Utilization Review Nurse jobs in Dallas, TX

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Five (5) years of clinical experience as a Registered Nurse, including at least 2 years performing utilization review, charge audit, case management or denial...
QA Nurse Coordinator
Teladoc - Lewisville, TX
Managing Nurse Queue. Review, research and report all member complaints and inquiries, sample and review provider consults for documentation standards, and...
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Manager of Service Coordination - Health Plan
Completes quality audit reviews for all assigned staff. Certified Case Management (CCM), Utilization Management Certification, preferred....

Utilization Management RN - Health Plan

Children's Health - 14 reviews - Dallas, TX
Perform utilization review to include pre-certification, concurrent and retrospective review according to established guidelines....

Utilization Management RN-Patient Administration Service

Department Of Veterans Affairs - 1,689 reviews - Dallas, TX
$53,885 - $112,193 a year
The staff nurse in Utilization. Stay review process follow utilization review guidelines and VHA Directive and....

UM Nurse Associate

Aetna - 1,539 reviews - Arlington, TX 76003 (Southwest area)
Nursing/Registered Nurse is required. The UM Nurse Associate also applies critical thinking and knowledge in clinically appropriate treatment, evidence based...

RN Utilization Review Nurse

CHRISTUS Health - 134 reviews - Irving, TX 75038
Minimum of two years case management and/or utilization review experience. Is responsible for clinical review of all requested services for appropriateness...

Concurrent Review Nurse I

Superior Health Plan - 21 reviews - Dallas, TX
Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case...

Clinical Nurse Auditor

Adreima - 60 reviews - Plano, TX
Experience in medical records review, claims processing or utilization/case management in a clinical practice or managed care organization....

RN Utilization Review

Baylor Scott & White Health - 161 reviews - Dallas, TX 75215 (South Boulevard-Park Row area)
The Utilization Review Nurse is a registered nurse who provides clinical review against standard criteria for the purpose of evaluating medical necessity for...

Utilization Review Educational Specialist

Baylor Scott & White Health - 161 reviews - Dallas, TX 75215 (South Boulevard-Park Row area)
Performs quality audits of staff utilization reviews. Under the direction of the Director Clinical Resource Management, the Utilization Review Education...


Department Of Veterans Affairs - 1,689 reviews - Dallas, TX
$53,885 - $112,193 a year
Utilization, Professional Development:. G-6 NURSE QUALIFICATION STANDARD. Ability to perform medical record reviews,....

Care Coordinator Registered Nurse FT FSS or SSM Weekends

Parkland Health & Hospital System - 271 reviews - Dallas, TX
Prefer case management, utilization review, and/or discharge planning experience. Responsible for the maintaining the knowledge and skill set related to...
RN Staffing Supervisor - Night Shift
Analyzes staffing resource utilization especially unfilled staffing needs. Experience and Education Three to five years RN experience, two years charge nurse...
Utilization Review Registered Nurse opening in Dallas, Texas
Aya Healthcare Inc. - Dallas, TX
Aya Healthcare has an amazing opportunity for Utilization Review Registered Nurses in Dallas, Texas.This is a 13 week contract position....

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Utilization Review Nurse salaries in Dallas, TX

$75,468 per year

1.4% lower than national average


Salary data based on 5 employees and 9 jobs