RN Utilization Review Specialist (Hybrid)
Novamed
Novamed is seeking a full-time hybrid RN Utilization Review Coordinator in Dallas, Texas. This position involves conducting utilization reviews, ensuring compliance with regulations, and collaborating with healthcare teams on patient care. The ideal candidate must have at least five years of experience in case management and hold a Bachelor of Science in Nursing. Key responsibilities include performing medical record reviews, managing denial appeals, and supporting discharge planning. The role requires excellent communication and critical thinking skills, along with a valid Texas RN license and current CPR certification. #J-18808-Ljbffr Novamed
Vacancy posted 5 days ago
Similar jobs that could be interesting for youBased on the RN Utilization Review Specialist (Hybrid) in Dallas, TX vacancy
- ...A healthcare organization in Texas is seeking an RN Utilization Review Coordinator to perform utilization reviews and ensure medical necessity... ...at least five years of relevant experience. This full-time hybrid position emphasizes attention to detail and critical thinking...SuggestedFull time
Surgery Partners
Addison, TX3 days ago - Methodist Hospital for Surgery in Addison, Texas is seeking a qualified RN Case Manager for Utilization Review. The role involves conducting medical record reviews, ensuring compliance with regulations, and supporting discharge planning activities. The ideal candidate...Suggested
- Hiring Now for RN Utilization Review Coordinator Department: Case Management Shift: Full-time Hybrid Job Summary The RN Case Manager/Utilization Review is responsible for performing prospective, concurrent, and post‑discharge utilization reviews to ensure appropriate...SuggestedFull timeLocal areaShift work
$54.38k
...USA Sr. Specialist, Pricing (Hybrid Role) Country: United States of America It Starts Here Santander... ...portfolios based on multiple data resource. Utilize data mining and data analysis to... ...Sets up frequent multi‑organizational reviews of key metrics and develop root...SuggestedHourly payFull timeContract workWork experience placementShift workDormont Manufacturing Company
Dallas, TX2 days ago- ...PRN Utilization Review RN - M-F Days Must be available to work daytime hours (between 8am-6:30pm) Monday - Friday WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork...SuggestedFull timeReliefWork at officeLocal areaMonday to FridayNight shift
- ...seeks a qualified medical certification professional to conduct reviews for medical necessity. The role demands extensive nursing... ...based guidelines. You'll support both acute care and resource utilization, offering a unique opportunity to grow within a renowned healthcare...Relief
- ...Description Summary: The Utilization Review Nurse is responsible for determining the clinical appropriateness of care provided to patients... ...LVN license in the state of employment or compact required RN license in state of employment or compact preferred Work...Full time
Christus Health
Irving, TX9 hours ago - A healthcare institution in Addison, TX seeks an experienced Registered Nurse (RN) to oversee the Case Management team focusing on Utilization Review. Responsibilities include managing departmental operations, ensuring compliance with regulations, and improving care coordination...Full time
- ...Managed Services. This position will be hybrid in the Dallas, Texas area. Relocation assistance... ...this role. Responsibilities Perform utilization review activities, including precertification,... .... Delegate initial reviews to UM RN and determine medical necessity of requests...Work at officeRemote workRelocationRelocation package
- ...experience and 2 years of ECMO specialist experience ~... ...(CCRN) CERT CRITICAL CARE RN (E-AEC) ELSO Adult ECMO Practitioner... ...needs and expectations and utilizes these in conjunction with the... ...family participation in care. Reviews personalized patient plan of...Hourly payFull timeShift workNight shift
UT Southwestern Medical Center
Dallas, TXmore than 2 months ago - ...with rotating weekends This position will hybrid- must be okay with coming onsite... ...the knowledge and skill set related to utilization review, care coordination, performance improvement... ...Registration/Licensure Must have current, valid RN license or temporary RN license from the...Full timeTemporary workMonday to FridayShift work
- ...Management Associate - Dallas or Atlanta (Hybrid) Job Category: Asset Management... ...include analyzing supply and demand trends, reviewing comparable properties, setting optimization... ...regular pricing calls with all properties utilizing the revenue management software....Full timeTemporary workLocal areaFlexible hours
Dominium-1
Dallas, TX1 day ago $86.8k - $165.2k
...Ave ~ AUXILIARY BLDG Position Role Type: Hybrid U.S. Citizen, U.S. Person, or... ...& Tax Team as a Cost Estimate Principal Specialist. The Global Mobility team is responsible... ...Do Receive new cost estimate requests, review for data quality, gather additional information...Contract workWork experience placementFlexible hours- ...Services in Dallas is seeking a Coding Specialist focused on surgical services. This role... ...accurate medical coding and documentation review to ensure compliance with payer guidelines... ...certifications. The position offers a hybrid work model and requires high attention to...Remote job
- ..., is seeking a Certified Medical Coding Specialist to focus on surgical services. This role... ...involves accurate coding and documentation review, ensuring compliance with payer... ...analytical skills. The position offers a hybrid schedule, working three days in-office after...Work at office
