Average salary: $116,921 /yearly
More statsSearch Results: 60,793 vacancies
...in the one and only, Dallas, TX!
This Nurse should have a minimum of 5 years INPATIENT... ...minimum of 2 years Utilization Management/Review in an acute care setting, Minimum of 2... ...schedule- Once per quarter
Benefits--
Medical, Dental, HSA, Life Insurance/AD&D, Supplemental...
Medical
For contractors
Flexible hours
...flexible and experienced physicians for our medical reviewstream division. This telecommute... ...:
Relying on clinical background, reviews health claims providing medical interpretation... ...agencies, carriers, employers, nurses and health care professionals.
-Medical...
Medical
Permanent employment
Temporary work
For contractors
Remote job
Flexible hours
Monday to Friday
...Description
Job Description The Itemization Review Supervisor will maintain a positive team... ...process of assigning files and assessing nurse’s queues continually
Fully understands... ...in Nursing or higher
Experience in medical bill auditing, preferred but not...
Medical
Minimum wage
Full time
Local area
Flexible hours
...RN-Utilization Review
Details
* Department: Case Management
* Schedule: PRN - Days... ...prospective, concurrent and retrospective medical necessity and/or compliance with reimbursement... .../ Registration:
* Licensed Registered Nurse credentialed from the Texas Board of...
Medical
Temporary work
Relief
Local area
Remote job
...people and we continue to rise above our competition by hiring the best.
Avosys is seeking a Bexar County Remote Registered Nurse - Medical Review Specialist to work remotely to review Medicare claims..
Maximize family time with no weekend, Vacation, or on-call...
Medical
Remote job
Permanent employment
Temporary work
For contractors
Local area
Immediate start
Shift work
...Description
Job Description Under general supervision of the Director of Case Management, the Utilization Review Nurse provides a clinical review of cases using medical necessity criteria to determine the medical appropriateness of inpatient and outpatient services....
Medical
Temporary work
...million members as a clinical professional on our Medical Management/Health Services team. Centene is a... ...flexibility.
**Must have a Texas state compact nursing license.**
**Position Purpose:** Performs concurrent reviews, including determining member's overall health,...
Medical
Hourly pay
Holiday work
Remote job
Flexible hours
...Job Description
TRS Healthcare is seeking a travel nurse RN Utilization Review for a travel nursing job in Irving, Texas.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Start Date: 05/06/2024
~ Duration: 12 weeks
~40...
Suggested
Remote job
Shift work
...founded and led, national, multi-specialty medical group made up of more than 1,000 business... ...and 4,000 physicians, APPs, CRNAs, and nurses practicing in 400-plus hospitals across 4... ...year
About the role:
The Claims Review Specialist reviews daily charge forms for...
Medical
Holiday work
Local area
Immediate start
Flexible hours
...Position Summary
Working from instructions and pre-established guidelines, under general supervision, assigns medical necessity requests to a qualified reviewer and follows-up to ensure timely determination is delivered based on state/URAC guidelines in accordance with...
Medical
Permanent employment
...Description
Job Description Summary:
The Registered Nurse will utilize standard criteria to review post-service and prepayment reviews of Outpatient... ....
Responsibilities:
Performs clinical/medical reviews of retrospective medical claim reviews, medical...
Medical
Local area
Remote job
...Description CERIS in Fort Worth, Texas is seeking an Itemization Review Nurse. The Itemization Review Nurse will provide a Summary and... ...items by reviewing all charges submitted on a UBIB provided by a medical facility to determine accuracy of charges billed.
DUTIES...
Medical
Minimum wage
Full time
Local area
Flexible hours
...Job Description
Job Description The Professional Review Nurse provides analysis of medical services to determine appropriateness of charges on multiple types of medical bills and review of medical reports to determine appropriateness of medical care. Clinical and/or...
Medical
Minimum wage
Full time
Local area
Flexible hours
...in a safe family like setting?
Mainstream Nonprofit Solutions has the job for you!
We are looking for full-time Utilization Review Specialist to add to our team! A Bachelor’s degree is required with two to four years of experience in social services with...
Suggested
Hourly pay
Holiday work
Full time
Remote job
Flexible hours
Shift work
...This position is responsible for performing accurate and timely medical review of regular business, State of Texas and National Accounts... ...concerning medical determinations.
JOB REQUIREMENTS:
* Registered Nurse with current, active, unrestricted Registered Nurse (RN)...
Medical
Permanent employment
Contract work
Remote job
Relocation package
...data analytics, technology solutions, audit, investigation, and medical review.
At IntegrityM, we offer a culture of opportunity,... ...Requirements
Minimum three (3) years’ experience practicing nursing as a licensed Registered Nurse
Minimum of three (3) years...
Medical
Full time
Remote job
Flexible hours
...Overview
Join our team as a PRN, day shift, Utilization Review Registered Nurse in Tyler, TX.
Fulfilling your purpose begins here:... ...nurse responsible for applying standardized, evidenced-based, medical necessity criteria to form utilization review...
Medical
Relief
Day shift
...Description
Responsible for facilitating internal contract review packages from quotes, packing lists, purchase orders, and document... ...Office, Expandables MRP/ERP System)
Benefits
Medical, Dental, and Vision
401(k)
Company Paid Basic Life Insurance...
Medical
Holiday work
Permanent employment
Contract work
...6109
CERIS in Fort Worth, Texas is seeking an Itemization Review Nurse. The Itemization Review Nurse will provide a Summary and analysis... ...by reviewing all charges submitted on a UBIB provided by a medical facility to determine accuracy of charges billed.
DUTIES...
Medical
Minimum wage
Full time
Local area
Flexible hours
...Job Description Description: Job Summary
Responsible for analyzing medical records for medical-legal reviews. After analyzing provided clinical documentation, Utilization Review Nurses must create a professional executive report that includes a summary, appropriate...
Medical
