Utilization Review RN jobs in Dallas, TX

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UM Nurse
HCSC 25 reviews - Richardson, TX
This position is responsible for performing concurrent review and case management activities in accordance with... Registered Nurse (RN) with current, valid...
Sponsored by HCSC - 30+ days ago
Quality Improvement RN
The Visiting Nurse Association of Texas - Dallas, TX
Program CEU - eligible learning activities Utilization Management / Skill desired. Responsibilities... Oversees medical record review and coding processes...
Sponsored by The Visiting Nurse Association of Texas - 7 days ago

Utilization Review Nurse

American International Group 330 reviews - Dallas, TX
Perform Utilization Review of workers' compensation claims, based on review criteria and protocols in accordance with state and regulatory agency compliance....
2 days ago - save job - email - more...

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

Aetna 336 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...
5 days ago - save job - email - more...

Case Manager-Case Management

Medical City - Dallas - Dallas, TX
RN with at least 5 years clinical experience in an acute care environment. Case Manager certification by case management accreditation board preferred....
HCA Inc - 8 days ago - save job - email - more...

RN - CM/UM

Universal American (UAM) - Dallas, TX
This individual will facilitate pre-certification, concurrent review, discharge planning and case management as assigned....
9 days ago - save job - email - more...

RN Utilization Review

Christus Health 80 reviews - Irving, TX
• Minimum of three years diverse clinical experience as RN. • Minimum of two years case management and/or utilization review experience....
14 days ago - save job - email - more...

Quality Compliance Manager

American Heart Association 120 reviews - Dallas, TX
Communicate professionally and effectively with consultants, clinical directors, senior management, clinicians and colleagues, internally and at all levels in...
5 hours ago - save job - email - more...

Quality Improvement RN

The Visiting Nurse Association of Texas - Dallas, TX
PDSA methodology, develop, implement and evaluate a comprehensive, agency-wide continuous quality assessment and improvement program to meet internal and...
7 days ago - save job - email - more...

Registered Nurse (RN) - Case Manager

Aetna 336 reviews - Arlington, TX 76018 (Southeast area)
Through assessment and member-centered care planning, direct provider coordination/collaboration, and coordination of psychosocial services, the Care Manager...
17 hours ago - save job - email - more...

Utilization Management Nurse, RN

UnitedHealth Group 1,433 reviews - Richardson, TX
Want to learn more before applying for this role?. Click here to view the Realistic Job Preview:. Perform utilization management, utilization review, or...
6 days ago - save job - email - more...

Case Management Manager

University General Hospital - Dallas - Dallas, TX 75224 (Southwest Dallas area)
Monitors and evaluates the effective utilization of health care resources and assumes a leadership role with the interdisciplinary team to achieve optimal...
1 day ago - save job - email - more...
Utilization Management Nurse, RN
UnitedHealth Group 1,433 reviews - Richardson, TX
pdf Utilization Management Nurse responsibilities include: Perform utilization management, utilization review, or concurrent review (on-site or telephonic...
Sponsored by UnitedHealth Group - 6 days ago
Preservice Review Nurse (RN required) ~ Richardson, TX
UnitedHealth Group 1,433 reviews - Richardson, TX
BUS HWY RICHARDSON, TX 55310 The Preservice Review RN (Spine and Joint Surgery) will be responsible for... RN license in the state of Texas 3+ years of RN...
Sponsored by UnitedHealth Group - 3 days ago
Data Outcomes Specialist
Baylor Health Care System 54 reviews - Dallas, TX
test.  RN License  Minimum one year experience in hospital surgery department, surgery clinic, clinical research or medical records. Clinical chart review and...
Sponsored by Baylor Health Care - 16 days ago

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1,433 reviews
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