4w
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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.
3d
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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.
1w
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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
4d
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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
18h
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Utilization Management Coordinator (REMOTE)
Dallas, Texas, United States
RemoteFull Time
2+ YOE2+ years managed care/health plan experience, high school diploma or equivalent, familiarity with prior authorization, CPT/ICD-10/HCPCS knowledge, strong communication, 40 WPM typing, Microsoft Office proficiency.
EzCap, Windows, Microsoft Word, Microsoft Excel
1mo
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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.
2d
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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
2w
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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
3w
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Utilization Review Coordinator - Temporary (license preferred)
Greenville, Texas, United States
OnsiteTemporary
2+ YOEDegree in social work/mental health/nursing preferred; 2+ years healthcare or managed care experience preferred; licensure (RN, LVN, LMSW, LPC) preferred; CPR, Handle with Care and Verbal De-Escalation training required within 30 days.
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
1w
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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.
1w
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Wastewater Operator II or III
Garland, Texas, United States
$22-$30/hr OnsiteFull Time
3+ YOE3+ years (Operator II) or 6+ years (Operator III) wastewater experience, TCEQ Class B (II) or Class A (III) license, high school diploma/GED, valid Texas driver's license, ability to work in hazardous outdoor conditions.
SCADA
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.
1mo
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Dermatology Utilization Review - Remote - Contract (1099)
Dallas or Indiana or Kentucky or Nevada or Oregon or Oklahoma or South Carolina or Texas or United States
RemoteContract
5+ YOEBoard-certified dermatologist with MD or DO, unencumbered state medical license in IN/KY/NV/OR/OK/SC/TX, 5+ years clinical experience (including residency), daytime availability, HIPAA compliance.
1mo
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Utilities Industry Strategic Advisor
Dallas or Fort Worth
RemoteFull Time
15+ YOE15+ years in the utility industry with deep utility domain expertise, consulting/advisory experience, proven C‑suite engagement, and ability to translate utility challenges into digital/AI transformation strategies.
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