Showing 1-20 of 18,027
Showing 1-20 of 18,027

Manager Utilization Review jobs

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L.A. Care Health Plan-Los Angeles, CAEst. salary:$56,000 - $70,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Works with the UM Manager and Physician Advisor on case reviews for pre-service, concurrent post-service and retrospective claims medical review....

Amber Pharmacy-Omaha, NEEst. salary:$58,000 - $72,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Within defined scope of nursing practice, Utilization Management Nurse performs various duties related to prior authorization of prescription orders and...

Brown & Toland Physicians-Oakland, CAEst. salary:$78,000 - $110,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Assures compliance with all payer contracts and federal, state, and county regulations and mandates for utilization review....

Hosparus-Louisville, KYEst. salary:$81,000 - $110,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Utilizes data to evaluate quality of patient care services and utilization of resources. Convenes Complex Case Reviews in a timely manner on patients where...

Aetna-San Antonio, TXEst. salary:$55,000 - $70,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Precertification, pre determination, concurrent review, retro review, and discharge planning activities of the WEA members....

Florida Hospital-Orlando, FLEst. salary:$57,000 - $74,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Utilization Management Nurse, Utilization of Services, Case Management, Maitland. Medical record investigative review knowledge....

Methodist Hospital for Surgery-Addison, TXEst. salary:$49,000 - $71,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Participates in the Utilization Review Committee and attends all meetings. Assists facility in analysis of data to evaluate the effectiveness of processes in...

Sharp Healthcare-San Diego, CAEst. salary:$77,000 - $100,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

3 years’ experience case management, utilization review, denial management, audits and appeals, clinical documentation improvement or related experience....

St James Mercy Hospital-Hornell, NYEst. salary:$49,000 - $69,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Perform utilization reviews in accordance with established Hospital UR Plan. Review of DRG assignments. Performs UR reviews as assigned....

Veterans Affairs, Veterans Health Administration-Wilmington, DESalary:$62,000 - $110,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

He/she promotes peer review. Applying online will allow you to review and track the status of your application....

Visiting Nurse Association of Central New York Inc-Rochester, NYEst. salary:$48,000 - $64,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

The Utilization Review Coordinator assists the utilization review process taking on. Performs utilization review in accordance with all state mandated...

Aspire Health Plan-Monterey, CAEst. salary:$70,000 - $97,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

The Manager of Utilization Review will:. ER visits, re admissions, OOA utilization and identification of potential high cost cases....

MJ Morgan Group-New York, NYEst. salary:$86,000 - $110,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Three to five years of Utilization Review Experience. Requirements of the Director of Quality Review - RN:....

U of M Community Physicians Group-Millersville, MDEst. salary:$79,000 - $110,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Completes formal performance reviews. Controls utilization of fiscal resources. Audits, reviews and updates policies and procedures....

Anthem, Inc.-Buffalo, NYEst. salary:$84,000 - $110,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Utilization Management experience required. Able to review, track and report on metrics/data relating to inpatient and outpatient utilization management....

Visiting Nurse Association of Central New York Inc-Syracuse, NYEst. salary:$44,000 - $64,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

The Utilization Review Coordinator assists the utilization review process taking on. Performs utilization review in accordance with all state mandated...

Anthem, Inc.-Indianapolis, INEst. salary:$33,000 - $44,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Utilization Management Rep I/II. Refers cases requiring clinical review to a Nurse reviewer. Responsible for coordinating cases for precertification and prior...

Perfect Choice Staffing-Brooklyn, NYSalary:$82,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Additionally, this position will include knowledge of Utilization Review rules and regulations as they assist physicians and staff in assigning admission status...

Millwood, Inc.-Alburtis, PAEst. salary:$23,000 - $31,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Ensure efficient utilization of employee aptitude, equipment/macinery and materials. Review time, attendance and production records of each employee daily....

Leonard Bus Sales, Inc.-Middletown, NYEst. salary:$67,000 - $92,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Reviews financial statements, sales activity reports, and other performance data to measure productivity and goal achievement and to determine areas needing...


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