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Concurrent Review Nurse jobs - Dallas, TX

Viewing 1 - 10 of 103 jobs

  • Concurrent Review RN

    Glc Group - Dallas, TX

    Concurrent Review RNs Texas Major, progressive Managed Care Company is looking for qualified RN's with Concurrent Review ... experience for their full-time, permanent Concurrent Review roles. PLEASE spread the word to your friends and...

    15 days ago from MiracleWorkers.com

  • Case Manager I (Concurrent Review)

    Centene - Dallas, TX

    necessity Review admissions through on-site and telephonic review to ensure medical necessity and appropriate level of care Review and audit patient charts through on-site hospital visits Act as clinical resources to referral staff and...

    30+ days ago from Centene

  • Utilization Review Nurse

    American International Group - Dallas, TX

    Perform Utilization Review of workers' compensation claims, based on review criteria and protocols in accordance with ... and regulatory agency compliance. Conduct prospective, concurrent and retrospective reviews to determine medical...

    3 days ago from American International Group

  • Utlilization Review Nurse- Case Management

    UT Southwestern - Dallas, TX

    to payers that are needed to justify continued stay review and to obtain pre-certification. On a concurrent ... *Regular/Temporary:* Regular *Job ID:* 514610 *Job Title:* Utlilization Review Nurse- Case Management *Full/Part Time/PR...

    3 days ago from UT Southwestern

  • UTILIZATION REVIEW NURSE - Psychiatry - Days

    UT Southwestern - Dallas, TX

    to payers that are needed to justify continued stay review and to obtain pre-certification. On a concurrent ... *Regular/Temporary:* Regular *Job ID:* 514487 *Job Title:* UTILIZATION REVIEW NURSE - Psychiatry - Days *Full/Part Time/...

    3 days ago from UT Southwestern

  • Preservice Review Nurse, RN

    UnitedHealth Group - Richardson, TX

    55310 Primary Responsibilities: * Perform utilization and concurrent review using Milliman criteria * Discuss cases ... Registered Nurse, UR, UM, Pre-Authorization, Utilization Review, Utilization Management, Concurrent Review, Milliman,...

    21 days ago from UnitedHealth Group

  • RN Care Coordinatior Utilization Review PRN

    Baylor Scott & White Health - Dallas, TX

    The Utilization Review Nurse provides clinical review against standard criteria for the purpose of evaluating medical ... departments regarding medical necessity for prospective, concurrent, and retrospective reviews. Intervenes when...

    28 days ago from Baylor Scott & White Health

  • Clinical Review Nurse-Full Time-Day Shift-THR Job

    Texas Health Resources - Arlington, TX

    with reimbursement of hospitalization. Evaluate concurrent potential denials or payment issues and initiate ... and facilitates the physician peer-­to-­peer review process with insurance medical directors as indicated.

    3 days ago from Texas Health Resources

  • RN Care Review Clinician II

    Molina Healthcare - Irving, TX

    procedures providing prior authorizations and/or concurrent review. Assesses services for Molina Members to ensure ... regulations and guidelines.Essential Functions • Provides concurrent review and prior authorizations (as needed)...

    17 days ago from Molina Healthcare, Inc

  • RN Case Manager Utilization Review

    Baylor Health Care System - Dallas, TX

    Dallas, TX The Utilization Review Nurse provides clinical review against standard criteria for the purpose of ... departments regarding medical necessity for prospective, concurrent, and retrospective reviews. Intervenes when...

    14 days ago from Baylor Health Care System

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