Utilization Review RN jobs in Dallas, TX

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Utilization Review Nurse
Multiple Location Third Party Payor Company - Dallas, TX
Experience in Utilization Review, Case Management or DM insurance preferred. Do you have an active RN licence in Texas?:....
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Sponsored by Multiple Location Third Party Payor Company
RN Case Manager I
The Guardian Life Insurance Company Of America 3 reviews - Dallas, TX
Utilization of independent. Follows best practices for developing reviews and sharing feedback. Review and assess claimant subjective reports and objective...
Sponsored by Guardian Life Insurance Company
RN Director of Utilization Management
Multiple Location Third Party Payor Company - Dallas, TX
The RN Director of Utilization Management leads and manages day to day operations of all the RN Utilization Nursing staff and support staff....
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Sponsored by Multiple Location Third Party Payor Company

Clinical Quality Review Spec

Blue Cross Blue Shield 1,658 reviews - Richardson, TX
Utilization management experience. This position is responsible for facilitating Member and Provider Appeals;...

Utilization Management/Review RN

Children's Health 6 reviews - Dallas, TX
Minimum 1 year Utilization Review or Case Management experience, required. Performs discharge review of all patients discharged within 72 hours of inpatient...

Utilization Review Nurse

AIG 508 reviews - Dallas, TX
Perform Utilization Review of workers' compensation claims, based on review criteria and protocols in accordance with state and regulatory agency compliance....

Nurse Medical Management I/II - Houston or Dallas

Anthem, Inc. 616 reviews - Grand Prairie, TX
The ideal candidate must have acute care and utilization review experience. Current unrestricted RN license in applicable state(s) required....

Registered Nurse, Utilization Management Appeals

HealthSmart Care Management Solutions - Irving, TX
Clinical staff audits, appeal productivity analysis and review. Review all denials/appeals for approriate documentation and turn-around time....

RN Care Coordinator Utilization Review

Baylor Scott & White Health 105 reviews - Dallas, TX
RN, BSN CCM or ACM certification 3+ years of acute inpatient case management / utilization review experience Strong Interqual knowledge....

Carrollton Springs - Utilization Review Specialist

Springstone - Carrollton, TX 75010
Utilization Review Specialist. Utilization review experience in a hospital, outpatient, and managed care setting....

Clinical Review Specialist UM Job

Texas Health Resources 153 reviews - Arlington, TX
Supports utilization management/ denials and appeals activities under the direction of the UM RN or Denials and Appeals RN:....

Care Coordinator Registered Nurse

Parkland Health & Hospital System 222 reviews - Dallas, TX
Prefer case management, utilization review, and/or discharge planning experience. Must have current, valid RN license or temporary RN license from the Texas...

Behavioral Health Care Coordinator

Blue Cross Blue Shield 1,658 reviews - Richardson, TX
Utilization review experience. This position is responsible for ensuring accurate and timely clinical review of behavioral health cases for medical necessity...
RN Director of Utilization and Case Management
Multiple Location Third Party Payor Company - Dallas, TX
He RN Director of Utilization Management and Case Management leads and manages day to day operations of all the RN Utilization and Case Management Nursing staff...
Easily apply
Sponsored by Multiple Location Third Party Payor Company
RN CASE MANAGER - FT Days (8am - 5pm) - $5000/- Sign-on Bonu...
Doctors Hospital at White Rock Lake - Dallas, TX
RN Case Manager - Case Management. RN CASE MANAGER - FT Days (8am - 5pm) - $5000/- Sign-on Bonus. Doctors Hospital at White Rock Lake is inviting applications...
Sponsored by Tenet Healthcare

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