BlueCross BlueShield of Tennessee-Chattanooga, TNEst. $45,000 - $61,000 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.

Assess resource utilization and cost management; Prefer two (2) years experience in Utilization Management, Case Management or Managed Care....

Landmark Health-Harrisburg, PAEst. $44,000 - $61,000 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.

Familiarity with Medicare Risk Adjustment. 2+ year experience coding ICD.9 for HCC utilization. Retrospective review of records and coded data for audit....

UnitedHealth Group-Leesburg, VA

Coordinate with Utilization Management staff, as indicated regarding discharge planning; Review daily census and prioritizes daily work in accordance with Care...

UnitedHealth Group-Reston, VA

Coordinate with Utilization Management staff, as indicated regarding discharge planning; Review daily census and prioritizes daily work in accordance with Care...

UnitedHealth Group-Falls Church, VA

Coordinate with Utilization Management staff, as indicated regarding discharge planning; Review daily census and prioritizes daily work in accordance with Care...

Bright Health-Phoenix, AZEst. $62,000 - $90,000 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.

You have experience with HEDIS quality metrics, Risk Adjustment, and utilization management. Director of Quality, Accreditation and Risk and/or by the Manager...

UnitedHealth Group-Alexandria, VA

Coordinate with Utilization Management staff, as indicated regarding discharge planning; Review daily census and prioritizes daily work in accordance with Care...

UnitedHealth Group-Arlington, VA

Coordinate with Utilization Management staff, as indicated regarding discharge planning; Review daily census and prioritizes daily work in accordance with Care...

Bay Area Regional Medical Center-Webster, TXEst. $60,000 - $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.

Nurse navigator will provide education related to risk factors, breast self-examination and lifestyle modification....

Care1st Health Plan-Monterey Park, CAEst. $58,000 - $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.

 Provide support to the Medicare HCC risk adjustment review process and medical record audit. The HEDIS Network Support Nurse is responsible for performing...

UnitedHealth Group-Bristol, VA

Coordinate with Utilization Management staff, as indicated regarding discharge planning; Review daily census and prioritizes daily work in accordance with Care...

UnitedHealth Group-Hillsville, VA

Coordinate with Utilization Management staff, as indicated regarding discharge planning; Review daily census and prioritizes daily work in accordance with Care...

UnitedHealth Group-Bland, VA

Coordinate with Utilization Management staff, as indicated regarding discharge planning; Review daily census and prioritizes daily work in accordance with Care...

UnitedHealth Group-Grundy, VA

Coordinate with Utilization Management staff, as indicated regarding discharge planning; Review daily census and prioritizes daily work in accordance with Care...

UnitedHealth Group-Virginia

Coordinate with Utilization Management staff, as indicated regarding discharge planning; Review daily census and prioritizes daily work in accordance with Care...

UnitedHealth Group-Woodbridge, VA

Coordinate with Utilization Management staff, as indicated regarding discharge planning; Review daily census and prioritizes daily work in accordance with Care...

Virginia Premier Health Plan, Inc.-Chesapeake, VAEst. $48,000 - $62,000 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 EDUCATION REQUIREMENTS Current Virginia RN or LPN Licensure with demonstrated experience in Utilization Review;...

NYU Langone Health-New York, NYEst. $70,000 - $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.

Applies skill in on-going peer review to promote a culture of excellence. We have an exciting opportunity to join our team as a Certified Nurse Midwife....

Cardinal Mccloskey Svcs.-Bronx, NYEst. $33,000 - $45,000 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.

100, Utilization Review and ACS guidelines between bio parent and child.*. Ensuring, in conjunction with the community service nurses, appropriate medical...

Commonwealth Care Alliance-Charlestown, MAEst. $55,000 - $81,000 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 utilization and case review as necessary. Participates in Team Case Review. Manages panel-wide and member-specific utilization trends....


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