Utilization Review Nurse jobs in Dallas, TX

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UM Nurse
HCSC 24 reviews - Richardson, TX
This position is responsible for performing concurrent review and case management activities in accordance with... etc. *Knowledge of Utilization Management/Case...
Sponsored by HCSC - 30+ days ago
RN Care Case Manager
Arkansas Blue Cross and Blue Shield 10 reviews - Dallas, TX
Referral sources: • Utilization Management (Pre-cert... social work, and discharge planning or concurrent review. 5. Keyboarding skills. 6. Average PC navigation...
Sponsored by Arkansas Blue Cross and Blue Shield - 28 days ago

Registered Nurse (RN) Utilization Management (UM) Nurse Cons...

Aetna 333 reviews - Arlington, TX
The RN performs utilization review and management of bed days on Aetna Medicare members that are hospitalized in Skilled Nursing Facilities, Long Term Acute...
3 days ago - save job - email - more...

Utilization Management Nurse, RN

UnitedHealth Group 1,430 reviews - Richardson, TX
Click here to view the Realistic Job Preview:. Perform utilization management, utilization review, or concurrent review (on-site or telephonic inpatient care...
40 minutes ago - save job - email - more...

Quality Improvement RN

The Visiting Nurse Association of Texas - Dallas, TX
VNA is seeking a fulltime Quality Improvement ("QI Nurse") to Utilize AIM-PDSA methodology, develop, implement and evaluate a comprehensive, agency-wide...
1 day ago - save job - email - more...

Utilization Management Nurse

HealthSmart Care Management Solutions - Irving, TX
The position involves coordination of services to improve and maintain quality patient care and appropriate utilization of resources....
HealthSmart - 13 days ago - save job - email - more...

Nurse Auditor - Internal Audit

Children's Medical Center 70 reviews - Dallas, TX
At least 2 years experience in utilization review, nurse audit or other clinical audit function required. Two-year Associate's degree or equivalent experience...
6 days ago - save job - email - more...

Medicaid Clinical Health Service Supervisor

Aetna 333 reviews - Dallas, TX 75247 (Northwest Dallas area)
Candidate promotes communication, both internal and external, to enhance effectiveness of concurrent reviews....
13 days ago - save job - email - more...

RN Care Case Manager

Arkansas Blue Cross and Blue Shield 10 reviews - Dallas, TX
Registered Nurse with current state license and in good standing with clinical practice experience. CCM Certification required....
28 days ago - save job - email - more...

Appeals RN, Utilization Management

HealthSmart Care Management Solutions - Irving, TX
The Supervisor Utilization Management Nurse leads and manages the UM appeals process for compliance with URAC and PPACA....
HealthSmart - 8 days ago - save job - email - more...

CLINICAL DATA ABSTRACTOR Job

Methodist Health System 25 reviews - Dallas, TX
Current license in the State of Texas as a registered or licensed vocational nurse preferred. Related Work Experience and Other Skills....
10 hours ago - save job - email - more...

Registered Nurse (RN) - Clinical Health Service Supervisor

Aetna 333 reviews - Arlington, TX 76018 (Southeast area)
Functional - Nursing/Case Management/Care Coordination/Utilization Management or Review (current review or discharge planning)/1+ Years....
13 days ago - save job - email - more...
Quality Improvement RN
The Visiting Nurse Association of Texas - Dallas, TX
Quality Improvement ("QI Nurse") to Utilize AIM-PDSA... Program CEU - eligible learning activities Utilization Management / Skill desired. Responsibilities...
Sponsored by The Visiting Nurse Association of Texas - 1 day ago
Hospital Educator
Infinity MedStaff - Dallas, TX
and current Registered Nurse license in the state of... of progressively responsible experience in a utilization review environment is preferred. BENEFITS Our...
Sponsored by NurseJobsNationwide.com - 3 days ago
Registered Nurse (RN) - Director of Case Management
Centra Healthcare Solutions - Dallas, TX
identification and utilization of available resources... utilization management program including daily admission and inpatient concurrent review processes for...
Sponsored by Centra Healthcare Solutions - 2 days ago

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Company with Utilization Review Nurse jobs
10 reviews
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