Top 49 Utilization review nurse Jobs in Arlington Tx

RN Navigator - Home Health Review
The CSI Companies —Irving, TX
- $40 - $55 an hour
- Contract
- Nursing
- RN License
- Mid-level
- Paid training
- Disability insurance
Quick Apply
6d
Utilization Review Nurse
Oscar Health —Dallas, TX
- $35.00 - $45.94 an hour
- Weekends as needed
- Remote
- Nursing
- RN License
- Mid-level
- Paid parental leave
- Paid holidays
Quick Apply
Utilization Management RN - Clinical Review - Full time
Texas Health Resources —Arlington, TX
- Email
- Remote
- Nursing
- Acute care experience
- 1 year
- Paid parental leave
- Loan repayment program
5h
Utilization Review Nurse Health Plans - HP Utilization Management
Christus Health —Irving, TX
- 8 hour shift
- Microsoft Word
- Nursing
- Microsoft Excel
14d
RN Utilization Review Coordinator, Full-time
Methodist Hospital for Surgery —Addison, TX
- Full-time
- CPR Certification
- Nursing
- RN License
Quick Apply
Nurse Case Manager - Utilization Review - Nights (Fri-Sun, 7p-7a)
JPS Health Network —Fort Worth, TX
- Full-time
- Nursing
- RN License
- Inpatient
Nurse Case Manager - Utilization Review - (Mon, Tue, Sat, Sun, 12p-10p)
JPS Health Network —Fort Worth, TX
- Full-time
- Nursing
- RN License
- Inpatient
Case Manager II PRN Days
Kindred Hospital Tarrant County - Arlington —Arlington, TX
- PRN
- Master of Social Work
- Nursing
- RN License
RN Home Health Case Manager
Abounding Hospice and Home Health Care, Inc. —Dallas, TX
- Part-time
- Patient monitoring
- RN License
- Outpatient experience
Quick Apply
Hospice Clinical Team Manager (RN Required)
VITAS Healthcare —Dallas, TX
- Full-time
- Nursing
- RN License
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
CLIN DOCUMENTATION SPEC I
Methodist Health System —Dallas, TX
- Full-time
- Nursing
- RN License
- Computer literacy
1d
Registered Nurse (RN) - Case Manager - PRN
Texas Health Resources —Arlington, TX
- Weekends as needed
- Nursing
- RN License
- Hospital
- 401(k)
- Paid time off
Itemization Review Nurse I
CorVel Corporation —Fort Worth, TX
- $52,999 - $85,473 a year
- Full-time
- Remote
- Nursing
- Microsoft Outlook
- RN License
- Health savings account
- Disability insurance
Quick Apply
9d
Staff Nurse Outpatient Clinic PHP/IOP CCSL
Carrus Health —Southlake, TX
- RN License
- Computer literacy
- BLS Certification
Quick Apply
Staff Nurse Outpatient Clinic PHP/IOP CCK
Carrus Health —Keller, TX
- RN License
- Computer literacy
- BLS Certification
Quick Apply
Clinical Review Specialist
The Specialty Alliance —Southlake, TX
- $65,000 - $90,000 a year
- Full-time
- Nursing
- LVN
- 5 years
Quick Apply
Clinical Review QC Auditor
CorVel Corporation —Fort Worth, TX
- $68,566 - $104,841 a year
- Full-time
- Remote
- LVN
- RN License
- Computer literacy
- Health savings account
- Disability insurance
Quick Apply
Staff Nurse Outpatient Clinic PHP/IOP CCFM
Carrus Health —Flower Mound, TX
- RN License
- Computer literacy
- BLS Certification
Quick Apply
Registered Nurse/Social Worker Case Manager
Texas Health Hospital Mansfield —Mansfield, TX
- $24.47 - $62.59 an hour
- Full-time
- Nursing
- Microsoft Outlook
- Customer service
- Paid parental leave
- Disability insurance
Travel RN - Case Management/Utilization Review - Case Management
American Traveler —Dallas, TX
- $1,651.66 a week
- Contract
- RN License
- Hospital
- BLS Certification
Quick Apply

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RN Navigator - Home Health Review

The CSI Companies -
Irving, TX

Quick Apply

Job Details

Contract
$40 - $55 an hour
6 days ago

Benefits

Paid training
Disability insurance
Health insurance
Dental insurance
401(k)
Vision insurance

Qualifications

Home care experience
RN License
Associate's degree
Associate Degree in Nursing
Home health agency experience

Full Job Description

Registered Nurse Navigator - Home Health Review
CSI Companies is hiring a Registered Nurse Navigator - Home Health Review for a leading healthcare organization in Irving, Texas. This onsite opportunity is ideal for an experienced RN with a strong home health background who is passionate about care coordination, regulatory compliance, and improving patient outcomes through post-acute care management.

