Utilization Review Nurse jobs in Dallas, TX

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Registered Nurse, Clinical Consultant - Virtual
Prudential 526 reviews - 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 - 30 days ago
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 - 8 days ago
RN - Utilization Management (UM)
Department of Veterans Affairs 659 reviews - Dallas, TX
The Utilization Management (UM) Nurse provides direct... UM Nurse assesses and collects health data based upon the InterQual review. The UM nurse communicates with...
Sponsored by Nurse.com - 13 hours 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...
4 days ago - save job - block - email - more...

Licensed Utilization Management (UM) Nurse Associate - LPN /...

Aetna 318 reviews - Dallas, TX 75247 (Northwest Dallas area)
Services and benefit utilization -Utilizes clinical... eligibility may vary by position. Click here to review the benefits associated with this position. How to...
6 hours ago - save job - block - email - more...

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

Aetna 318 reviews - Dallas, TX 75247 (Northwest Dallas area)
Services and benefit utilization -Utilizes clinical... eligibility may vary by position. Click here to review the benefits associated with this position. How to...
6 hours ago - save job - block - email - more...

Preservice Review Nurse (RN required) ~ Richardson, TX

UnitedHealth Group 1,372 reviews - Richardson, TX
SM Preservice Review Nurse This position is OFFICE BASED with M - F daytime hours 1311 W PRES GEORGE BUS HWY RICHARDSON, TX 55310 The Preservice Review RN...
6 hours ago - save job - block - email - more...

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

Department of Veterans Affairs 659 reviews - Dallas, TX
PAS). The Nurse Manager for Utilization Management... review of data for access/flow including admission, transfers, patients on wait list, and utilization...
1 day ago - save job - block - email - more...

Utilization Management Nurse

HealthSmart Care Management Solutions - Irving, TX
appropriate utilization of resources. Job Responsibilities - - Conducts discharge review and referral... Experience in Utilization Review, Case Management or...
HealthSmart - 7 days ago - save job - block - email - more...

Prebill Denials RN

Prebill Denial – Dallas - Irving, TX
The Prebill Denials Nurse will review post discharge... Degree or higher preferred EXPERIENCE  Utilization Review, appeals, denials, managed care contracting...
HCA Inc - 6 days ago - save job - block - email - more...

Care Coordinator Incentive Bonus 3000

Parkland Health & Hospital System 146 reviews - Dallas, TX
the knowledge and skill set related to utilization review, care coordination, performance improvement and... case management, utilization review, and/or discharge...
1 day ago - save job - block - email - more...

RN Care Coordinator Case Management Weekends

Baylor Health Care System 54 reviews - Garland, TX
experience (case management / utilization review) Strongly preferred: RN, BSN 4+ years of acute inpatient case management / utlizationr review experience Req...
Baylor Health Care - 3 days ago - save job - block - email - more...

Utilization Review Nurse

American International Group 310 reviews - Dallas, TX
Perform Utilization Review of workers' compensation claims, based on review criteria and protocols in... and retrospective reviews to determine medical...
30 days ago - save job - block - email - more...
Clinical Coverage Review Medical Director - Virtual
UnitedHealth Group 1,372 reviews - 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 - 11 days ago
Preservice Review Nurse (RN required) ~ Richardson, TX
UnitedHealth Group 1,372 reviews - Richardson, TX
SM Preservice Review Nurse This position is OFFICE BASED with M - F daytime hours 1311 W PRES GEORGE BUS HWY RICHARDSON, TX 55310 The Preservice Review RN...
Sponsored by UnitedHealth Group - 6 hours ago
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1,372 reviews
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