- ...Services, LLC ("IES") is seeking a Coding Specialist with emphasis on surgical services. The... ...fee coding and documentation review for assigned surgical service lines (URSA... ...special projects. Work will be based in a Hybrid format at the corporate office in North...Work at officeLocal areaRemote workMonday to FridayNight shift
$86.8k - $165.2k
...Mobility Payroll and Tax Team as a Principal Specialist, Payroll. The successful candidate will... ...relating to compensation history. Review and respond to information requests from... ...adult backup care. Work Location This is a hybrid role, eligible candidates must reside...Contract workTemporary workWork experience placementWork at officeRemote workWorldwideFlexible hours- BDR Enablement Specialist - Hybrid 3x/Week DFW at Birdeye in Dallas, TX, United States Sales Full‑time About Birdeye Birdeye is the leading... ...agents that execute work at the location level — responding to reviews, updating listings, publishing content, and driving...Full timeWork at officeRemote workWork from homeMonday to FridayFlexible hours3 days per week
$90k - $100k
...from Principle Services, LLC Field Safety Specialist We are seeking a highly skilled and... ...operations, specifically within the Electric Utility Industry on Substation and Transmission... ...Support the development and review of safety plans, wire-pulling plans, site...Contract workFor contractorsWork at officeLocal areaRemote workFlexible hours$60k - $70k
...& Marketing is seeking a LOA Administrator in Dallas, TX. This full-time hybrid position involves managing LOA, Return to Work, and Accommodation requests. Key responsibilities include reviewing claims, ensuring compliance with regulations, and collaborating with various...Full time- ...detail‑oriented and organized Eligibility Specialist to support employee benefits eligibility... ...Work Arrangement: This is a full‑time hybrid position working in our office located in... ..., carriers, and vendor platforms. Review and reconcile carrier invoices, identify...Full timeTemporary workWork at officeLocal areaFlexible hours
- ...Utilization Review Nurse (Ur Nurse) Join our team at Cobalt Benefits Group and start an exciting... ...closely with intake staff, physicians, specialists, case managers, and other members of... ...Requirements Current, unrestricted RN license (State license required). Minimum...Full timeTemporary workSummer workWork at officeFlexible hours
$39.24 - $58.87 per hour
Associate Acoustics & Noise Control Specialist Date: Jun 8, 2026 Location:... ...and modified facilities by reviewing applicable local, state, and... ...Environment and Schedule Hybrid or flexible work options may... ...work assignments. Ability to utilize audio/videoconferencing software...Full timePart timeWork experience placementWork at officeLocal areaRelocationVisa sponsorshipFlexible hours- ...National Director, Clinical Operations - RN Required, Hybrid Based in Dallas, TX with Up to 75%... ...site visit, onsite assessment, including review of clinical policies, staff credentials... ...initiatives for surgical hospitals. Utilize CMS reportable data and Joint Commission...Work experience placementHome office
$30.98 - $48.34 per hour
...Lateral Intake Specialist The Lateral Intake Specialist, working... ...corporate business structures; reviewing, analyzing, interpreting, and... ...generating conflicts reports; utilizing conflicts applications and... ...our U.S. offices and offers a hybrid work schedule. Responsibilities...Hourly payWork at officeRemote workDLA Piper
Dallas, TX2 days ago$85k - $159k
...managing content development, facilitating review processes, and ensuring adherence to... ...with client needs and business objectives. Utilize the firm's proposal management and content... ...Referral Program Critical Illness Insurance Hybrid/Remote Work Opportunities Hospital...Temporary workLocal areaRemote workRelocationFlexible hoursK&L Gates LLP
Dallas, TX1 day ago- ...EisnerAmper is seeking a Staff II Consultant in Grants Management in Dallas, Texas. This hybrid role focuses on supporting clients with state and federal grants, requiring expertise with governments, healthcare, and nonprofits. The ideal candidate will have at least a...
EisnerAmper
Dallas, TX3 days ago - ...minimum of 5 years' experience, preferably with a large ERP system, and possess excellent verbal and written communication skills. This hybrid role demands strong collaboration across functions to meet deadlines and manage responsibilities effectively. The position offers a...
Heidelberg Materials
Irving, TX2 days ago - ...Overview Job Description - Coding Specialist III (250000US) UT Southwestern... ...Performs accurate and timely review of complex coding and abstracting of UTSW accounts utilizing ICD-10-CM, HCPCS, and CPT code... ...multiple specialties in a hybrid role as needed. Performs other...Full timeLive inRemote workWork from homeMonday to FridayFlexible hoursShift work
The University of Texas Southwestern Medical Center
Dallas, TX4 days ago - ...Credit Review Senior Portfolio Specialist Charlotte, North Carolina;Dallas, Texas; Chicago, Illinois; New York, New York To proceed with your application, you must be at least 18 years of age. Acknowledge ( Bank of America employees are required to meet all...Work at officeFlexible hoursShift workDay shift
Bank of America
Dallas, TX4 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to RN Utilization Review Specialist (Hybrid). Be the first to apply!
Related searches
- rn per diem nurse Dallas, TX
- temporary rn Dallas, TX
- registered nurse work from home Dallas, TX
- ob gyn rn Dallas, TX
- remote telephonic rn Dallas, TX
- wound care rn registered nurse Dallas, TX
- operating room travel rn Dallas, TX
- neuro icu registered nurse Dallas, TX
- endoscopy rn Dallas, TX
- public health registered nurse Dallas, TX