Utilization Review RN jobs in Dallas, TX

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Clinical Appeals RN - Telecommute
UnitedHealth Group 1,665 reviews - Dallas, TX
Utilization review, UR, utilization management, UM, TPA, managed care, insurance, concurrent review, appeals, provider appeals, member appeals, RN, Registered...
Sponsored by UnitedHealth Group - 23 days ago
Regional Case Manager - RN/CCM
Cornerstone Healthcare Group 16 reviews - Dallas, TX
In depth knowledge of case management, discharge planning, and utilization review practices and ability to incorporate successful current trends....
Sponsored by Cornerstone Healthcare Group - 30+ days ago

Registered Nurse (RN) - Utilization Management Nurse Consult...

Aetna 400 reviews - Arlington, TX 76018 (Southeast area)
Knowledge of managed care and utilization review preferred. RN with a current, unrestricted Texas license....
7 hours ago - save job - email - more...

RN Quality Accreditation Specialist

Christus Health 85 reviews - Irving, TX
Experience Recent (1-2 years) Quality Improvement experience in quality management, regulatory compliance, utilization review, risk management, information...
6 days ago - save job - email - more...

Utilization Review Nurse

UT Southwestern Medical Center - Dallas - Dallas, TX
Current TX RN license; Current CPR certification RN, BSN; Consistently relates utilization assessment to payers that are needed to justify continued stay review...
13 days ago - save job - email - more...

Utilization Review Nurse

AIG 387 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...

UM Nurse Consultant

Aetna 400 reviews - Arlington, TX
The RN performs utilization review and management of bed days on Aetna Medicare members that are hospitalized in Skilled Nursing Facilities, Long Term Acute...
11 days ago - save job - email - more...

Medical Review RN

Quality Health Strategies - Dallas, TX
We have an exciting opportunity for an experienced Medical Review RN to join our Dallas-based ZPIC4 team....
18 days ago - save job - email - more...

Utilization Management Nurse

HealthSmart Care Management Solutions - Irving, TX
Experience in Utilization Review, Case Management or DM and in insurance preferred. Provide pre-procedure, pre-admission, admission, concurrent and...
HealthSmart - 26 days ago - save job - email - more...

BH Clinical Appeals Reviewer

Blue Cross Blue Shield 1,323 reviews - Richardson, TX
Experience in Utilization Management or audit. Analyzes appeals data, determine appeals decisions or prepare cases for Medical Director review....
HCSC - 7 days ago - save job - email - more...

Registered Nurse - Quality Improvement

VNA of Texas - Dallas, TX
$60,000 a year
Utilization Management Skill required. Through chart review, telephone surveys and other methods of data collection....
2 days ago - save job - email - more...

RN Care Case Manager

ABCBS 10 reviews - Dallas, TX
$57,900 a year
Utilization Management (Pre-cert./Pre-notification). Experience in case management, home health, critical care, medical/surgical, social work, and discharge...
Arkansas Blue Cross and Blue Shield - 3 days ago - save job - email - more...
Facility Based Behavioral Care Advocate - Richardson, TX
UnitedHealth Group 1,665 reviews - Richardson, TX
Administer benefits and review treatment plans. As a Behavioral/Mental Health Care Advocate you will be responsible for case management and utilization review...
Sponsored by UnitedHealth Group - 11 days ago
Manager Care Management for WellMed - Dallas, TX
UnitedHealth Group 1,665 reviews - Dallas, TX
Case manager, RN, manager case management, care manager, care management, CCM, managed care, rn manager, nurse manager, disease management, utilization...
Sponsored by UnitedHealth Group - 6 days ago
RN - Ophthalmology Clinic Manager
Department of Veterans Affairs 807 reviews - Dallas, TX
Practice, ethics and resource utilization, Professional Development:. Applying online will allow you to review and track the status of your application....
Sponsored by Nurse.com - 2 days ago

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Company with Utilization Review RN jobs
1,665 reviews
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