Utilization Review Nurse jobs in Dallas, TX

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Quality Improvement RN
VNA of Texas - Dallas, TX
Quality Improvement ("QI Nurse") to Utilize AIM-PDSA... Program CEU - eligible learning activities Utilization Management / Skill desired. Responsibilities...
Sponsored by VNA of Texas - 30+ days ago
Case Manager - Registered Nurse
Bay Area Regional Medical Center - Texas
Conducts regular reviews for medical necessity of... Collaborates with payors and review organizations to ensure proper utilization of patient care resources...
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Sponsored by Bay Area Regional Medical Center - 16 days ago

Prebill Denials RN

Prebill Denial – Dallas - Irving, TX
Part-time
Job Summary – The Prebill Denials Nurse will review post discharge, prebill accounts that do not have an. authorization on file, ALOS versus days authorized...
HCA Inc - 7 hours ago - save job - email - more...

Utilization Review Nurse

American International Group 344 reviews - Dallas, TX
Perform Utilization Review of workers' compensation claims, based on review criteria and protocols in accordance with state and regulatory agency compliance....
6 days ago - save job - email - more...

Medical Record Coder

OrchestrateHR - Dallas, TX
We are currently looking for an Medical Record Coder to review, analyze and code diagnostic and procedural information....
6 days ago - save job - email - more...

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

Aetna 350 reviews - Arlington, TX 76018 (Southeast area)
The RN performs utilization review and management of bed days on Aetna Medicare members that are hospitalized in Skilled Nursing Facilities, Long Term Acute...
6 days ago - save job - email - more...

RN Care Case Manager

ABCBS 10 reviews - Dallas, TX
$56,800 a year
Registered Nurse with current state license and in good standing with clinical practice experience. CCM Certification required....
Arkansas Blue Cross and Blue Shield - 12 days ago - save job - email - more...

Licensed Utilization Management (UM) Nurse Associate - LPN /...

Aetna 350 reviews - Dallas, TX 75247 (Northwest Dallas area)
-Promotes/supports quality effectiveness of Healthcare Services and benefit utilization. -Utilizes clinical skills to support coordination, documentation and...
7 days ago - save job - email - more...

Utilization Management (UM) Nurse Associate (LPN /LVN)

Aetna 350 reviews - Dallas, TX 75247 (Northwest Dallas area)
-Promotes/supports quality effectiveness of Healthcare Services and benefit utilization. -Utilizes clinical skills to support coordination, documentation and...
7 days ago - save job - email - more...

Registered Nurse (RN) - Case Manager

Aetna 350 reviews - Arlington, TX 76018 (Southeast area)
A Nurse Case Manager, utilizing advanced clinical judgement and critical thinking skills, is responsible for telephonically assessing, planning, implementing...
3 days ago - save job - email - more...

Home Training Case Mgr

Renal Ventures Management, LLC 12 reviews - Dallas, TX
Documentation of patients initial training, changes to treatment prescription, kinetic evaluation, medication and lab review, monthly clinic visits, phone...
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3 days 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 - 26 days ago - save job - email - more...
Registered Nurse (RN) - Clinical Health Service Supervisor
Aetna 350 reviews - Arlington, TX
Nurse (RN) is required REQUIRED FUNCTIONAL EXPERIENCES Functional - Nursing/Case Management/Care Coordination/Utilization Management or Review (current review...
Sponsored by Aetna - 3 days ago
Telephonic Utilization Mangement Nurse RN - Texas
UnitedHealth Group 1,508 reviews - Dallas, TX
Nurse Primary Responsibilities: Perform utilization management, utilization review, or concurrent review... Nurse, UR, UM, Utilization Review, Utilization...
Sponsored by CareerBuilder - 8 days ago
Travel Registered Nurse Job - Case Mgt
Maxim Staffing 523 reviews - Dallas, TX
concurrent review of medical records, admissions status and/or length of stay, over under utilization and... a Registered Nurse / RN. The Registered Nurse assumes...
Sponsored by Miracle Workers - 3 days ago

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Company with Utilization Review Nurse jobs
VNA is looking for caring, compassionate, committed people to serve our clients' needs in their homes.