Utilization Review Nurse jobs in Dallas, TX

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Utilization Review Nurse -Weekend 10 hours shifts Saturday &...
Utilization Review Nurse -Weekend 10 hours shifts Saturday & Sunday. Consistently relates utilization assessment to payers that are needed to justify continued...
Utilization Management Nurse
HealthSmart Holdings, Inc. - Irving, TX
Experience in Utilization Review, Case Management or Disease Management in an insurance setting preferred. Assist claims with quality reviews....
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RN Care Coordinator-Complex Care
Case Management, Utilization Review, Home Health Care, Discharge Planning, Pediatrics preferred. Nurses, Physical/Occupational Therapists, RCPs....

Nurse Reviewer, Utilization 2

Mitchell International, Inc. - 103 reviews - Richardson, TX
Reviews requested treatment/procedures within Mitchell utilization review policies, URAC time frames or state-mandated timeframes (whichever is more restrictive...

RN - Children's Health System of Texas (CHST) Utilization Ma...

Children's Health - 62 reviews - Dallas, TX 75235 (Love Field area)
Minimum 1 year Utilization Review or Case Management experience, required. Registered Nurse, required. The Utilization Management Nurse is responsible for...

Utilization Review RN

Baylor Scott & White - 1,910 reviews - Dallas, TX 75201 (City Center District area)
The Utilization Review Nurse is a registered nurse who provides clinical review against standard criteria for the purpose of evaluating medical necessity for...

Utilization Review Nurse

Baylor Scott & White Health - 1,910 reviews - Dallas, TX
The Utilization Review Nurse is a registered nurse who provides clinical review against standard criteria for the purpose of evaluating medical necessity for...
Easily apply

Clinical Collaboration Specialist

Aetna - 3,179 reviews - Dallas, TX
Click here to review the benefits associated with this position. Registered Nurse (RN) with active state license in good standing required....

Clinical Documentation Specialist

Texas Health Hospital - 4 reviews - Carrollton, TX 75006
Case Management and/or Utilization Review experience a plus. 2-5 years of auditing or medical review experience....

Utilization Review Nurse - COMM

eQHealth Solutions - 28 reviews - Irving, TX
Medical record review to determine medical necessity of requested services. Concurrent review and the determination of the extension of the length of stay based...

Utilization Review RN Job Evenings - Dallas

Baylor Scott & White - 1,910 reviews - Dallas, TX 75201 (City Center District area)
The Utilization Review Nurse is a registered nurse who provides clinical review against standard criteria for the purpose of evaluating medical necessity for...

RN Telephonic Case Manager - Chronic Kidney Disease

UnitedHealth Group - 11,469 reviews - Plano, TX 75086
Experience in utilization review, concurrent review and/or risk management. As an RN Telephonic Nurse Case Manager working with Chronic Kidney Disease (CKD)...

Case Manager RN

Aetna - 3,179 reviews - Arlington, TX 76011 (East area)
Nursing/Registered Nurse is required. Click here to review the benefits associated with this position. - Analyzes all utilization, self-report and clinical data...
Utilization Review RN
The Utilization Review Nurse is a registered nurse who provides clinical review against standard criteria for the purpose of evaluating medical necessity for...
Utilization Review RN Job Evenings - Dallas
The Utilization Review Nurse is a registered nurse who provides clinical review against standard criteria for the purpose of evaluating medical necessity for...
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