Utilization Review RN jobs in Dallas, TX

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Care Coordinator II, Case Management - JBS - BCBSTX
Blue Cross Blue Shield 1,202 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
Utilization Management Nurse, RN ~ Texas
UnitedHealth Group 1,487 reviews - Dallas, TX
utilization management, utilization review, or... RN, Registered Nurse, UR, UM, Utilization Review, Utilization Management, Concurrent Review, Milliman...
Sponsored by UnitedHealth Group - 16 days ago

Behavioral Health Care Coordinator

Blue Cross Blue Shield 1,202 reviews - Richardson, TX
This position is responsible for ensuring accurate and timely clinical review of behavioral health cases for medical necessity including assisting members on...
HCSC - 14 hours ago - save job - email - more...

Utilization Review Nurse

American International Group 343 reviews - Dallas, TX
Perform Utilization Review of workers' compensation claims, based on review criteria and protocols in accordance with state and regulatory agency compliance....
10 days ago - save job - email - more...

Care Coordinator RN

Parkland Health & Hospital System 159 reviews - Dallas, TX
Responsible for the maintaining the knowledge and skill set related to utilization review, care coordination, performance improvement and professional licensure...
22 hours ago - save job - email - more...

Telephonic Utilization Management RN - Work from Home in Tex...

UnitedHealth Group 1,487 reviews - Dallas, TX
RN, Registered Nurse, Utilization Management, Case Management, Utilization Review, Work From Home, Texas, TX, Dallas, Houston, Austin....
4 days ago - save job - email - more...

Preservice Review Nurse RN ~ Richardson, TX

UnitedHealth Group 1,487 reviews - Richardson, TX
Healthcare is currently hiring for a Preservice Review Nurse RN in Richardson, TX. The Preservice Review Nurse RN will be responsible for, but not limited to...
1 day ago - save job - email - more...

RN Utilization Review Nurse - Onsite - Bedford, Texas

CIGNA 688 reviews - Bedford, TX
Responsible for the effective and sufficient support of all utilization activities according to policies and procedures....
3 days ago - save job - email - more...

Utilization Management Nurse, RN ~ Texas

UnitedHealth Group 1,487 reviews - Dallas, TX
RN, Registered Nurse, UR, UM, Utilization Review, Utilization Management, Concurrent Review, Milliman, Interqual, Managed Care, Insurance, Case Management, Case...
16 days ago - save job - email - more...

Disease Management Case Manager, RN - Dallas, TX

UnitedHealth Group 1,487 reviews - Dallas, TX
Learn more, and start doing your life's best work. As Disease Management Case Manager RN , you will drive positive outcomes by supporting a diverse member...
2 days ago - save job - email - more...

Utilization Management Nurse

HealthSmart Care Management Solutions - Irving, TX
Serves as a liaison between the hospital and all external payers on issues related to intensity of service and severity of illness for members....
HealthSmart - 15 days ago - save job - email - more...

Supervisor Utilization Review

American International Group 343 reviews - Dallas, TX
The primary responsibility of this position is to manage the daily operations of the Utilization Review unit, including evaluation of data, quality assurance,...
10 days ago - save job - email - more...
RN Care Case Manager
Arkansas Blue Cross and Blue Shield 10 reviews - Dallas, TX
Referral sources: • Utilization Management (Pre-cert... social work, and discharge planning or concurrent review. 5. Keyboarding skills. 6. Average PC navigation...
Sponsored by Arkansas Blue Cross and Blue Shield - 2 days ago
Preservice Review Nurse (RN required) ~ Richardson, TX
UnitedHealth Group 1,487 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 hours ago
Quality Improvement RN
VNA of Texas - Dallas, TX
Program CEU - eligible learning activities Utilization Management / Skill desired. Responsibilities... Oversees medical record review and coding processes...
Sponsored by VNA of Texas - 30 days ago

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Company with Utilization Review RN jobs
1,487 reviews
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