Utilization Review Nurse jobs in Dallas, TX

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Utilization Review Nurse
Utilization Review Nurse. Consistently relates utilization assessment to payers that are needed to justify continued stay review and to obtain pre-certification...
Sr Nurse Auditor
At least 2 years’ experience in utilization review, nurse audit or other clinical audit function required. LVN or Registered Nurse required....
OR Manager
Reviews variance reports filed by staff members. Current Licensure as Registered Nurse in state of Texas. Prepares and submits data and reports that measure...

Medical Review Nurse - Dallas

Quality Health Strategies - 9 reviews - Dallas, TX
At least one year healthcare experience that demonstrates expertise in conducting medical reviews, utilization reviews, ICD-9 coding, CPT coding, and knowledge...
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UTILIZATION MANAGEMENT NURSE

Healthsmart Preferred Care - 11 reviews - Irving, TX
Experience in Utilization Review, Case Management or Disease Management in an insurance setting preferred. Assist claims with quality reviews....

RN - Utilization Management - Health Plan (Irving Offices)

Children's Health - 43 reviews - Dallas, TX 75235 (Love Field area)
Perform utilization review to include pre-certification, concurrent and retrospective review according to established guidelines....

Nurse Reviewer, Utilization 2

Mitchell International, Inc. - 3 reviews - Richardson, TX
Reviews requested treatment/procedures within Mitchell utilization review policies, URAC time frames or state-mandated timeframes (whichever is more restrictive...

Clinical Care Manager

Aetna - 2,584 reviews - Arlington, TX 76011 (East area)
Nursing/Registered Nurse is desired. Click here to review the benefits associated with this position. Analyzes all utilization, self-report and clinical data...

Utilization Review Nurse

UT Southwestern Medical Center - 355 reviews - Dallas, TX 75390 (Northeast Dallas area)
Utilization Review Nurse. Consistently relates utilization assessment to payers that are needed to justify continued stay review and to obtain pre-certification...

Utilization Review Nurse-RN

UT Southwestern Medical Center - 355 reviews - Dallas, TX 75390 (Northeast Dallas area)
Utilization Review Nurse-RN. Consistently relates utilization assessment to payers that are needed to justify continued stay review and to obtain pre...

Sr Nurse Auditor

Children's Health - 43 reviews - Dallas, TX 75235 (Love Field area)
At least 2 years’ experience in utilization review, nurse audit or other clinical audit function required. LVN or Registered Nurse required....

Clinical Document Improvement Specialist - Part-time

Baylor Scott & White - 120 reviews - Carrollton, TX 75010
The Clinical Documentation Improvement Specialist validates the assigned working Diagnosis Related Group (DRG) to support the operations of Utilization Review...

RN - Inpatient Case Manager (part-time, weekends)

Veterans Affairs, Veterans Health Administration - 3,304 reviews - Dallas, TX
$54,423 - $118,991 a year
The incumbent will be supervised by the Nurse Manager for Utilization Management and Inpatient Case Management for Patient Administrative Service....
Registerd Nurse- Care Coordinator
Registerd Nurse- Care Coordinator. Collaborates with Social Work, Utilization Review, Clinical Documentation Specialists, and others as necessary to maximize...
Utilization Review Nurse-RN
Utilization Review Nurse-RN. Consistently relates utilization assessment to payers that are needed to justify continued stay review and to obtain pre...