Utilization Review Nurse jobs in Dallas, TX

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RN Care Coordinatior Utilization Review PRN
Baylor Scott & White Health 94 reviews - Dallas, TX
The Utilization Review Nurse provides clinical review against standard criteria for the purpose of evaluating medical necessity, regardless of payor type....
Sponsored by Baylor Scott & White Health - 30+ days ago
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...
Easily apply
Sponsored by Multiple Location Third Party Payor Company - 4 days ago
Registered Nurse Case Manager
The Medical Center of Plano 18 reviews - Plano, TX
Performs utilization review ensuring admissions meet criteria for appropriateness of care and medical necessity. Registered Nurse Case Manager....
Sponsored by HCA Inc - 30+ days ago

Utilization Review Nurse

AIG 461 reviews - Dallas, TX
Perform Utilization Review of workers' compensation claims, based on review criteria and protocols in accordance with state and regulatory agency compliance....

RN Care Coordinator Utilization Review Weekends

Baylor Scott & White Health 94 reviews - Dallas, TX
The Utilization Review Nurse provides clinical review against standard criteria for the purpose of evaluating medical necessity, regardless of payor type....

Utilization Management RN with Advance Healthcare and Stafin...

Advance Healthcare and Stafing - Arlington, TX
Utilization Review, Skilled Nursing Facility (SNF) Case management/discharge planning. 2 years of experience in acute hospital or SNF utilization review and...

Utilization Review Nurse

HealthSmart Care Management Solutions - Irving, TX
Experience in Utilization Review, Case Management or DM insurance preferred. Provide pre-procedure, pre-admission, admission, concurrent and retrospective...

Care Coordinator

NaviHealth 16 reviews - Dallas, TX
Complete Utilization Management functions for authorizations. The health care team includes physicians, health plan UM/CM Nurse, hospital discharge planners,...

Med Mgmt Accred & Audit Coord

Blue Cross Blue Shield 1,529 reviews - Richardson, TX
3 years medical/surgical or psychiatric nursing experience, including 2 years utilization review or case management capacity....

Telephonic Case Manager RN - Richardson, TX

UnitedHealth Group 1,981 reviews - Richardson, TX
Experience in utilization review, concurrent review and/or risk management. RN Case Manager, Nurse Case Manager, CIDM, Richardson, TX, Texas....

RN Care Coordinator Utilization Review Evenings

Baylor Scott & White Health 94 reviews - Dallas, TX
The Utilization Review Nurse provides clinical review against standard criteria for the purpose of evaluating medical necessity, regardless of payor type....

Manager of RN Case Management - Richardson or Houston TX - T...

UnitedHealth Group 1,981 reviews - Richardson, TX
Experience in utilization review, concurrent review and/or risk management. Clinical, RN Manager, registered nurse, Field Case....

Hospital Educator RN

United Surgical Partners International 18 reviews - Dallas, TX
Two years of progressively responsible experience in a utilization review environment is preferred. Current licensure as a Registered Nurse in the State of...
Medical Case Manager
CorVel - Addison, TX
Strong cost containment background, such as utilization review or managed care also useful. Registered nurse with current Texas license with 3+ years of...
Easily apply
Sponsored by CorVel - 30+ days ago
RN Field Case Manager for WellMed, Dallas, TX $3,000 Sign-on...
UnitedHealth Group 1,981 reviews - Dallas, TX
Registered Nurse with current licensure to practice in the applicable state. Knowledge of utilization management, quality improvement, discharge planning, and...
Sponsored by UnitedHealth Group - 22 days ago

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Company with Utilization Review Nurse jobs
18 reviews
Enjoy a career enhancement model with bonus potential, self-scheduling options and many ways to grow at our Magnet designated hospital.