Utilization Review Nurse jobs in Dallas, TX

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UTILIZATION REVIEW NURSE
Consistently relates utilization assessment to payers that are needed to justify continued stay review and to obtain pre-certification....
Sponsored
Clinical Process Specialist - Registered Nurse
AccentCare - 152 reviews - Dallas, TX
Knowledge of Quality Improvement, Utilization Review and Risk Management. Current Licensed Registered Nurse in working state....
Sponsored
Manager, Utilization Management
Medical Staffing Network Care Management - Dallas, TX
$80,000 a year
Compile and review multiple reports on work function activities for statistical and financial tracking purposes to identify utilization trends and make...
Easily apply
Sponsored

Utilization Review Nurse

Catapult Consultants - 5 reviews - Dallas, TX
2 years utilization/quality assurance review. Active license as a Registered Nurse (RN). 5 years clinical experience or equivalent experience in the medical...

Concurrent Review Nurse I (Dallas, TX)

Superior HealthPlan - 10 reviews - Dallas, TX
Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case...

Utilization Management Nurse - Work From Home

Group & Pension Admin - Dallas, TX
Minimum of 1 year experience inutilization review services or broad based nursing. Must maintain activeTexas Compact Registered Nurse license and CEU’s as...

Care Coordinator UM/CM II

Blue Cross Blue Shield of IL, MT, NM, OK & TX - Richardson, TX
Knowledge of clinical utilization management/case management activities and standardized criteria set. Registered Nurse (RN) with current, valid, unrestricted...

Medical Review RN - Dallas

Quality Health Strategies - Dallas, TX
The Medical Review Nurse is a mid-level professional performing medical record and claims review for Medicare, Medicaid, and/or other claims data in order to...
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Primary Nurse Case Administrator (Registered Nurse)

Blue Cross Blue Shield of IL, MT, NM, OK & TX - Dallas, TX
The Primary Nurse Coordinator performs concurrent review, discharge planning and care coordination; Registered Nurse (RN) with current, valid, unrestricted...

Concurrent Review Nurse

Managed Care - Dallas, TX
Registered Nurse (RN). Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for...
Easily apply

Care Coordination Nurse Manager

Clinical Management Consultants - Dallas, TX
$92,568 - $108,389 a year
The Utilization review Nurse Manager will conduct admission review, post discharge and discharge planning with UM staff....

RN Care Mgr, BSN (FT) (Dallas)

Baylor Scott & White Health - 243 reviews - Dallas, TX
The RN Care Manager functions as a clinician, case manager, and educator to achieve optimal clinical and quality outcomes by effectively managing care and...

UTILIZATION REVIEW NURSE

UT Southwestern Medical Center - 221 reviews - Dallas, TX 75390 (Northeast Dallas area)
Consistently relates utilization assessment to payers that are needed to justify continued stay review and to obtain pre-certification....
Acute Care RN Case Manager / Nurse (Contract)
Utilization review, discharge planning and case management:. Inpatient utilization review, case management and discharge planning:....
Easily apply
Sponsored
RN Surgery Clinical Systems Analyst
Review of vendor. Tissue/Implant logs, and tracking of Implant utilization. Review of Supply Management Action Team (SMAT) business with CRM on a....
Sponsored by HCA Inc

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