1mo
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Utilization Review Nurse
Dallas, Texas, United States
$90k-$98k/yr RemoteFull Time
3+ YOECurrent unrestricted RN license, 3+ years clinical nursing, 1+ year UM/UR experience, proficiency with Microsoft Excel/Word/Outlook/Teams and utilization management systems; strong analytical and communication skills.
Microsoft Excel, Microsoft Word, Microsoft Outlook, Microsoft Teams, Milliman
3w
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Utilization Review Specialist
Fort Worth, Texas, United States
OnsiteFull Time
3+ YOEBachelor's degree required (master's in social work preferred); minimum 3 years experience with children/youth in foster care; experience with utilization management in behavioral/medical settings; strong communication and organizational skills; valid driver's license and personal vehicle required.
6d
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Vice President, Utilization Management
Plano, Texas, United States
OnsiteFull Time
10+ YOE10+ years progressive healthcare leadership with multi-facility experience; expertise in utilization management, payer strategy, denial reduction, reimbursement optimization, executive communication, and data-driven decision making.
2w
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Manager - Utilization Management
Dallas, Texas, United States
OnsiteFull Time
3+ YOE1+ MgmtLicensed clinician (LPHA,RN,PA,LPC,LCSW,LMFT) in Texas, 3+ years direct serious mental illness experience, 1+ year UM implementation/supervisory experience, valid Texas driver, knowledge of TRR/TAC, strong clinical decision-making and documentation skills.
Microsoft Outlook, Microsoft Word, Microsoft Excel, Microsoft PowerPoint, CMBHS
1w
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Clinical Utilization Nurse
Plano, Texas, United States
$88k-$115k/yr HybridFull Time
2+ YOEReview clinical referrals and prior authorizations, draft LMNs and appeals, perform initial assessments and care plans, coordinate with prescribers, and monitor patient outcomes; RN/NP with infusion experience preferred.
Monday.com, MS-teams, Microsoft Office, Windows, Cover My Meds (CCM)
1mo
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Utilization Review Nurse Health Plans - HP Utilization Management
Irving, Texas, United States
OnsiteFull Time
LVN required (state or compact), RN preferred; 3–5 years nursing experience preferred; proficiency with InterQual/MCG/CMS criteria, Microsoft Outlook/Teams/Word/Excel; strong communication and critical thinking; able to take after-hours calls.
InterQual, MCG, Centers for Medicare and Medicaid Services (CMS) Inpatient List, Microsoft Outlook, Microsoft Teams, Microsoft Word, Microsoft Excel
1mo
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Utilization Management RN (Hybrid)
Dallas, Texas, United States
HybridFull Time
2+ YOECurrent CA RN licensure or willingness to obtain, 2+ years bedside acute care, 2+ years case management, knowledge of payer requirements, strong communication and organizational skills, basic MS Office skills, ability to apply UM criteria, typing 50 WPM.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Outlook, Milliman Care Guidelines (MCG)
5h
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Utilization Management Coordinator PRN
Dallas, Texas, United States
OnsitePart Time
5+ YOEHigh school diploma, 5 years hospital or insurance experience, familiarity with Epic, ability to manage phone/fax workflows and insurance authorizations, availability 7am–10pm.
Epic
10h
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Utilization Management Coordinator PRN
Dallas, Texas, United States
OnsitePart Time, Temporary
5+ YOEHigh school diploma,5 years hospital or insurance experience,availability 7am-10pm (PRN),experience with Epic,faxing/phone/documentation skills,security-sensitive role.
Epic
2mo
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Director of Utilization Management
Dallas, Texas, United States
OnsiteFull Time
5+ YOE2+ MgmtMaster’s degree in a related clinical field with active licensure; 5+ years UM in behavioral health with commercial payors; 2+ years people leadership; cross-functional experience; TX payor knowledge.
3w
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Utilization Review Registered Nurse
Dallas, Texas, United States
OnsiteFull Time
3+ YOECurrent Texas RN license and BLS, Associate's degree in nursing (Bachelor's preferred), 3+ years acute care experience, experience with InterQual or Milliman criteria, strong communication and analytical skills, and valid driver’s license.
InterQual, Milliman
4d
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Utilization Review Intake Specialist
Dallas, Texas, United States
$17-$27/hr RemoteFull Time
High school diploma required (AA preferred). Ability to handle high-volume calls, enter and verify patient/provider data, use CareMC and Microsoft Office/Excel, strong written/verbal communication and organizational skills.
CareMC, Microsoft Office, Microsoft Excel
1d
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Electric Compliance Assurance Specialist – O&P
Garland, Texas, United States
OnsiteFull Time
3+ YOEBachelor's in electrical/power/utility discipline, 3+ years utility/power systems or regulatory compliance experience, knowledge of NERC O&P standards, strong Visio, SQL and Excel skills, ability to interview SMEs and prepare audit evidence.
SQL, Microsoft Visio, Microsoft Excel, SCADA
6h
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Transmission Services Consultant
Fort Worth, Texas, United States
HybridFull Time
6+ YOE6+ years regulated utility experience; knowledge of transmission interconnection, contract negotiation, regulatory compliance, and project management.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint
1mo
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Epic Tapestry Certified - Utilization Management - Senior Consultant
Nashville or Dallas or Columbus or Atlanta
$63k-$219k/yr HybridFull Time
5+ YOE5+ years in Healthcare IT in an Epic non-clinical leader role, Epic Tapestry certification and certification in an Epic non-clinical app, bachelor's degree or equivalent, project planning, stakeholder communication, and system configuration/testing experience.
Epic Tapestry, Microsoft Excel, Gen AI
1w
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RN - Supervisor, Utilization Mgmt
Fort Worth, Texas, United States
OnsiteFull Time
5+ YOEBSN and Texas RN license required; 5+ years clinical experience, 2 years utilization management experience, typing 35 WPM, computer proficiency, strong communication, coaching and teaching skills.
2w
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Wastewater Plant Operator III
Allen, Texas, United States
$27-$40/hr OnsiteFull Time
3+ YOEHigh school diploma/GED, TCEQ Class B wastewater operator license, valid Texas driver's license, 3+ years wastewater experience, knowledge of wastewater processes, testing, troubleshooting, and basic computer skills.
SCADA
2w
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UG Service Working Foreman
Grand Prairie, Texas, United States
$25-$30/yr OnsiteFull Time
2+ YOE2+ years underground electric distribution experience; able to work energized/de-energized lines up to 600V, computer literate, basic math, read meters and drawings, English fluency, valid Texas driver license; Class A CDL preferred.
2mo
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Nurse Case Manager - Utilization Review - Mon, Tue, Sat, Sun
Fort Worth, Texas, United States
OnsiteFull Time
3+ YOERN with 3-5 years in clinical, case management, utilization review, or discharge planning; Bachelor's required; Texas RN licensure; ACM certification preferred; Master’s in Nursing preferred.
2mo
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Utilization Management Medical Director - Medical Oncology - Remote anywhere in US
Houston or Chicago or Atlanta or Phoenix or Los Angeles or Saint Louis or San Diego or Dallas or Philadelphia or Seattle
$249k-$373k/yr RemoteFull Time
5+ YOEMD or DO with current medical license; Board Certification in Oncology; 5+ years clinical experience in oncology; NCCN guideline experience; able to support utilization review and case/disease management.