Utilization Review Nurse jobs in Dallas, TX

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Regional Case Manager w/CDI - RN required
Cornerstone Healthcare Group - Dallas, TX
outcomes, maximize resource utilization, and improve... of case management, discharge planning, and utilization review practices and ability to incorporate...
Sponsored by Cornerstone Healthcare Group - 9 days ago
Clinical Documentation and Resource Utilization Nurse
LifeCare Hospitals of North Texas - Plano - Plano, TX
and Resource Utilization Nurse is responsible for... and supports strong utilization management functions, and monitors the utilization of clinical services...
Sponsored by LifeCareJobBoard.com - 30+ days ago

Registered Nurse (RN) - Remote Clinical Nurse Educator

Aetna 275 reviews - Dallas, TX 75219 (Oak Lawn area)
General Business/Applying Reasoned Judgment/ADVANCEDGeneral Business/Communicating for Impact/FOUNDATIONLeadership/Collaborating for Results/FOUNDATIONDESIRED...
2 days ago - save job - block - email - more...

Utilization Management Nurse

HealthSmart Care Management Solutions - Irving, TX
Unrestricted, active RN license for the state in which you work plus three years clinical experience. HealthSmart is an Equal Opportunity Employer....
HealthSmart - 3 days ago - save job - block - email - more...

Care Coordinator PRN Registered Nurse

Parkland Health & Hospital System 120 reviews - Dallas, TX
Must have four years of hospital or community based patient care nursing, preferably in assigned clinical area....
22 hours ago - save job - block - email - more...

RN Care Case Manager

ABCBS - Dallas, TX
3. A bachelors (or higher) degree in a health related field preferred. The incumbent's charge is to work with referrals from multiple sources to identify... $56,800 a year
Arkansas Blue Cross and Blue Shield - 24 days ago - save job - block - email - more...

RN Utilization Review Nurse - Bedford, Teaxs

Cigna 549 reviews - Bedford, TX
Determines whether services provided to plan members were actually medically necessary. Requires a RN with typically three years of clinical experience....
6 days ago - save job - block - email - more...

RN Utilization Review Nurse - Bedford, Texas

Cigna 549 reviews - Bedford, TX
Determines whether services provided to plan members were actually medically necessary. Requires a RN with typically three years of clinical experience....
6 days ago - save job - block - email - more...

Care Management Manager - RN required

Aetna 275 reviews - Dallas, TX 75219 (Oak Lawn area)
Identifies opportunities to implement best practice approaches and introduce innovations to better address the member''s needs....
8 days ago - save job - block - email - more...

Referral/Precertification Nurse

Christus Health 64 reviews - Irving, TX
Minimum of three years varied clinical experience ยท. Current/active Texas LVN licensure Prefer CPUR certification....
7 days ago - save job - block - email - more...

Clinical Health Services Manager - RN

Aetna 275 reviews - Dallas, TX 75219 (Oak Lawn area)
Communicates strategic plan and specific tactics to meet plan. Aetna does not permit the use of tobacco related products or drugs in the workplace....
9 days ago - save job - block - email - more...

RN OPC Transitional Care

Parkland Health & Hospital System 120 reviews - Dallas, TX
Must have four years of hospital or community based patient care nursing, preferably in assigned clinical area....
7 days ago - save job - block - email - more...
Supervisor, Case Management- WellMed ( DFW area)
UnitedHealth Group 1,164 reviews - Dallas, TX
Active Registered Nurse (RN) license in the... years experience in managed care and/or disease/utilization management with a minimum of three years at a...
Sponsored by CareerBuilder - 11 days ago
Nurse Site Reviewer
Allied Health Group 4 reviews - Dallas-Fort Worth, TX
Nurse (RN) OR Licensed Vocational Nurse (LVN/LPN) 2 years full time experience within Case Management, Utilization Review, or Nurse Instructing Reliable... $21 - $31 an hour
Sponsored by CareerBuilder - 23 days ago
Director, Care Management ( WellMed- Dallas/ Fort Worth area...
UnitedHealth Group 1,164 reviews - Dallas, TX
disease management, or utilization management field). - Eight or more years of experience in managed care and/or disease/utilization management with a minimum...
Sponsored by UnitedHealth Group - 1 day ago
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