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  - 27 days ago
Employee Health Nurse
Adeptus Health - 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 Dignity Health Arizona General Hospital  - 20 days ago
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...
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Sponsored by Multiple Location Third Party Payor Company  - 27 days ago

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

Aetna 507 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...

Telephonic Case Manager RN - Richardson, TX

UnitedHealth Group 2,053 reviews - Richardson, TX
Experience in utilization review, concurrent review and/or risk management. RN Case Manager, Nurse Case Manager, CIDM, Richardson, TX, Texas....

Nurse Medical Management I/II - Dallas Area

Anthem, Inc. 599 reviews - Grand Prairie, TX
3-5 years acute care clinical experience or case management, utilization management or managed care experience....

Clinical Appeals RN - Telecommute

UnitedHealth Group 2,053 reviews - Dallas, TX
Utilization review, utilization management, concurrent review, appeals, provider appeals, member appeals, RN, Registered Nurse, telecommute, home based, payer,...

Case Manager Transitional Care

Parkland Health & Hospital System 220 reviews - Dallas, TX
Prefer case management, utilization review, home health care and/or discharge planning experience. Prefer American Nurses Credentialing Center (ANCC) Nursing...

Clinical Quality Review Spec

Blue Cross Blue Shield 1,609 reviews - Richardson, TX
Utilization management experience. Registered Nurse (RN) with unrestricted license in state of operations. This position is responsible for facilitating Member...

Registered Nurse (RN) - Temporary Telephonic Utilization Rev...

Aetna 507 reviews - Dallas, TX 75244 - +1 location
May provide guidance and coaching to other utilization review nurses and participate in the orientation of newly hired utilization nurses....

Nurse Case Manager - Work at Home - Arabic Language Preferre...

Cigna 925 reviews - Plano, TX
Assists Utilization Review as needed/ requested. Delivers utilization review services when member is in active case management as appropriate....

RN Care Coordinator Utilization Review

Baylor Scott & White Health 98 reviews - Dallas, TX
The Utilization Review Nurse provides clinical review against standard criteria for the purpose of evaluating medical necessity, regardless of payor type....

Nurse III

Dept of Aging & Disability Svc - Arlington, TX
Nurse III Under the direct supervision of the UR Regional Manager, the utilization review (UR) nurse reviews and evaluates individuals records, individual...
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....
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Sponsored by Multiple Location Third Party Payor Company  - 27 days ago
Clinical Appeals RN - Telecommute
UnitedHealth Group 2,053 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  - 5 days ago

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