Utilization Review Nurse jobs in Dallas, TX

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RN Quality Improvement Performance Specialist
StoneGate Care Team - Irving, TX
Current Licensure as a Registered Nurse. This review includes verification of appropriate coding, documentation, quality of care provided, visit utilization,...
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Sponsored by StoneGate Care Team - 7 days ago
Utilization RN / Registered Nurse
Supplemental Health Care 130 reviews - Dallas, TX
I have a Utilization Review position for an RN in Dallas,TX. Are you looking for a change?...
Sponsored by Supplemental HealthCare - 8 days ago
Medical Case Manager
CorVel - Addison, TX
Strong cost containment background, such as utilization review or managed care also useful. Registered nurse with current Texas license with 3+ years of...
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Sponsored by CorVel - 25 days ago

Utilization Management Nurse Consultant

LanceSoft Inc. - Plano, TX 75093
It includes utilization review of cases primarily from California and requires a Texas RN license. This position will be reporting to a customer site, AIG in...
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Preservice Review Nurse RN

UnitedHealth Group 1,921 reviews - Richardson, TX
Perform utilization and concurrent review using Milliman criteria. As a Preservice Review Nurse your duties will include:....

RN Care Coordinator Utilization Review (Evenings)

Baylor Scott & White Health 89 reviews - Dallas, TX
The Utilization Review Nurse provides clinical review against standard criteria for the purpose of evaluating medical necessity, regardless of payor type....

Utilization Review Nurse

AIG 450 reviews - Dallas, TX
Perform Utilization Review of workers' compensation claims, based on review criteria and protocols in accordance with state and regulatory agency compliance....

Compliance Auditor

Epic Health Services - Dallas, TX
The Compliance Auditor is accountable for a designated review caseload and plans effectively in order to meet review deadlines, and coordination of second level...
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Utilization Management Nurse Associate (LPN/LVN)

Aetna 460 reviews - Dallas, TX 75247 (Northwest Dallas area)
Nursing/Licensed Vocational Nurse (LVN)or Licensed Practical Nurse (LPN) required. Promotes/supports quality effectiveness of Healthcare Services and benefit...

LPN/RN Utilization Review Nurse

Medix Staffing Solutions Inc. - Plano, TX
Utilization review of cases. As a Utilization Review Nurse, you will be responsible for processing worker's compensation cases for Aetna's client AIG....

Registered Nurse (RN) - Clinical Health Services Supervisor

Aetna 460 reviews - Dallas, TX 75247 (Northwest Dallas area)
Nursing/Registered Nurse (RN) is required. Click here to review the benefits associated with this position....

Physician - Medical Review - Full Time

Concentra Inc. 373 reviews - Addison, TX
Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work, short...

Clinical Auditor

Baylor Scott & White Health 89 reviews - Dallas, TX
Prepares audit reports and reviews them with both Internal Audit and client management. Identifies opportunities for control and/or process improvements to...
Registered Nurse Case Manager
The Medical Center of Plano 18 reviews - Plano, TX
Performs utilization review ensuring admissions meet criteria for appropriateness of care and medical necessity. Registered Nurse Case Manager....
Sponsored by HCA Inc - 8 days ago
Preservice Review Nurse RN
UnitedHealth Group 1,921 reviews - Richardson, TX
Perform utilization and concurrent review using Milliman criteria. As a Preservice Review Nurse your duties will include:....
Sponsored by UnitedHealth Group - 1 day ago

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Company with Utilization Review Nurse jobs
18 reviews
Enjoy a career enhancement model with bonus potential, self-scheduling options and many ways to grow at our Magnet designated hospital.