Utilization Review RN jobs in Dallas, TX

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RN - UTILIZATION MANAGEMENT
Department of Veterans Affairs 886 reviews - Dallas, TX
Qual criteria and the utilization management. Utilize critical thinking skills and sound judgment to ensure positive outcomes, maximize effective hospital...
Sponsored by Department of Veterans Affairs - 10 days ago
Clinical Appeals RN - Telecommute
UnitedHealth Group 1,820 reviews - Dallas, TX
Utilization review, utilization management, concurrent review, appeals, provider appeals, member appeals, RN, Registered Nurse, telecommute, home based, payer,...
Sponsored by UnitedHealth Group - 9 hours ago
Utilization Review Nurse
HealthCare Scouts, Inc. - Dallas, TX
Responsibilities of the Utilization Review Registered Nurse (RN) will include reviewing patient treatment plans in order to determine efficiency and medical...
Sponsored by Miracle Workers - 13 days ago

Nurse Charge Auditor- remote

Adreima - Dallas, TX
Experience in medical records review, claims processing or utilization/case management in a clinical practice or managed care organization....
6 days ago - save job - email - more...

Branch Manager - Telephonic Case Management

GENEX 68 reviews - Dallas, TX
Prior case management, utilization review, quality assurance or workers’ compensation experience required....
21 days ago - save job - email - more...

Med Mgmt Accred & Audit Coord

Blue Cross Blue Shield 1,422 reviews - Richardson, TX
3 years medical/surgical or psychiatric nursing experience, including 2 years utilization review or case management capacity....
HCSC - 5 days ago - save job - email - more...

Utilization Review Nurse

AIG 425 reviews - Dallas, TX
Perform Utilization Review of workers' compensation claims, based on review criteria and protocols in accordance with state and regulatory agency compliance....
5 days ago - save job - email - more...

Appeals RN, Utilization Management

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....
HealthSmart - 13 days ago - save job - email - more...

RN Care Coordinator Utilization Review

Baylor Scott & White Health 6 reviews - Dallas, TX
RN. 3+ years of acute inpatient case management / utilization review experience. The Utilization Review Nurse provides clinical review against standard criteria...
Baylor Health Care - 13 days ago - save job - email - more...

RN - UTILIZATION MANAGEMENT

Department of Veterans Affairs 886 reviews - Dallas, TX
Qual criteria and the utilization management. Utilize critical thinking skills and sound judgment to ensure positive outcomes, maximize effective hospital...
10 days ago - save job - email - more...

Case Manager ED-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....
HCA Inc - 11 days ago - save job - email - more...

RN Utilization Review

Christus Health 94 reviews - Irving, TX
Minimum of two years case management and/or utilization review experience. Current/Active Texas RN Licensure. Minimum of three years diverse clinical experience...
7 days ago - save job - email - more...

Data Outcomes Specialist

Baylor Scott & White Health 6 reviews - Dallas, TX
RN License. Clinical chart review and abstraction experience required.  Demonstrates appropriate utilization of resources necessary to obtain valid, reliable...
Baylor Health Care - 13 days ago - save job - email - more...
RN - CASE MANAGER - PRN - DAYS & WEEKENDS
Lake Pointe Medical Center 12 reviews - Rowlett, TX
RN:. Case Manager RN. RN - CASE MANAGER - PRN - DAYS & WEEKENDS. Current TX RN license required, American Heart Association Basic Life Support for the...
Sponsored by Tenet Healthcare - 30+ days ago
RN - ACC/Primary Care
Department of Veterans Affairs 886 reviews - Dallas, TX
Ability to perform medical record reviews, collate and report review findings and monitor day-to-day operations/processes within the clinic work setting....
Sponsored by Nurse.com - 3 days ago

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Company with Utilization Review RN jobs
1,820 reviews
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