1,701 Results for

Utilization Review Nurse Jobs in Dallas, TX

Jobs

New!

Irving, TX1 day ago

Perform provider outreach to address post-hospital discharge services, redirection to in-network providers for appropriate steerage, durable equipment usage, and utilization of other medical services and/or procedures and other necessary telephonic follow-up. This nurse effectively communicates with internal and external clinical professionals, efficiently organizes the financial insurance care of the patients, and relays clinical data to insurance providers and vendors to obtain approved certification for services.

New!

Dallas, TXToday

$1,508–$1,508

Benefits: Day 1 Insurance Cigna medical, MetLife dental and vision insurance License reimbursement for new licenses needed for each assignment Discounts with hotels and rental cars A dedicated recruiter and support team that will help you every step of the way to sure you start on time and have an exceptional experience Referral bonus up to $700 About the Company: As an award-winning talent partner, we support healthcare professionals through every step of that process, offering meaningful opportunities, clear guidance, and long-term partnership.

New!

Dallas, TXToday

The Utilization Management (UM) RN performs utilization review activities, including, but not limited to, precertification, ensures appropriate level of care and status (Inpatient, Outpatient, and Observation) throughout admission and performs initial reviews, concurrent reviews, and retrospective reviews according to guidelines. UM RN delegates accordingly to LVN and works in conjunction with a multi-disciplinary team to manage the care of patients in an ethical and fiduciary responsible manner.

Arlington, TX8 days ago

Provides continuous assessment, consults with other team members as required and provides nursing care which demonstrates patient centered/patient valued care. Stays abreast of the latest developments, advancements and trends in nursing practice by attending seminars/workshops, reading professional journals and actively participating in professional organizations.

New!

Grand Prairie, TX1 day ago

Coordinate, manage and evaluate the care of people with wounds, ostomies and/or continence issues from admission through discharge to facilitate high-quality, patient-centered care in a cost effective manner. Provides continuous assessment, consults with other team members as required and provides nursing care which demonstrates patient centered/patient valued care.

Dallas, TX8 days ago

Celebrating more than 90 years of service, we strive to have a diverse workforce that reflects the communities we serve and welcomes the skills and talents of all groups. The flagship hospital of Methodist Health System, Methodist Dallas is a 595-bed acute care teaching and referral hospital.

New!

Dallas, TX1 day ago

Must have 8 years of experience to include 3 years of operational leadership experience including experiences such as directly or indirectly leading teams, quality and process improvement initiatives, strategic initiatives with organizational implications, and/or providing oversight of staff and resources for efficient and effective patient care required. Must have one of the following, upon hire or transition into the role:AWHONN (Association of Women's Health, Obstetric and Neonatal Nurses) Intermediate Electronic Fetal Monitoring Certificate OR, AWHONN (Association of Women's Health, Obstetric and Neonatal Nurses) Advanced Electronic Fetal Monitoring Certificate OR, NCC (National Corporation Certification (NCC) Electronic Fetal Monitoring Certification.

New!

Dallas, TX5 days ago

The EPR-RN performs, and supervises the EPRN-LVN, in utilization review with a prominent level of expertise by using approved criteria that demonstrates medical necessity to achieve appropriate authorization and reimbursement for services for the appropriate level of care and status (Inpatient, Observation, or Outpatient). EPR-RN conducts emergency physician-to-emergency physician discussions of members and provides authorization for post-stabilization care of PHP members presenting at a non-PIH facility and is required to assist in making other appropriate arrangements to promote/enhance continuity of care.

New!

Plano, TX1 day ago

Administers anesthesia and anesthesia-related care from pre-anesthetic patient assessment and evaluation through post-anesthetic patient follow-up, evaluation, and care, formulating and carrying out anesthetic patient care plans in collaboration with attending anesthesiologists to facilitate quality patient care, comfort, and satisfaction during diagnostic, therapeutic, and surgical procedures. Must have a current license or temporary authorization (interim approval not to exceed 120 days from date of issuance) as an Advanced Practice Registered Nurse (APRN) with authorization to practice as a Certified Registered Nurse Anesthetist (CRNA) by the Texas Board of Nursing.

