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Utilization Management Nurse jobs in Texas

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UTILIZATION MANAGEMENT NURSE - DALLAS, TX

Five years inpatient clinical nursing experience in an acute care hospital setting required.. Minimum of two years Utilization Management acute care setting experience required. . Minimum of one-year drafting and submitting reco...

CompanyAdecco
AddressDallas, TX
CategoryHuman Resources
Salary$ 80000 - $ 90000 / Year
Job typeDirect Hire
Date Posted 4 weeks ago See detail

Utilization Management Nurse - Dallas, TX

Adecco

Dallas, TX

$ 80000 - $ 90000 / Year

Five years inpatient clinical nursing experience in an acute care hospital setting required.. Minimum of two years Utilization Management acute care setting experience required. . Minimum of one-year drafting and submitting reco...

4 weeks ago seen See more...

Texas Institute Utilization Management Nurse -Dallas

Adecco

Dallas, TX

$ 80000 - $ 90000 / Year

Five years inpatient clinical nursing experience in an acute care hospital setting required. Minimum of two years Utilization Management acute care setting experience required. Minimum of one year drafting an...

a month ago seen See more...

Market Medical Director, Utilization Management - WellMed - Remote New

Optum

San Antonio, TX

401(k)

Assists in development and maintaining an efficient UM program to meet the needs of the health plan members and commensurate with company values. Educates primary care physicians regarding systems, structures, processes and outcom...

13 hours ago seen See more...

Utilization Management LVN Nurse - Remote

Conifer Value

Frisco, TX

$27.30 - $40.95 an hour

Responsible for providing timely referral determination by accurate:Usage of the Milliman Care Guidelines.Identification of referrals to the medical director for review.Appropriate letter language (i.e. denials).Appropriate sele...

2 months ago seen See more...

Utilization Management Clinical Registered Nurse (RN) - Clinic

Texas Children's Hospital

Bellaire, TX

In addition, discharge planning and provider education are major components of this process.Think you've got what it takes?Responsibilities* Analyze submitted information including clinical assessments, treatment plan, regulatory...

2 months ago seen See more...

Utilization Management Specialist

Kaizen Clinical Partners, Inc.

McAllen, TX

$44.9K - $56.8K a year

Analyze electronic medical records. Focus on evaluating the utilization of healthcare services, treatments, and procedures. Utilize retrospective reviews and other UM tools to identify opportunities for improvement and optimize pa...

2 weeks ago seen See more...

Utilization Management Clinician- Behavioral Health

Cvs Health

Austin, TX

3+ years post degree experience in a psychiatric or substance abuse setting required. -3 years of direct clinical practice experience post masters degree, e.g., hospital setting or alternative care setting such as ambulatory care...

3 weeks ago seen See more...

Utilization Manager Needed in Dallas, TX

Adecco

Dallas, TX

$ 80000 - $ 90000 / Year

Mandatory five years of inpatient clinical nursing experience within an acute care hospital setting. Minimum of two years' experience in Utilization Management within an acute care setting. Proficiency with drafting and submitting...

a month ago seen See more...

Sr. Manager of Utilization Management/Case Management

Verda Healthcare

Houston, TX

You'll be responsible for managing a team who is providing clinical review of cases using standard criteria to determine the medical appropriateness of inpatient and outpatient services while supporting our members through assessm...

a month ago seen See more...

Utilization Review Case Manager CMC

Utmb Health

Friendswood, TX

Demonstrates thorough knowledge of Inter Qual Criteria, CMC Specialty Referral Guidelines and Protocols used to determine status for inpatient admission or observation in Community Hospitals and UTMB-TDCJ Hospital. Performs utiliz...

2 months ago seen See more...

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