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  - 30 days ago
RN CASE MANAGER - FT Days (8am - 5pm) - $5000/- Sign-on Bonu...
Doctors Hospital at White Rock Lake 3 reviews - 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  - 25 days ago
Case Manager-Case Management
Medical City - Dallas - Dallas, TX
Performs utilization review ensuring admissions meet criteria for appropriateness of care and medical necessity. Current licensure as an RN....
Sponsored by HCA Inc  - 30+ days ago

Registered Nurse (RN) - Utilization Management (UM) Nurse Co...

Aetna 507 reviews - Arlington, TX 76018(Southeast area)
Utilization Management experience highly preferred. Click here to review the benefits associated with this position....

RN -Team Leader Nursing - Center for Cancer and Blood Disord...

Children's Medical Center 100 reviews - Dallas, TX
Meets quarterly with staff to review PEAC goals. Contributes to the department’s financial objectives through the effective management of the unit’s utilization...

Nurse Medical Management I/II - Dallas Area

Anthem, Inc. 600 reviews - Grand Prairie, TX
Current unrestricted RN license in applicable state(s) required. 3-5 years acute care clinical experience or case management, utilization management or managed...

Clinical Quality Review Spec

Blue Cross Blue Shield 1,612 reviews - Richardson, TX
Utilization management experience. This position is responsible for facilitating Member and Provider Appeals;...

RN Pharmacy

Sedgwick Claims Management Services 241 reviews - Irving, TX
Performs drug utilization reviews through the pharmacy benefit manager or vendor. Active RN license(s) required....

RN Team Leader - Quality Assurance

Cygnet Health Recruiters - Dallas, TX
This review includes verification of appropriate documentation, quality of care provided, visits utilization, appropriate contacts with physicians, adherence to...

Preservice Review Nurse, RN - Richardson, TX

UnitedHealth Group 2,059 reviews - Richardson, TX
RN, Registered Nurse, UR, UM, Pre-Authorization, Utilization Review, Utilization Management, Concurrent Review, Milliman, Interqual, Managed Care, Insurance,...

Registered Nurse (RN) - Temporary Telephonic Utilization Rev...

Aetna 507 reviews - Dallas, TX 75244 - +1 location
Performs utilization review activities including pre-certification, concurrent, and retrospective reviews according to guidelines....

RN Team Leader - Neonatal Intensive Care - Full-time, Days

Children's Medical Center 100 reviews - Dallas, TX
Meets quarterly with staff to review PEAC goals. This position is a full-time, 7a-7p Team Leader RN position in the Neonatal Intensive Care Department....

Lead Medical Review RN - Audit MIC - Office or Home-based

Quality Health Strategies - Dallas, TX
Healthcare experience that demonstrates expertise in conducting utilization reviews, ICD-9 coding, CPT coding, and knowledge of Medicare and/or Medicaid...
RN - Case Manager
Vibra Healthcare - DeSoto, TX
Knowledgeable in utilization review, medical terminology, appropriate levels of care, treatment, modalities, statues, and healthcare delivery models....
Sponsored by Vibra Healthcare  - 30+ days ago
RN Case Manager
Multiple Location Third Party Payor Company - Dallas, TX
Active RN license. Training and/or experience in Utilization, Case or Quality Management. Reviews authorization activity and claim reports recommending...
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Sponsored by Multiple Location Third Party Payor Company  - 30 days ago

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Company with Utilization Review RN jobs
Exceptional customer service is the cornerstones of Medical City—you’ll find we are committed to friendly smiles and a willingness to help.