Dallas, TX8 days ago

In addition to the new 40,000-square-foot expansion of the emergency department, we offer a newly renovated intensive care unit, labor and delivery unit, and interventional radiology suite; a Level III Trauma Center, a Level II Neonatal Intensive Care Unit, and the Dr. Stephen and Marilyn Mansfield Oncology Unit. We have been recognized for excellence in cardiac catheterization, electrophysiology, open heart surgery, and STEMI care; stroke care; hip and knee joint replacement; women and children’s services; and more.

New!

Dallas, TX1 day ago

Performs patient assessments related to cancer care and other medical diagnosis to include allergies and hypersensitivity reactions, physical, signs and symptoms, changes in activities of daily living, psychosocial, support network and financial dimensions across the continuum of care (diagnosis, treatment, surveillance, and end of life). Will maintain current Commission on Cancer specific certification in the nurses specialty by an accredited certification program or will continue ongoing education by earning 12 cancer-related continuing education nursing contract hours per year or 36 cancer-related continuing education nursing contract hours each accreditation cycle (3 years).

New!

Richardson, TX6 days ago

We also provide services at Methodist Richardson Medical Center – Campus for Continuing Care, which include a behavioral health and addiction recovery unit, inpatient rehabilitation, long-term acute care, and more. Methodist Richardson Medical Center is a 443-bed, full-service, acute care hospital that serves Richardson, Garland, Plano, and surrounding areas in Dallas and Collin counties.

Midlothian, TX8 days ago

Providing everything from emergency care and advanced surgery to imaging and labor and delivery, our hospital has 16 emergency department beds, two operating suites, and the latest digital and medical technologies. Our reputation as an award-winning employer shows in the distinctions we’ve earned: 150 Top Places to Work in Healthcare by Becker’s Hospital Review, 2023.

Richardson, TX8 days ago

Midlothian, TX8 days ago

New!

Dallas, TX1 day ago

Provides safe medication administration using the patient's six (6) rights, provides maintenance and management of intra-venous (IV) access, performs Point of Care (POC) testing, demonstrates safe infection control practices, invasive hemodynamic monitoring and provides emergency resuscitation management of patient. Current/Valid American Heart Association Advanced Cardiovascular Life Support (ACLS) or Advanced Life Support (ALS) certification card at time hire, and the ability to maintain thereafter from one of the following: American Heart Association; American Red Cross; or Military Training Network.

Dallas, TX12 days ago

Dallas, TX9 days ago

Dallas, TX8 days ago

BSN Preferred • Current Basic Life Support Certification • Current additional certifications as required by department • Current license to practice professional nursing in Texas or eligibility to do so • Work experience: at least 6 months RN experience Your Job Responsibilities: • Communicate clearly and openly • Build relationships to promote a collaborative environment • Be accountable for your performance • Always look for ways to improve the patient experience • Take initiative for your professional growth • Be engaged and eager to build a winning teamMethodist Dallas Medical Center is one of North Texas’ best places to work. Celebrating more than 90 years of service, we strive to have a diverse workforce that reflects the communities we serve and welcomes the skills and talents of all groups.

Desoto, TX8 days ago

Alvarado, TX7 days ago

With advanced technology, patient-centered design, and a new ninth operating room added in 2025, Methodist Mansfield delivers high-quality, innovative care across services including Level III Trauma, NICU, and Maternal Care. Methodist Mansfield Medical Center is a 294-bed, full-service acute-care hospital serving North Texas and certified as an Advanced Primary Stroke and Heart Attack Center by The Joint Commission.

