Utilization Review Nurse jobs in Dallas, TX

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Clinical Appeals RN - Telecommute
UnitedHealth Group 1,745 reviews - Dallas, TX
Utilization review, UR, utilization management, UM, TPA, managed care, insurance, concurrent review, appeals, provider appeals, member appeals, RN, Registered...
Sponsored by UnitedHealth Group - 18 days ago
Clinical Appeals RN
United Health Group 1,745 reviews - Dallas, TX
Utilization review, UR, utilization management, UM, TPA,managed care, insurance, concurrent review, appeals, provider appeals, member appeals, RN, Registered...
Sponsored by NurseJobsNationwide.com - 22 days ago
RN Transition Care Manager
United Health Group 1,745 reviews - Dallas, TX
Case manager, care manager, registered nurse, Dallas, TX, Texas, RN,Inpatient, Registered Nurse. Knowledge of utilization management, quality improvement,...
Sponsored by NurseJobsNationwide.com - 10 days ago

Utilization Review Nurse

AIG 412 reviews - Dallas, TX
Perform Utilization Review of workers' compensation claims, based on review criteria and protocols in accordance with state and regulatory agency compliance....
1 day ago - save job - email - more...

RN Care Coordinator Utilization Review

Baylor Scott & White Health 4 reviews - Dallas, TX
The Utilization Review Nurse provides clinical review against standard criteria for the purpose of evaluating medical necessity, regardless of payor type....
Baylor Health Care - 15 days ago - save job - email - more...

Registered Nurse\Utilization Review Excel Lewisville

Universal Health Services - Lewisville, TX
The Utilization Review Registered Nurse is responsible for managing the treatment activities offered to patients, including the appropriate clinical screening...
4 days ago - save job - email - more...

Utilization Review Nurse

HealthSmart Care Management Solutions - Irving, TX
Training and/or experience in Utilization, Case or Quality Management. Reviews authorization activity and claim reports recommending placement in case...
HealthSmart - 13 days ago - save job - email - more...

Registered Nurse (RN) - Utilization Management Nurse Consult...

Aetna 422 reviews - Arlington, TX 76018 (Southeast area)
Knowledge of managed care and utilization review preferred. The nurse will telephonically review inpatient hospital admissions and assist with coordination of...
10 days ago - save job - email - more...

LVN Auditor

Christus Health 89 reviews - Irving, TX
The Revenue Integrity Nurse Auditor is responsible for reviewing medical records to determine whether documentation substantiates the medical necessity, quality...
1 day ago - save job - email - more...

Utilization Management Nurse Associate (LPN/LVN)

Aetna 422 reviews - Dallas, TX - +1 location
Nursing/Licensed Vocational Nurse (LVN)or Licensed Practical Nurse (LPN) required. Promotes/supports quality effectiveness of Healthcare Services and benefit...
4 days ago - save job - email - more...

RN Clinical Care Manager (Dallas)

Innovista Health Solutions - Dallas, TX
Perform telephonic and on-site concurrent review and/or admission review on all hospital/snf admissions. Knowledge/training in utilization and Medicare criteria...
Easily apply
5 days ago - save job - email - more...

RN Transition Care Manager for WellMed - Dallas, TX

UnitedHealth Group 1,745 reviews - Dallas, TX
Case manager, care manager, registered nurse, Dallas, TX, Texas, RN, Inpatient, Registered Nurse. Knowledge of utilization management, quality improvement,...
11 days ago - save job - email - more...

RN Transition Care Manager for WellMed

WellMed Medical Mgmt, Inc - Dallas, TX
Case manager, care manager, registered nurse, Dallas, TX, Texas, RN, Inpatient, Registered Nurse. Knowledge of utilization management, quality improvement,...
WellMed Medical Group - 11 days ago - save job - email - more...
RN Care Manager
United Health Group 1,745 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 NurseJobsNationwide.com - 10 days ago
Regional Case Manager - RN/CCM
Cornerstone Healthcare Group 18 reviews - Dallas, TX
In depth knowledge of case management, discharge planning, and utilization review practices and ability to incorporate successful current trends....
Sponsored by Cornerstone Healthcare Group - 30+ days ago

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Company with Utilization Review Nurse jobs
1,745 reviews
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