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1073 Utilization Review Nurse jobs in Dallas,TX

New, Posted 5 hours ago

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

Molina Healthcare

Fort Worth, TX 76104

$29.05-$67.97/hr

Remote

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

SmartExplore AI is experimental.

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Registered Nurse Navigator Home Health Review-Health Admin

CHRISTUS Health

Irving, TX 75039

~ 22 min Onsite

RN license in the state of employment or compact is required
3-5 years of clinical experience required
2-3 years of managed care and/or care management experience preferred
2 years of Home health experience preferred
Bachelor's Degree in Nursing preferred

SmartExplore AI is experimental.

New, Posted 1 day ago

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Registered Nurse - Scheduler - Full-Time

Methodist Health System

Dallas, TX 75215

OnsiteUrgently Hiring

Current additional certifications as required by department
Graduate of an accredited school of professional nursing.
Current Basic Life Support Certification
Registered Nurse
Work experience: at least 6 months RN experience
Current license to practice professional nursing in Texas or eligibility to do so

SmartExplore AI is experimental.

New, Posted 1 day ago

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Registered Nurse - Up to $38,000 Sign-on Bonus

Federal Bureau of Prisons

Dallas, TX 75211

$38,000 bonus

Onsite

Registered Nurse

SmartExplore AI is experimental.

New, Posted 6 hours ago

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Health Information Management Coding and Document Educator

Parkland Health Hospital System

Dallas, TX 75235

Must have successfully completed an approved coding program
Certified Coding Specialist (CCS)
Must be a graduate of a Health Information Management program
Must score a minimum of 85% on a pre-employment coding test
Must have one of the below certifications through the American Health Information Management Association:
Must have or obtain within six (6) months of hire into role an AHIMA Approved ICD 10 Trainer
Certified Coding Specialist - Physician Based (CCS-P)
Registered Health Information Management Technician (RHIT)
Registered Health Information Management Administrator (RHIA)
Must have five years of coding experience in an acute care hospital

SmartExplore AI is experimental.

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Intake Representative

U.S. RENAL CARE

Plano, TX 75024

Health InsurancePaid Time OffRetirement Benefit

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staff - Registered Nurse (RN) - Research / Clinical Research - $44 per hour

Cook Children’s Health Care System

Fort Worth, TX 76102

$44/hr

Urgently HiringEducation AssistanceHealth InsurancePaid Time OffRetirement Benefit

New, Posted 1 day ago

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Case Manager (Registered Nurse/RN)

Renaissance Park Multi Care Center

Fort Worth, TX 76109

~ 44 min Onsite

Currently licensed/registered in applicable State. Must maintain an active Registered Nurse (RN) license in good standing throughout employment.
Nursing diploma (associate's or bachelor's degree in nursing)

SmartExplore AI is experimental.

New, Posted 5 hours ago

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Healthcare Customer Service Representative (RN, CNA, CMA) - Remote

Teleperformance

Dallas, TX 75221

RemoteHealth InsurancePaid Time OffRetirement Benefit

College degree (RN)
Must have proof of school/experience for CNA/CMA role, Active license is preferred
Ability to type at least 25 words per minute.
Must be comfortable working in a call center enviroment as this is not patient facing.
High School Diploma or equivalent (CNA/CMA).
Minimum of 6 months of healthcare/customer service experience.
Must hold an Active License for the RN role
Comfortable with desktop computer systems and have general knowledge of Windows-based systems.
Be located in one of the following states: AL, AR, AZ, CT, DE, FL, GA, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, PA, RI, SC, SD, TN, TX, UT, VA, VT, WI, WV, WY.
Must be 18 years of age or older.

SmartExplore AI is experimental.

New, Posted 23 hours 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.