Mansfield, TX8 days ago

Dallas, TX8 days ago

Richardson, TX7 days ago

BSN Preferred • Current Basic Life Support Certification • Current additional certifications as required by department • Current license to practice professional nursing in Texas or eligibility to do so • Work experience: at least 6 months RN experience Your Job Responsibilities: • Communicate clearly and openly • Build relationships to promote a collaborative environment • Be accountable for your performance • Always look for ways to improve the patient experience • Take initiative for your professional growth • Be engaged and eager to build a winning teamMethodist Richardson Medical Center is a 443-bed, full-service, acute care hospital that serves Richardson, Garland, Plano, and surrounding areas in Dallas and Collin counties. We also provide services at Methodist Richardson Medical Center – Campus for Continuing Care, which include a behavioral health and addiction recovery unit, inpatient rehabilitation, long-term acute care, and more.

Seagoville, TX9 days ago

Grand Prairie, TX9 days ago

New!

Irving, TX2 days ago

Seagoville, TX24 days ago

Frisco, TX9 days ago

BSN Preferred • Current Basic Life Support Certification • Current additional certifications as required by department • Current license to practice professional nursing in Texas or eligibility to do so • Work experience: at least 6 months RN experience Your Job Responsibilities: • Communicate clearly and openly • Build relationships to promote a collaborative environment • Be accountable for your performance • Always look for ways to improve the patient experience • Take initiative for your professional growth • Be engaged and eager to build a winning teamMethodist Celina Medical Center is located on a 40+ acre campus just off of Dallas Parkway, and will serve as the community’s first full-service hospital, serving Celina and surrounding communities. The four-story medical center will open with 51 beds, with plans for expansion, and will feature a range of services including cardiology, women’s services, orthopedics, robotic surgery, and more.

New!

Dallas, TX1 day ago

Provides safe medication administration using the patient's 6 rights, provides maintenance, maintenance and management of IV access, performs POC monitoring and demonstrates safe infection control practices. Electronic Fetal MonitoringMust have completed RELIAS or AWHONN (Association of Women's Health, Obstetric and Neonatal) endorsed Basic Electronic Fetal Monitoring Certificate within 90 days of hire or reclassification into the role.

New!

Dallas, TX1 day ago

Highly prefer General Surgery, Trauma, and Med/Surg experience providing direct bedside, patient care in a high-acuity, fast-paced hospital environment and strong skills in wound care, and, if possible, sterile technique (excluding Clinical Rotations as part of degree program, and/or LVN experience). Must have current healthcare provider BLS for Healthcare Providers certification card from one of the following: American Heart Association, American Red Cross, or Military Training Network.

New!

Dallas, TX1 day ago

Provides care to assigned patient population in accordance with established protocols and multidisciplinary plan of care utilizing independent, dependent, and interdependent interventions to restore stability, prevent complications, and achieve and maintain optimal patient responses for all patients through patient centered/patient valued care. Provides safe medication administration using the patients 6 rights, provides maintenance, maintenance and management of IV access, performs POC monitoring and demonstrates safe infection control practices.

Dallas, TX9 days ago

With clear communication and dedication to building relationships that promote a collaborative environment, you'll be accountable for your performance and empowered to take initiative for your professional growth - while being engaged and eager to build a winning team. • In this highly technical, fast-paced, and challenging nursing position, you'll work with multidisciplinary team members to provide our patients the best care.

Frisco, TX8 days ago

Mansfield, TX8 days ago

Dallas, TX10 days ago

Dallas, TX8 days ago

New!

Dallas, TX1 day ago

Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Provides continuous assessment, consults with other team members as required, and provides nursing care that demonstrates patient-centered/patient-valued care.

New!

Dallas, TX1 day ago

Waxahachie, TX8 days ago

$55.73–$57.20

Keywords: Registered Nurse, RN, RN Per Diem, Certified Home Health, OASIS, HomeCare HomeBase, Side Hustle, Flexible Hours, Per Diem, Competitive Pay, PRN. One-To-One Support & Clinical Mentorship: You work hard to care for so many, our team is dedicated to making sure that your questions are answered and that you feel supported day in and day out.

Dallas, TX10 days ago

New!

McKinney, TX2 days ago

$90,000–$110,000

We’re proud to be named one of America’s Greatest Workplaces 2025 by Newsweek — a reflection of our shared commitment to excellence, integrity and compassion as we shape the future of aging in place. You’ll belong to a team that cares deeply for patients and each other; a team committed to consistently providing exceptional care.

