Utilization Review Nurse jobs in Dallas, TX

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Utilization Review Nurse
Multiple Location Third Party Payor Company - Dallas, TX
Experience in Utilization Review, Case Management or DM insurance preferred. Provide pre-procedure, pre-admission, admission, concurrent and retrospective...
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Sponsored by Multiple Location Third Party Payor Company
RN Case Manager I
The Guardian Life Insurance Company Of America 3 reviews - Dallas, TX
The Nurse Case. Follows best practices for developing reviews and sharing feedback. Review and assess claimant subjective reports and objective medical....
Sponsored by Guardian Life Insurance Company
Senior Clinical Practice Consultant - Telecommuter - Dallas,...
UnitedHealth Group 2,130 reviews - Dallas, TX
RN, Registered nurse, nurse, practice, private practice, clinical practice consultant, performance improvement, analyze, strategies, operational, Dallas, Austin...
Sponsored by UnitedHealth Group

Utilization Management/Review RN

Children's Health 6 reviews - Dallas, TX
Minimum 1 year Utilization Review or Case Management experience, required. Registered Nurse, required. The Utilization Management Nurse is responsible for...

RN Care Coordinator Utilization Review

Baylor Scott & White Health 105 reviews - Dallas, TX
The Utilization Review Nurse provides clinical review against standard criteria for the purpose of evaluating medical necessity, regardless of payor type....

Care Coordinator UM/CM II

Blue Cross Blue Shield 1,658 reviews - Richardson, TX
Knowledge of clinical utilization management/case management activities and standardized criteria set. Registered Nurse (RN) with current, valid, unrestricted...

Utilization Review Nurse

AIG 508 reviews - Dallas, TX
Perform Utilization Review of workers' compensation claims, based on review criteria and protocols in accordance with state and regulatory agency compliance....

Registered Nurse, Utilization Management Appeals

HealthSmart Care Management Solutions - Irving, TX
The Supervisor Utilization Management Nurse leads and manages the UM appeals process for compliance with URAC and PPACA....

Appeal and Auditor Nurse

Praxis Healthcare Solutions - Plano, TX
Licensed Registered Nurse. Perform medical chart review for charge capture accuracy. Direct experience in medical chart review for inpatient providers preferred...
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Clinical Quality Review Spec

Blue Cross Blue Shield 1,658 reviews - Richardson, TX
Utilization management experience. Registered Nurse (RN) with unrestricted license in state of operations. This position is responsible for facilitating Member...

Nurse Medical Management I/II - Houston or Dallas

Anthem, Inc. 616 reviews - Grand Prairie, TX
The ideal candidate must have acute care and utilization review experience. 3-5 years acute care clinical experience or case management, utilization management...

Utlilization 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....

Workers Compensation Concierge Nurse - Ft. Worth

The Travelers Companies, Inc. 3 reviews - Richardson, TX
For nurses handling Workers Compensation Claims, perform Utilization Review according to established guidelines....
Appeal and Auditor Nurse
Praxis Healthcare Solutions - Plano, TX
Licensed Registered Nurse. Perform medical chart review for charge capture accuracy. Direct experience in medical chart review for inpatient providers preferred...
Easily apply
Sponsored by Praxis Healthcare Solutions
Employee Health Nurse
Facility Corporate - Lewisville, TX
Oversee the appropriate utilization of employee health services and resources; Certified Occupational Health Nurse (COHN) or Certified Occupational Health Nurse...
Sponsored by Adeptus Health

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Company with Utilization Review Nurse jobs
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