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Utilization Review Jobs in Dallas

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Search Results - Utilization Review Jobs in Dallas
Dallas
Overview: AmTrust Financial Services, a fast-growing commercial insurance company, has a need for a Director of Utilization Review in our Dallas, TX location. The Director will lead the UR operation and own all responsibilities related...
icims.com -
Nursing Solutions-Dallas
and reports as instructed.  •  Participates, as requested, in orientation of new staff, in-service education, continuing education, utilization review and QAPI programs.  •  Participates in/attends staff development activities and in-service meetings to educate...
jobrapido.com -
Dallas
continuum and compliance with program/Parkland policies and procedures. Responsible for the maintaining the knowledge and skill set related to utilization review, care coordination, performance improvement and professional licensure and certification...
tiptopjob.com -
Concentra, Inc.-Dallas
Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations. Responsibilities MAJOR DUTIES AND RESPONSIBILITIES:   1.  Reviews medical files and provides recommendations for utilization review, chart reviews...
appcast.io -
Dallas
strategy for Parkland Community Health Plan (PCHP). Provides leadership oversight and directs the operations for State and commercial healthcare services, (clinical operations) including service coordination, discharge planning, pharmacy, and utilization...
tiptopjob.com -
Children's Health (Dallas)-Dallas
Care Coordination, Utilization Review, or Community-based nursing required EDUCATION  •  Two-year Associate's degree or equivalent experience required  •  Four-year Bachelor's degree or equivalent experience preferred  •  Care Coordinators must have...
appcast.io -
Dallas
with Concentra Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations. Responsibilities: MAJOR DUTIES AND RESPONSIBILITIES:  •  Reviews medical files and provides recommendations for utilization review, chart...
icims.com -
Public Storage-Plano, 6 mi from Dallas
related matters Oversee reporting of claims and compliance with state filing requirements Oversee medical utilization Review and analyze all claims; identify claims with potential exposure to high losses Coordinate with insurance carrier to create...
resume-library.com -
Dallas
procedures, and performance standards and URAAC guidelines and state regulations. Responsibilities: MAJOR DUTIES AND RESPONSIBILITIES:  •  Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity...
icims.com -
Christus Health-Irving, 15 mi from Dallas
experience in clinical practice or demonstrated success in CHRISTUS RN Care Manager I position.  •  Case management and Utilization Review experience preferred.  •  RN License in state of employment or compact required.  •  Certification in Case Management...

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