Top 30 Utilization review nurse Jobs in Frisco, Tx

Utilization Review Nurse
Bracane Co —Plano, TX
- Full-time
- Remote
- RN License
- Mid-level
- 3 years
Quick Apply
RN Utilization Review Coordinator, Full-time
Methodist Hospital for Surgery —Addison, TX
- Full-time
- CPR Certification
- Nursing
- RN License
Quick Apply
Staff Nurse Outpatient Clinic PHP/IOP CCF
Carrus Health —Frisco, TX
- RN License
- Computer literacy
- BLS Certification
Quick Apply
Medical Necessity Review Registered Nurse
Texas Institute for Surgery —Dallas, TX
- Full-time
- Nursing
- RN License
- BLS Certification
Clinical Review Specialist
The Specialty Alliance —Southlake, TX
- $65,000 - $90,000 a year
- Full-time
- Nursing
- LVN
- 5 years
Quick Apply
Staff Nurse Outpatient Clinic PHP/IOP CCM
Carrus Health —McKinney, TX
- RN License
- Computer literacy
- BLS Certification
Quick Apply
Staff Nurse Outpatient Clinic PHP/IOP CCP
Carrus Health —Plano, TX
- RN License
- Computer literacy
- BLS Certification
Quick Apply
Staff Nurse Outpatient Clinic PHP/IOP CCG
Carrus Health —Garland, TX
- RN License
- Computer literacy
- BLS Certification
Quick Apply
Staff Nurse Outpatient Clinic PHP/IOP CCFM
Carrus Health —Flower Mound, TX
- RN License
- Computer literacy
- BLS Certification
Quick Apply
Staff Nurse Outpatient Clinic PHP/IOP CCSL
Carrus Health —Southlake, TX
- RN License
- Computer literacy
- BLS Certification
Quick Apply
RN CASE MANAGER
Horizon Rehabilitation Hospital —McKinney, TX
- Full-time
- Nursing
- OSHA
- RN License
5d
Case Manager - PRN
Select Rehabilitation Hospital of Denton —Denton, TX
- PRN
- Hospital
- Inpatient
- Mid-level
- Opportunities for advancement
Quick Apply
Medical Field Case Manager
Enlyte —McKinney, TX
- $70,600 - $75,000 a year
- Part-time
- Nursing
- Microsoft Outlook
- RN License
- Travel reimbursement
- Health savings account
Pre-Claim Review Coordinator - ProHealth Home Health and Hospice (Dallas, TX)
ProHealth Home Health and Hospice —Addison, TX
- Nursing
- English
- Mid-level
Quick Apply
Case Manager - FT
ClearSky Rehabilitation Hospital of Flower Mound, LLC —Flower Mound, TX
- Full-time
- Clean driving record
- Hospital
- Word processing
Quick Apply
9d
Case Manager - PRN Days/Weekends | Dallas Rehab
PAM Health, LLC —Dallas, TX
- Weekends as needed
- RN License
- Hospital
- BLS Certification
- Opportunities for advancement
- Referral program
Quick Apply
Case Manager - FT | Dallas Rehab
PAM Health, LLC —Dallas, TX
- Full-time
- RN License
- Hospital
- BLS Certification
- Health savings account
- Disability insurance
Quick Apply
Medical Case Manager I - Spanish Speaking
CorVel Corporation —Dallas, TX
- $63,739 - $95,264 a year
- Full-time
- Remote
- Spanish
- Nursing
- RN License
- Health savings account
- Disability insurance
Quick Apply
MDS Nurse
Remington Transitional Care Center —Richardson, TX
- Full-time
- Nursing
- Skilled nursing facility
- LVN
Quick Apply
Nurse Practitioner
Allen Internal medicine —Allen, TX
- $55 - $60 an hour
- Full-time
- Experience working with individuals with disabilities
- Internal Medicine
- HIPAA
Quick Apply

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utilization review nurse jobs near frisco, tx

Utilization Review Nurse

Bracane Co -
Plano, TX

Quick Apply

Job Details

Full-time

Qualifications

RN License
Medical terminology

Full Job Description

***REMOTE - Candidates must be based in Texas: Austin area - Travis/Williamson Counties or Richardson area - Dallas/Collin Counties***

JOB DESCRIPTION:

RN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and appropriateness of the treatment plan.

JOB RESPONSIBILITIES:

This position is responsible for performing initial, concurrent review activities; discharge care coordination for determining efficiency, effectiveness, and quality of medical/surgical services, and serving as liaison between providers and medical and network management divisions.
Collects clinical and non-clinical data.
Verifies eligibility.
Determines benefit levels in accordance to contract guidelines.
Provides information regarding utilization management requirements and operational procedures to members, providers, and facilities.

JOB QUALIFICATIONS (Required):

Registered Nurse (RN) with a valid, current, unrestricted license in the state of operations.
3 years of clinical experience in a Physician's office, Hospital/Surgical setting, or Health Care Insurance Company.
Knowledge of medical terminology and procedures.
Verbal and written communication skills.

JOB QUALIFICATIONS (Preferred):

MCG or InterQual experience
Utilization management experience

LOCATION: REMOTE in Texas ( Richardson area ? Dallas/Collin Counties).

POSITION: 6-month assignment

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Refine Your Search

utilization review nurse jobs in frisco, tx

Utilization Review Nurse

RN Utilization Review Coordinator, Full-time

Staff Nurse Outpatient Clinic PHP/IOP CCF

Medical Necessity Review Registered Nurse

Clinical Review Specialist

Staff Nurse Outpatient Clinic PHP/IOP CCM

Staff Nurse Outpatient Clinic PHP/IOP CCP

Staff Nurse Outpatient Clinic PHP/IOP CCG

Staff Nurse Outpatient Clinic PHP/IOP CCFM

Staff Nurse Outpatient Clinic PHP/IOP CCSL

RN CASE MANAGER

Case Manager - PRN

Medical Field Case Manager

Pre-Claim Review Coordinator - ProHealth Home Health and Hospice (Dallas, TX)

Case Manager - FT

Case Manager - PRN Days/Weekends | Dallas Rehab

Case Manager - FT | Dallas Rehab

Medical Case Manager I - Spanish Speaking

MDS Nurse

Nurse Practitioner

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