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844 Clinical Reviewer jobs in Dallas,TX

New, Posted 18 hours ago

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Medical Review Nurse (RN) Remote, 8:30am-5:00pm Central Time Zone

Molina Healthcare

Dallas, TX 75221

$29.05-$67.97/hr

RemoteUrgently Hiring

At least 2 years clinical nursing experience, including at least 1 year of utilization review, medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience
Attention to detail
Experience demonstrating knowledge of ICD-10, Current Procedural Technology (CPT) coding and Healthcare Common Procedure Coding (HCPC)
Effective verbal and written communication skills
Critical-thinking and active listening skills
Microsoft Office suite and applicable software program(s) proficiency
Registered Nurse (RN). License must be active and unrestricted in state of practice
Analytic, problem-solving, and decision-making skills
Organizational and time-management skills
Experience working within applicable state, federal, and third-party regulations
Common look proficiency

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Intake Representative

U.S. RENAL CARE

Plano, TX 75024

Health InsurancePaid Time OffRetirement Benefit

New, Posted 3 hours ago

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Registered Nurse (RN) Navigator - Plastic Surgery Clinic

UVA Health

Dallas, TX 75217

Onsite

Ability to work in a plastic surgery clinic setting
Current license to practice as a Registered Nurse in the state of Virginia
RN Navigator
Must be able to relocate to Charlottesville/Albemarle County, Virginia
Registered Nurse (RN)
Must have 1 year of nursing experience or relevant clinical experience (if stated in posting)
Relocate to Virginia
Must be a licensed Registered Nurse
Must be able to meet Virginia nursing licensure requirements
Required to pass background check and provide credential verification

SmartExplore AI is experimental.

New, Posted 1 day ago

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RN Clinical Supervisor - Hybrid Schedule

Aveanna Healthcare

Addison, TX 75001

Hybrid~ 19 minUrgently HiringEducation AssistanceHealth InsurancePaid Time OffRetirement Benefit

Note: As an employer receiving Medicare and Medicaid funds, Aveanna employees must comply with all health-related requirements in applicable jurisdictions, including vaccinations and testing, subject to medical or religious exemptions.
Current CPR certification (AHA or ARC).
Willingness to supervise nurses providing in-home skilled nursing care to infants, children, adolescents, and adults.
Ability to travel to patients' homes within the designated territory.
Reliable transportation, valid driver's license, and ability to pass MVR check.
Current, good-standing RN license in the state of practice.
At least 1 year of hands-on nursing experience.

SmartExplore AI is experimental.

New, Posted 16 hours ago

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Remote Customer Service Representative

LiveOps

Mesquite, TX 75150

$20/hr

RemoteFlexible Schedule

Strong communication skills and the ability to connect with diverse individuals.
Ability to sit for long periods.
Experience taking inbound and outbound calls.
Computer skills, including navigating multiple systems and documenting call notes.
Patience and empathy.
Ability to provide services pursuant to your contract independently.

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Advanced Practice Provider - Observation

