Utilization Reviewer jobs in Dallas, TX

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Healthcare Quality HEDIS Reviewer
Silverback Quality - Fort Worth, TX
$19.23 an hour
Utilization of various Electronic Medical Record (EMR) Systems in a “read only” access and the ability to identify accurate supplemental data....
Easily apply
Behavioral Health Case Manager
HealthSmart Care Management Solutions - Irving, TX
Active RN license - Training and/or experience in Utilization, Case or Quality Management - 1-3 years experience in hospital or other clinical setting-...
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NICU Case Manager
HealthSmart Care Management Solutions - Irving, TX
Active RN license - Training and/or experience in Utilization, Case or Quality Management - 1-3 years experience in hospital or other clinical setting-...
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Long Term Care Case Manager - (RN license required)
HealthSmart Care Management Solutions - Irving, TX
Active RN license - Training and/or experience in Utilization, Case or Quality Management - 1-3 years experience in hospital or other clinical setting-...
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Utilization Review Nurse (Local/Remote)

ezURs.com Inc - Dallas-Fort Worth, TX
Claims/Medical Terminology and Utilization Review/Peer Review background. Performs quality assurance of file reviews submitted by physician reviewers....
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UR First Level Reviewer

AIG - 2,260 reviews - Dallas, TX
Document utilization decisions in appropriate system data fields focusing on data integrity. The primary responsibility of this position is to perform...

Nurse Reviewer, Utilization 2

Mitchell International, Inc. - 8 reviews - Richardson, TX
Understands and complies with applicable URAC workers’ compensation utilization management standards. Performs utilization review on workers compensation...

Utilization Review Coordinator- FT

Sundance Behavioral Healthcare - 16 reviews - Arlington, TX 76001 (Southwest area)
Job Functions – Utilization Review. Communicate with external reviewers and referral sources. Provide clinical precertification information to patients, managed...
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CASE MANAGER

Healthsmart Preferred Care - 13 reviews - Irving, TX
Training and/or experience in Utilization, Case or Quality Management. Provides educational opportunities to the UM staff including consultation and support to...

Director of Operations

ezURs.com Inc - Dallas-Fort Worth, TX
Reviewer coordination and relation. Supervision and development of Peer Reviewers. Maintains client contractual compliance and Utilization Review Accreditation...
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Nurse Reviewer, RN-SNF / Home Health/ Hospice

Cantex Continuing Care Network - 85 reviews - Carrollton, TX
The Nurse Reviewer is responsible for conducting concurrent and retrospective chart review for clinical, financial and resource utilization information....
Nurse Reviewer, RN Required-SNF/Home Health/ Hospice
The *Nurse Reviewer*. Nurse reviewer for a home health company:. Is responsible for conducting concurrent and retrospective chart review for clinical, financial...
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