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Utilization Review Nurse Jobs in Dallas, TX

Utilization Review Nurse Health Plans - HP Utilization Management Christus Health

Travel Nurse RN - Utilization Review - $1,508 per week in Dallas, TX TravelNurseSource

Utilization Management RN (Hybrid) TEXASCONNECT INC

Senior Registered Nurse - Epilepsy Monitoring Unit Parkland Health and Hospital System

Registered Nurse - Wound Ostomy and Continence - PRN Parkland Health and Hospital System

Nurse Scientist Researcher Methodist Health System

Nurse Director - Labor and Delivery - Perinatal Parkland Health and Hospital System

Transfer Center RN (Onsite) TEXASCONNECT INC

Certified Registered Nurse Anesthetist- CRNA Parkland Health and Hospital System

Registered Nurse - Intermediate Care Days Methodist Health System

Senior Registered Nurse - Parkland Health Cancer Center Parkland Health and Hospital System

Registered Nurse - Surgical Intermediate Care Unit - FT Days Methodist Health System

Registered Nurse - Intermediate Care Unit - FT Days Methodist Health System

Registered Nurse - Intermediate Care Unit - PRN Methodist Health System

Registered Nurse - Intermediate Care Unit - Weekender Days Methodist Health System

Senior Registered Nurse - Emergency Department Parkland Health and Hospital System

Senior Registered Nurse - Medicine Surgery Parkland Health and Hospital System

Registered Nurse - PRN Tier 2 - Neuro/Pulmonary Methodist Health System

REGISTERED NURSE - INTENSIVE CARE UNIT Methodist Health System

Registered Nurse - Intensive Care Unit - FT Methodist Health System

Registered Nurse - Resource Team, Critical Care & Emergency Department - FT Days Methodist Health System

Registered Nurse - Neuro Trauma ICU - PT Methodist Health System

Registered Nurse - Intermediate Care - FT Days Methodist Health System

Registered Nurse - Emergency Department - Part Time/Days Methodist Health System

Registered Nurse - Medical Intermediate Care - PRN Methodist Health System

Registered Nurse - Medical Intermediate Care - FT Days Methodist Health System

Registered Nurse - Cardiac Cath Lab - PRN Methodist Health System

Registered Nurse - Cath Lab - PRN Methodist Health System

Registered Nurse - Cath Lab Methodist Health System

REGISTERED NURSE - CATH LAB Methodist Health System

Registered Nurse PRN - Cardiac Catheterization Laboratory - On Call Required Methodist Health System

Registered Nurse - Labor and Delivery Parkland Health and Hospital System

Senior Registered Nurse - Trauma General Surgery Parkland Health and Hospital System

Registered Nurse - Centralized Staffing Office - Labor and Delivery - PRN Parkland Health and Hospital System

Registered Nurse - Trauma/Ortho/Neuro - Part Time - Day Shift Methodist Health System

• Registered Nurse – Surgical Intensive Care Unit – PT Methodist Health System

Registered Nurse - Intermediate Care Unit- PT Days Methodist Health System

Registered Nurse- Intermediate Care- FT Days Methodist Health System

Registered Nurse - FT - Nights - Critical Care - Resource Float Pool Methodist Health System

Registered Nurse - Neuro Critical Care (Neuro/Trauma) - FT Nights Methodist Health System

Senior Registered Nurse - Hospitalist Medicine Parkland Health and Hospital System

Senior Registered Nurse - Hospitalist A Parkland Health and Hospital System

Registered Nurse (RN) - Certified Home Health - earn $55.73 per point connectRN

Registered Nurse - Intensive Care Unit - FT Nights Methodist Health System

Registered Nurse -Neuro Critical Care (Neuro Trauma) - Weekender Nights Methodist Health System

Registered Nurse - Intensive Care Nights Methodist Health System

Registered Nurse / Patient Care Manager, Home Health AccentCare, Inc.

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