Parkland Health Hospital System

Dallas, TX 75235

OnsiteUrgently Hiring

Must have an active certification as a Certified Nurse Midwife (CNM) by the American Midwifery Certification Board (AMCB) or its predecessor
2 plus years of clinical experience as an Advanced Practice provider (APP) in any field
Military Training Network
Current certification in Advanced Cardiac Life Support (ACLS) must be attained within 90 days of being hired and maintained throughout employment
Adult Clinical Nurse Specialist (CNS) by ANCC or AACNCC
Adult-Gerontology-Primary Care Nurse Practitioner by ANCC or AANPCP, OR Adult-Gerontology-Acute Care Nurse Practitioner by ANCC or American Association of Critical-Care Nurses Certification Corporation (AACNCC)
Must have an active certification as described below by one of the following
Current certification in Satori Alternative to Managing Aggression (SAMA) must be attained within 90 days of being hired and maintained throughout employment
Current licensure as an Advanced Practice Registered Nurse (APRN) with authorization to practice as a Nurse Midwife by the Texas Board of Nursing
Current certification as a Physician Assistant by the National Commission on Certification of Physician Assistants
Must have an active certification as a Nurse Practitioner by one of the following
Master's Degree in Nursing accredited through the Commission on Collegiate Nursing Education (CCNE) or the Accreditation Commission for Education in Nursing, Inc. (ACEN)
Acute Care Nurse Practitioner (ACNP) by ANCC or AACNCC
Current RN licensure from the Texas Board of Nursing, or a valid Compact RN license
Current certification in Pediatric Advanced Life Support (PALS) must be attained within 90 days of being hired and maintained throughout employment
Current, valid Physician Assistant licensure from the Texas Board of Physician Assistants
Pediatric Nurse Practitioner Acute Care (PNP-AC) by PNCB
Must have a current healthcare provider BLS for Healthcare Providers certification from one of the following
American Red Cross
Pediatric Nurse Practitioner Primary Care (PNP-PC or PPCNP) by the Pediatric Nursing Certification Board (PNCB) or the ANCC
Neonatal Nurse Practitioner (NNP) by NCC
Adult Nurse Practitioner (ANP) by ANCC or AANPCP, OR Gerontology Nurse Practitioner (GNP) by ANCC or AANPCP
American Heart Association
Current valid prescription authorization number from the Texas Board of Nursing
Provides care to the assigned patient population in accordance with the current Texas Nursing Practice Act or Texas Medical Board Rules, as applicable to licensure, established protocols, a multidisciplinary plan of care, and clinical area-specific standards
Psychiatric Mental Health Nurse Practitioner (PMHNP) by the ANCC, OR Women's Health Nurse Practitioner (WHCNP) by the National Certification Corporation
Bachelor's Degree from an accredited college or university and successful completion of an accredited Physician Assistant Program recognized by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) or its predecessors
Current licensure from the Texas Board of Nursing as an Advanced Practice Registered Nurse (APRN) with authorization to practice as a Family, Adult, Gerontology, Adult-Gerontology Acute Care, Acute Care, Pediatric, Pediatric Acute Care, Neonatal, Psychiatric Mental Health, or Women's Health Nurse Practitioner
Psychiatric Mental Health Clinical Nurse Specialist (CNS) by ANCC or AACNCC
Current certification in Advanced Trauma Life Support (ATLS) must be obtained within 90 days of hire and maintained throughout employment
Current licensure from the Texas Board of Nursing as an Advanced Practice Registered Nurse (APRN) with authorization to practice as a Family, Adult, Gerontology, Adult-Gerontology, Adult-Gerontology Acute Care, Acute Care, Pediatric, Pediatric Acute Care, Neonatal, Psychiatric Mental Health, or Women's Health Nurse Practitioner
Family Nurse Practitioner (FNP) by the American Nurses Credentialing Center (ANCC) or the American Academy of Nurse Practitioners Certification Program (AANPCP)
Current licensure from the Texas Board of Nursing as an Advanced Practice Registered Nurse (APRN) with authorization to practice as a Clinical Nurse Specialist
Current certification in the Neonatal Resuscitation Program (NRP) must be obtained within 90 days of hire and maintained throughout employment

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Clinical Nutrition Manager - Baylor University Medical Center (BUMC)

ARAMARK

Dallas, TX 75246

$2,000 bonus

New, Posted 1 day ago

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Entry Level Application Development Opportunity

Year Up United

Dallas, TX 75215

$525/wk

Onsite

You may be required to answer additional screening questions when applying
Have not obtained a Bachelorʼs degree
Eligible to work in the U. S.
A high school graduate or GED recipient

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Adjunct Clinical Nursing Faculty - Capstone

West Coast University

Richardson, TX 75081

~ 18 min OnsiteUrgently Hiring

Clinical RN - Must have a minimum of two (2) year's prior experience as a registered nurse providing direct patient care and have a minimum of one year experience in the field in which they teach.
Professional nurse licensure required.
Master's degree in nursing

SmartExplore AI is experimental.

New, Posted 13 hours ago

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