University of Massachusetts Medical School-Shrewsbury, MAEst. $51,000 - $68,000 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.

Prepare and respond to inquiries related to appeals on clinical determinations. Licensed Practical Nurse with current license in the Commonwealth of...

1 day ago

Managed Care Advisors-United StatesEst. $54,000 - $75,000 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.

MCA has immediate openings for bright, caring, and motivated telephonic Nurse Case Reviewer (NCR). The Nurse Case Reviewer is a part of a national team...

3 days ago

Mercy-Oklahoma City, OKEst. $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.

Additional and/or multi-specialty clinical experience. At least 1 year of clinical experience. Works independently utilizing clinical background and experience,...

4 days ago

Chenega Corporation-Travis AFB, CAEst. $59,000 - $78,000 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.

Surgical Case Nurse Reviewer (SCNR). This includes but is not limited to, clinical screening,. The Department of Surgery to identify opportunities for clinical...

4 days ago

Commonwealth Care Alliance-Boston, MAEst. $57,000 - $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.

Applies established criteria (e.g., Inter Qual and other available guidelines) and employs clinical expertise to interpret clinical criteria to determine...

5 days ago

Anthem, Inc.-Glendale, CAEst. $78,000 - $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.

Nurse Reviewer I position:. Nurse Reviewer I or Nurse Reviewer Associate This position may be filled at either the Nurse Reviewer I or Nurse Reviewer Associate...

7 days ago

Medical Mutual of Ohio-Strongsville, OHEst. $50,000 - $68,000 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.

Evaluates clinical information using established national decision support criteria, Company policies, individual patient considerations, and clinical judgment...

7 days ago

Chenega Corporation-Elmendorf AFB, AKEst. $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.

Surgical Case Nurse Reviewer (SCNR). This includes but is not limited to, clinical screening,. The Department of Surgery to identify opportunities for clinical...

13 days ago

Anthem, Inc.-Glendale, AZEst. $75,000 - $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.

Nurse Reviewer I or Nurse Reviewer Associate. Nurse Reviewer I position:. Conducts initial medical necessity clinical screening....

13 days ago

Medical Mutual of Ohio-Cleveland, OHEst. $53,000 - $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.

Evaluates clinical information using established national decision support criteria, Company policies, individual patient considerations, and clinical judgment...

Medical Mutual of Ohio-Cleveland, OHEst. $50,000 - $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.

Evaluates clinical information using established national decision support criteria, Company policies, individual patient considerations, and clinical judgment...

HMSA-Honolulu, HIEst. $36,000 - $48,000 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.

Must hold a current Hawaii nursing license (LPN or RN). A Nurse Reviewer performs a detailed analysis and review of the medical records applying clinical...

HMS-MassachusettsEst. $54,000 - $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.

Interacts with physician reviewers. 3+ years clinical experience required. Provides supporting reference documentation to the reviewer....

Banner Health-Phoenix, AZEst. $57,000 - $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.

RN Concurrent Denial RN , Utilization Management experience. RN staff review medical record/clinical information to correctly status patients based on criteria,...

HMS-OhioEst. $55,000 - $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.

Nurse Reviewer SNF. Interacts with physician reviewers. 3+ years clinical experience required. Provides supporting reference documentation to the reviewer....

5 days ago

Lehigh Valley Health Network-Allentown, PA

Join us in applying for our Clinical Nurse Reviewer Surgery position in the Department of Surgery. Under the direction of the department's Manager for NSQIP and...

Care1st Health Plan-Monterey Park, CAEst. $51,000 - $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.

 Prepare and implement annual training for Clinical and Non-Clinical staff. This position will provide clinical support and guidance to Outreach Coordinators...

BlueCross BlueShield of Tennessee-Chattanooga, TNEst. $42,000 - $55,000 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.

Minimum of five (5) years health care experience with at least three (3) years of clinical experience,. Employees who are required to drive his or her personal...

1 day ago

HMS-Charlestown, MAEst. $50,000 - $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.

UR Nurse Reviewer. Interacts with physician reviewers. 3+ years clinical experience required. Provides supporting reference documentation to the reviewer....

BlueCross BlueShield of Tennessee-Nashville, TNEst. $41,000 - $53,000 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.

Minimum of five (5) years health care experience with at least three (3) years of clinical experience,. Employees who are required to drive his or her personal...

13 days ago

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