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  - 28 days ago
Employee Health Nurse
Adeptus Health - 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 Dignity Health Arizona General Hospital  - 22 days ago
RN Director of Utilization and Case Management
Multiple Location Third Party Payor Company - Dallas, TX
Analysis and review for new business opportunities. Review all denials/appeals for appropriate documentation and turn-around time....
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Sponsored by Multiple Location Third Party Payor Company  - 28 days ago

Intake Coordinator

GENEX 71 reviews - Dallas, TX
Work closely with Utilization Management staff and registered nurses regarding case specific information....

Registered Nurse (RN) - Utilization Management (UM) Nurse Co...

Aetna 507 reviews - Arlington, TX 76018(Southeast area)
The Utilization Management Nurse Consultant duties include, but are not limited to, the following:. The Utilization Management Nurse Consultant works to...

Nurse Medical Management I/II - Dallas Area

Anthem, Inc. 600 reviews - Grand Prairie, TX
3-5 years acute care clinical experience or case management, utilization management or managed care experience....

Telephonic Case Manager RN - Richardson, TX

UnitedHealth Group 2,058 reviews - Richardson, TX
Experience in utilization review, concurrent review and/or risk management. RN Case Manager, Nurse Case Manager, CIDM, Richardson, TX, Texas....

Clinical Appeals RN - Telecommute

UnitedHealth Group 2,058 reviews - Dallas, TX
Utilization review, utilization management, concurrent review, appeals, provider appeals, member appeals, RN, Registered Nurse, telecommute, home based, payer,...

Case Manager Transitional Care

Parkland Health & Hospital System 220 reviews - Dallas, TX
Prefer case management, utilization review, home health care and/or discharge planning experience. Prefer American Nurses Credentialing Center (ANCC) Nursing...

Clinical Quality Review Spec

Blue Cross Blue Shield 1,612 reviews - Richardson, TX
Utilization management experience. Registered Nurse (RN) with unrestricted license in state of operations. This position is responsible for facilitating Member...

MANAGER UTILIZATION REVIEW

Methodist Health System 37 reviews - Dallas, TX
Provide primary support to Utilization Review Director in the utilization review process. This position is responsible for the daily operational management and...

Senior Clinical Practice Consultant - Telecommuter - Dallas,...

UnitedHealth Group 2,058 reviews - Dallas, TX
RN, Registered nurse, nurse, practice, private practice, clinical practice consultant, performance improvement, analyze, strategies, operational, Dallas, Austin...

Registered Nurse (RN) - Temporary Telephonic Utilization Rev...

Aetna 507 reviews - Arlington, TX - +1 location
May provide guidance and coaching to other utilization review nurses and participate in the orientation of newly hired utilization nurses....
RN Director of Utilization Management
Multiple Location Third Party Payor Company - Dallas, TX
Analysis and review for new business opportunities. Review all denials/appeals for appropriate documentation and turn-around time....
Easily apply
Sponsored by Multiple Location Third Party Payor Company  - 28 days ago
Clinical Appeals RN - Telecommute
UnitedHealth Group 2,058 reviews - Dallas, TX
Utilization review, utilization management, concurrent review, appeals, provider appeals, member appeals, RN, Registered Nurse, telecommute, home based, payer,...
Sponsored by UnitedHealth Group  - 7 days ago

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