Utilization Review Nurse Jobs in Dallas, Texas

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25 Dallas, TX Utilization Review Nurse jobs found on Monster.

Jobs 1 to 20 of 25
Position Description Perform Utilization Review of workers' compensation claims, based on review criteria and protocols in accordance with state and regulatory agency compliance. Conduct prospective, concurrent and retrospective reviews to determine medical necessity and appropriateness of requested services. Compare treatment episodes to clinical criteria for certification or referral to medical...
Description: Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 17 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is servi...
Title: Director of Case Management Shift: days Experience all the city has to offer! Dallas is a richly diverse American city, over the years it has become a melting pot of cultures, religions and lifestyles. This important convergence of uniqueness and differences is reflected throughout the sights and sounds of the city. Dallas' authentic arts, music, food, places of worship, historic landmarks...
Title: Director of Case Management Shift: days Experience all the city has to offer! Dallas is a richly diverse American city, over the years it has become a melting pot of cultures, religions and lifestyles. This important convergence of uniqueness and differences is reflected throughout the sights and sounds of the city. Dallas' authentic arts, music, food, places of worship, historic landmarks...
Description: Want to learn more before applying for this role? Click here to view the Realistic Job Preview: UHC_Telephonic_UM_Nurse.pdf Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 17 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, you...
Description: There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Start doing your life's best work.SM Preservice Review Nurse This position is OFFICE BASED with M - F daytime hours 1311 W PR...
Description: Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 17 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is servi...
Ready for a great role in Utilization Management that will give you the opportunity to expand your knowledge and enhance your career skill set? If so, check out the opportunity we have a well-known behavioral health, health plan. We are looking for candidates with Utilization Management experience with one of the following licensure Registered Nurse (RN), Licensed Clinical Social Worker (LCSW), or...
Position Description: We are currently seeking a Medication Safety Nurse Reviewer for our Utilization Review Department in Dallas, TX. Main responsibilities will include but are not limited to: • Assessing and evaluating medications as part of utilization review process. Calculating MED’s related to narcotics. Evaluating and advising on specific medication safety alerts. Evaluating and assisti...
Position Description: We are currently seeking a Nurse Reviewer for our Dallas, TX office. Provide Utilization Management, incorporating the strategies of cost containment and appropriate utilization of services in a cooperative effort with other parties that helps address the issues of healthcare and other medically related services at an affordable cost. • Responsible for the performance of pr...
Registered Nurse - Director - Case Management Director - Case Management - Registered Nurse Director Case Management Multiple Locations: Dallas, Houston & San Antonio!! Level 2 Trauma Center Magnet Hospital 10% Director Bonus! Relocation Assistance 15+ FTE's For More Information Please Contact Josh Zarella @ 800-995-2673 X1392 *Please Remember Our Services Are Always Free For The Candidate* Ideal...
Description: Job Summary The Manager of Care Management is responsible for facilitating communication and directing the operations of all Disease Management (DM), Utilization Management (UM), Transition Management, and Complex Care Case Management services in a defined market. The Manager collaborates with the Regional Director of Care Management and updates the market staff on all activities rela...
Description: There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Start doing your life's best work.SM Get better informed to determine your fit into this position. Click here to view the Rea...
Description: There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Start doing your life's best work.SM Get better informed to determine your fit into this position. Click here to view the Rea...
Description: There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Start doing your life's best work.SM Get better informed to determine your fit into this position. Click here to view the Rea...
Description: There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Start doing your life's best work.SM Get better informed to determine your fit into this position. Click here to view the Rea...
Description: There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Start doing your life's best work.SM Get better informed to determine your fit into this position. Click here to view the Rea...
Description: Inpatient Case Management Medical Director UnitedHealthcare Clinical Services (UCS) conducts medical management activities for commercial, Medicare and retirement, and community and state business. The majority of these activities are concentrated in inpatient review and appropriate inpatient utilization, although depending upon location and products covered, functions such as pre-cer...
Description SUMMARY: We are currently seeking a PRN RN Case Manager. The individual in this position has overall responsibility for overseeing the clinical plan of care to conform to evidence-based practice and regulatory requirements. This position integrates care coordination, utilization management, and discharge planning. The individuals responsibilities will include, but not be limited to the...
North Central is a highly successful, Baylor affiliate hospital located in Dallas, Texas. We partner with the very best team members and medical staff in the area. We are a surgical focused hospital that performs over 10,000 procedures per year. Some Facts about North Central: Opened in 2005 10 Operating Rooms Medical/Surgical Patient Rooms - 23 Located at Walnut Hill & 75 in the prestigious North...
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Healthcare Career Tools

Nurse Manager

Salaries

$53,040.00 - $103,400.00
Typical Salary for Nurse Manager in Dallas
(311 Respondents)
Source: Monster.com Careerbenchmarking Tool

Education / Training

Bachelor's
40%
Master's
40%
Associates
20%
(5 Respondents)
Source: Monster.com Careerbenchmarking Tool

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