Utilization Review RN jobs in Dallas, TX

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RN Utilization Review Coordinator
Must hold current Texas RN license or is eligible from the Texas Board of Nurse Examiners. This position will be responsible for verifying medical necessity of...
RN Utilization Review (UR)
Performs utilization review ensuring admissions meet criteria for appropriateness of care and medical necessity....
Nurse Reviewer/Medical Review Nurse, RN
Is responsible for conducting concurrent and retrospective chart review for clinical, financial and resource utilization information....
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UTILIZATION REVIEW NURSE

UT Southwestern Medical Center - 274 reviews - Dallas, TX 75390 (Northeast Dallas area)
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 - 197 reviews - Irving, TX 75038
Minimum of two years case management and/or utilization review experience. Current/Active Texas RN Licenser. Minimum of three years diverse clinical experience...

Medical Reviewer III

Ansible Government Solutions, LLC - Dallas, TX
Assesses results of post-pay reviews conducted by Medical Review Nurses and ensures coordination of workflow between Program Integrity (PI) and Medical Review...

UM Clinical Consultant 38753BR

Aetna - 2,212 reviews - Dallas, TX
Managed care/utilization review experience preferred. Requires an RN with unrestricted active license. Click here to review the benefits associated with this...

Transition Coordinator (Foster Care)

Superior HealthPlan - 437 reviews - Dallas, TX
Experience in insurance and utilization review. Social Worker, LPN, LVN, or RN preferred. Ensure the timely and safe transition of members into or out of the...

CLINICAL REVIEW RN UM PRN

Texas Health Resources - 286 reviews - Arlington, TX 76011 (East area)
Texas Health Resources has an opportunity for a Clinical Review RN to work PRN weekend day shift, Saturday/Sunday, 8am to 4:30pm, in a Utilization Management...

Primary Nurse Case Administrator I (RN)

Blue Cross Blue Shield of IL, MT, NM, OK & TX - 17 reviews - Dallas, TX
The Primary Nurse Coordinator performs concurrent review, discharge planning and care coordination; This position is responsible for performing all functions of...

Treatment Manager I

Green Oaks Behavioral Healthcare Service - Dallas - Dallas, TX
Manages the utilization of services through concurrent reviews with payors and/or through internal reviews. Prefer RN license or CRT....

RN Case Manager - Outpatient Services - Dallas, TX - $3k Sig...

UnitedHealth Group - 5,368 reviews - Dallas, TX 75215 (South Boulevard-Park Row area)
Knowledge of utilization management, quality improvement, discharge planning, and cost management. The Case Manager will participate in integrated care team...

RN Utilization Review Coordinator

Texas Scottish Rite Hospital for Children - 26 reviews - Dallas, TX 75219 (Oak Lawn area)
Must hold current Texas RN license or is eligible from the Texas Board of Nurse Examiners. This position will be responsible for verifying medical necessity of...
UTILIZATION REVIEW NURSE PRN
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
Current TX RN license; Current CPR certification RN, BSN; Consistently relates utilization assessment to payers that are needed to justify continued stay review...

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