Hours / Location / Pay / Position Type

Location: Irving, TX (100% Onsite)
Schedule: Monday - Friday, 8:00 AM - 5:00 PM
Pay Rate: $40.00 - $55.00/hour
Position Type: W2 Contract

Work Authorization

Must be authorized to work in the United States without sponsorship now or in the future.

What You'll Do

Review Home Health 485 Plans of Care to ensure continued medical necessity and compliance with CMS Home Health and Homebound Status requirements.
Monitor post-acute patients receiving Home Health services and evaluate appropriateness of ongoing care.
Conduct proactive outreach and collaborate with Home Health agencies regarding patient progress, barriers to care, and discharge planning.
Facilitate case conferences with post-acute providers to assess patient outcomes and determine ongoing service needs.
Utilize MCG Guidelines and payer-specific criteria to evaluate frequency, duration, and appropriateness of Home Health services.
Make recommendations to Primary Care Providers regarding Home Health recertification, continuation of services, or discharge.
Ensure Home Health agencies appropriately address patient problem lists and follow-up needs.
Coordinate communication between Home Health agencies, providers, and clinic staff to support seamless transitions of care.
Maintain current knowledge of CMS regulations, payer guidelines, and Home Health compliance standards.
Serve as a patient advocate while supporting quality care, regulatory compliance, and positive patient outcomes.

What We're Looking For

Active Texas Registered Nurse (RN) license required.
Associate's Degree in Nursing required.
Recent Home Health experience required.
Experience reviewing Home Health Plans of Care (485 forms).
Strong knowledge of CMS Home Health regulations, Homebound criteria, and medical necessity requirements.
Experience with utilization review, case management, care coordination, or post-acute care preferred.
Knowledge of MCG Guidelines and payer requirements.
Strong clinical assessment, communication, and collaboration skills.
Ability to work effectively with physicians, Home Health agencies, and interdisciplinary care teams.

Who Should Apply? This role is an excellent fit for experienced Registered Nurses with a Home Health, Case Management, Care Coordination, Utilization Review, or Post-Acute Care background who enjoy collaborating across care teams, ensuring regulatory compliance, and advocating for high-quality patient care.

About Us
CSI Companies is a leading workforce solutions firm serving healthcare, financial services, technology, and other professional industries nationwide. We specialize in connecting top talent with organizations seeking skilled professionals to support critical business initiatives. CSI Companies is dedicated to delivering exceptional service and creating meaningful career opportunities for candidates across the United States.

Benefits Offered

Weekly pay.
Medical, dental, and vision insurance.
Voluntary life and disability coverage.
401(k) participation eligibility.
Paid training opportunities.

#VMSUL

Quick Apply

Refine Your Search

utilization review nurse jobs in arlington tx

RN Navigator - Home Health Review

Utilization Review Nurse

Utilization Management RN - Clinical Review - Full time

Utilization Review Nurse Health Plans - HP Utilization Management

RN Utilization Review Coordinator, Full-time

Nurse Case Manager - Utilization Review - Nights (Fri-Sun, 7p-7a)

Nurse Case Manager - Utilization Review - (Mon, Tue, Sat, Sun, 12p-10p)

Case Manager II PRN Days

RN Home Health Case Manager

Hospice Clinical Team Manager (RN Required)

CLIN DOCUMENTATION SPEC I

Registered Nurse (RN) - Case Manager - PRN

Itemization Review Nurse I

Staff Nurse Outpatient Clinic PHP/IOP CCSL

Staff Nurse Outpatient Clinic PHP/IOP CCK

Clinical Review Specialist

Clinical Review QC Auditor

Staff Nurse Outpatient Clinic PHP/IOP CCFM

Registered Nurse/Social Worker Case Manager

Travel RN - Case Management/Utilization Review - Case Management

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