Springstone-Avondale, AZEst. $53,000 - $73,000 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.

As a Utilization Review Specialist, you will accurately and timely complete utilization review activities. Utilization Review Specialist - PRN Copper Springs is...

Medstar Georgetown University Hospital-Washington, DCEst. $70,000 - $93,000 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.

Advanced Practice Nurse, Behavioral, Birth, Bone, BSN, Cardiac, Care, Career, Case, Casual, Cath, Clinical Documentation, Clinical Nurse Specialist, Control,...

7 days ago

Medstar Georgetown University Hospital-Washington, DCEst. $72,000 - $95,000 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.

Advanced Practice Nurse, Behavioral, Birth, Bone, BSN, Cardiac, Care, Career, Case, Casual, Cath, Clinical Documentation, Clinical Nurse Specialist, Control,...

7 days ago

R1 RCM-Remote

The Utilization Review Specialist will determine the appropriate cases for review, utilizing client specific guidelines....

Medstar Georgetown University Hospital-Washington, DCEst. $58,000 - $79,000 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.

Advanced Practice Nurse, Behavioral, Birth, Bone, BSN, Cardiac, Care, Career, Case, Casual, Cath, Clinical Documentation, Clinical Nurse Specialist, Control,...

12 days ago

Anthem, Inc.-Richmond, VAEst. $37,000 - $47,000 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.

Medical Management Specialist I. Responsibilities exclude conducting any utilization management review activities which require interpretation of clinical...

20 hours ago

University of Maryland Medical Center-Baltimore, MDEst. $51,000 - $73,000 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 tests, procedures and consultations for appropriate utilization of resources in a timely manner. Under general supervision, provides utilization review...

Kaiser Permanente-Granada Hills, CAEst. $67,000 - $88,000 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.

Trends utilization of health care resources. Coordinates care/services with utilization and/or quality reviewers and monitors level and quality of care....

4 days ago

Florida Hospital Tampa-Tampa, FLEst. $41,000 - $57,000 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.

Efficient utilization of department supplies and resources. Wears TLD badge daily, reviews radiation exposure reports and uses radiation restrictive devices on...

Physicians Health Partners, LLC-Denver, COEst. $76,000 - $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 review and/or prior authorization work experience. Responsible for oversight and supervision of daily operations of Utilization Management...

23 hours ago

Piper Clinical Solutions-Remote $85,000 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.

ICD9, ICD10, CPT, HCPCS, APC, DRG, Revenue Codes, NDCs, NCCI, priority partners, DoD, Tricare, Medicare, Medicaid, fraud, waste, abuse, FWA, Utilization Review,...

Vencore-Chantilly, VAEst. $93,000 - $130,000 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.

Evaluate services and provide technical reviews considering long-term business goals and IT strategy. Forecast, plan for and manage the demand for services to...

7 days ago

Aldridge Pite LLP-Atlanta, GAEst. $36,000 - $47,000 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 Bankruptcy Specialist must have an overall understanding of bankruptcy policies and procedures. The Bankruptcy Specialist II has the key responsibility to...

3 days ago

Intermountain Healthcare-Salt Lake City, UTEst. $42,000 - $54,000 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 (UR) Nurse is responsible to review clinical records and make sure the request meets the criteria established by CMS, Medicaid, InterQual...

4 days ago

Kaiser Permanente-Los Angeles, CAEst. $56,000 - $77,000 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.

Interfaces with Primary Care Physicians, Specialists and various disciplines on the development of case management plans/programs....

13 days ago

Anthem, Inc.-Indianapolis, INEst. $33,000 - $47,000 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.

Responsibilities exclude conducting any utilization management review activities which require interpretation of clinical information....

Anthem, Inc.-Glendale, CAEst. $72,000 - $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.

AIM is certified by the National Committee for Quality Assurance (NCQA) and has received Full Accreditation for Health Utilization Management from the...

15 hours ago

Westchester Community College-Valhalla, NY $57,000 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.

Participating in meetings with management and administrative staff to analyze existing systems and policies and recommending new procedures and/or revisions in...

Presbyterian Healthcare Services-Albuquerque, NMEst. $49,000 - $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.

Performs care review both prospectively and retrospectively. Prefer 1 year of experience in HMO/MCO, health plan insurance environment required, with expertise...

3 days ago

Uniontown Hospital-Uniontown, PAEst. $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.

Utilization management experience. Position Overview Performs concurrent review of inpatient and selected outpatient cases for medical necessity and...

23 hours ago

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