Utilization Review Nurse jobs in Dallas, TX

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Clinical Appeals RN - Telecommute
UnitedHealth Group 1,664 reviews - Dallas, TX
Utilization review, UR, utilization management, UM, TPA, managed care, insurance, concurrent review, appeals, provider appeals, member appeals, RN, Registered...
Sponsored by UnitedHealth Group - 22 days ago
Registered Nurse-Case Manager
HCA North Texas - Dallas, TX
Performs utilization review ensuring admissions meet criteria for appropriateness of care and medical necessity....
Sponsored by Nurse.com - 2 days ago

BH Clinical Appeals Reviewer

Blue Cross Blue Shield 1,322 reviews - Richardson, TX
Experience in Utilization Management or audit. Analyzes appeals data, determine appeals decisions or prepare cases for Medical Director review....
HCSC - 6 days ago - save job - email - more...

UM Nurse Consultant

Aetna 399 reviews - Arlington, TX
Utilization Management/Case Management experience preferred. Nursing/Registered Nurse (RN) license is required....
10 days ago - save job - email - more...

Utilization Review Nurse

UT Southwestern Medical Center - Dallas - Dallas, TX
Consistently relates utilization assessment to payers that are needed to justify continued stay review and to obtain pre-certification....
11 days ago - save job - email - more...

Utilization Review Nurse

AIG 387 reviews - Dallas, TX
Perform Utilization Review of workers' compensation claims, based on review criteria and protocols in accordance with state and regulatory agency compliance....
9 days ago - save job - email - more...

Utilization Management Nurse Associate (LPN/LVN)

Aetna 399 reviews - Arlington, TX
Or Nursing/Registered Nurse. Nursing/Licensed Practical Nurse (LPN) is required. The UM Nurse Associate also applies critical thinking and knowledge in...
5 days ago - save job - email - more...

Registered Nurse - Quality Improvement

VNA of Texas - Dallas, TX
$60,000 a year
Registered Nurse required. Utilization Management Skill required. Through chart review, telephone surveys and other methods of data collection....
1 day ago - save job - email - more...

FIELD MEDICAL COORDINATOR

Immigration and Customs Enforcement 986 reviews - Dallas, TX
$61,279.20 - $104,108.40 a year
Case management and utilization review experience preferred. Must be a Registered Nurse. Assist with the review of ICE medical PBNDS compliance at local and...
usajobs.gov - 11 days ago - save job - email - more...

RN Care Case Manager

ABCBS 10 reviews - Dallas, TX
$57,900 a year
Utilization Management (Pre-cert./Pre-notification). Registered Nurse with current state license and in good standing with clinical practice experience....
Arkansas Blue Cross and Blue Shield - 1 day ago - save job - email - more...

CLINICAL REVIEW RN D/A Job

Texas Health Resources 116 reviews - Arlington, TX
CLINICAL REVIEW RN D/A. Performs retrospective commercial insurance reviews. This is a part-time position, reporting to Clinical Review Denials and Appeals...
15 days ago - save job - email - more...

CASE COORDINATOR

Methodist Health System 29 reviews - Dallas, TX
Assure the appropriate application of internal and external utilization review for hospital patients:. Licensed in Texas as a Registered Nurse....
12 days ago - save job - email - more...
Regional Case Manager - RN/CCM
Cornerstone Healthcare Group 16 reviews - Dallas, TX
In depth knowledge of case management, discharge planning, and utilization review practices and ability to incorporate successful current trends....
Sponsored by Cornerstone Healthcare Group - 30+ days ago
RN - Ophthalmology Clinic Manager
Department of Veterans Affairs 806 reviews - Dallas, TX
VA Handbook 5005/27, Part II, Appendix G-6 NURSE QUALIFICATION STANDARD Registered Nurse Physical Requirements:....
Sponsored by Nurse.com - 1 day ago
Registered Nurse (RN) - Director of Case Management
Centra Healthcare Solutions - Dallas, TX
Oversees and administers utilization management program including daily admission and inpatient concurrent review processes for their party payers....
Sponsored by Centra Healthcare Solutions - 5 days ago

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Company with Utilization Review Nurse jobs
1,664 reviews
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