth Technologies, LLC

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