Utilization Review RN jobs in Dallas, TX

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Regional Case Manager - RN/CCM
Cornerstone Healthcare Group - 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 - 8 days ago
REGISTERED NURSE (ACOS/EDUCATION)
Department of Veterans Affairs 908 reviews - Dallas, TX
Practice, ethics and resource utilization, Professional Development:. Applying online will allow you to review and track the status of your application....
Sponsored by Nurse.com - 6 days ago
RN - Same Day Surgery
Department of Veterans Affairs 908 reviews - Dallas, TX
Practice, ethics and resource utilization, Professional Development:. Applying online will allow you to review and track the status of your application....
Sponsored by Nurse.com - 9 days ago

UTILIZATION REVIEW NURSE

UT Southwestern Medical Center - Dallas - Dallas, TX
Current TX RN license; Current CPR certification RN, BSN; Consistently relates utilization assessment to payers that are needed to justify continued stay review...

Utilization Review Nurse

AIG 437 reviews - Dallas, TX
Perform Utilization Review of workers' compensation claims, based on review criteria and protocols in accordance with state and regulatory agency compliance....

Utlilization Review Nurse

UT Southwestern Medical Center - Dallas - Dallas, TX
Current TX RN license; Current CPR certification RN, BSN; Consistently relates utilization assessment to payers that are needed to justify continued stay review...

RN Utilization Review

CHRISTUS Health 97 reviews - Irving, TX
€¢ Minimum of two years case management and/or utilization review experience. €¢ Current/Active Texas RN Licensure....

RN Care Review Clinician II

Molina Healthcare 125 reviews - Irving, TX
Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review....

Medical Case Manager

Broadspire 24 reviews - Dallas, TX
RN and Driver's License in good standing. May review files for claims adjusters and supervisors. Reviews cases with supervisor monthly to evaluate files and...

Quality Improvement Coordinator

CHRISTUS Health 97 reviews - Irving, TX
Reviews data for trends regularly. This includes maintaining the document review schedule and notifying the process owners when documents are due for review....

Registered Nurse (RN) - Clinical Health Services Supervisor

Aetna 448 reviews - Dallas, TX
Click here to review the benefits associated with this position. Application and/or interpretation of appropriate clinical criteria and guidelines to reviews....

RN Care Case Manager

ABCBS 14 reviews - Dallas, TX
Utilization Management (Pre-cert./Pre-notification). Experience in case management, home health, critical care, medical/surgical, social work, and discharge...

Preservice Review Nurse, RN - Richardson, TX

UnitedHealth Group 1,874 reviews - Richardson, TX
RN, Registered Nurse, UR, UM, Pre-Authorization, Utilization Review, Utilization Management, Concurrent Review, Milliman, Interqual, Managed Care, Insurance,...
Preservice Review Nurse, RN - Richardson, TX
UnitedHealth Group 1,874 reviews - Richardson, TX
RN, Registered Nurse, UR, UM, Pre-Authorization, Utilization Review, Utilization Management, Concurrent Review, Milliman, Interqual, Managed Care, Insurance,...
Sponsored by UnitedHealth Group - 20 days ago
Case Manager RN--FULL TIME
South Dallas - Dallas, TX
Collaborates with payors and review organizations to ensure proper utilization of patient care. Current RN license required....
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Sponsored by South Dallas - 28 days ago

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Company with Utilization Review RN jobs
At Cornerstone Healthcare Group, our employees are our greatest assets. You can make a difference in the lives of our patients.