Tufts Health Plan - Watertown, MA

The Clinical Reviewer is a licensed professional -- either a Registered Nurse or Physical Therapist -- that is expected to function independently in her / his...

Estimated: $61,000 - $83,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Today

Sprout Health Group - Eatontown, NJ

Completion of a Master's, Post-Master's or Doctorate from a Nurse Practitioner program accredited by the Commission on the Collegiate of Nursing Education (CCNE...

Estimated: $94,000 - $130,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Sponsored

Atlanta Cancer Care - Sandy Springs, GA

Compile and update prior auth requirement lists for all insurance plans including sending the updated forms to nurses (as plans update)....

Benefits: Vision Insurance • Life Insurance • Paid Time Off

Estimated: $52,000 - $75,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Sponsored4d

MRIoA - Salt Lake City, UT

Respond to client and Reviewer requests in a timely manner. An opportunity to work with healthcare professionals, including doctors, nurses, and pharmacists....

Benefits: Health Insurance • Paid Time Off • Vision Insurance • Signing Bonus

$13 - $15 an hourSponsored2d

Anthem, Inc. - Indianapolis, IN

Consult with clinical reviewers and/or medical directors to ensure medically appropriate, high quality, cost effective care throughout the medical management...

Estimated: $65,000 - $84,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Today

Poplar Springs Hospital - Petersburg, VA

Registered Nurse, Master’s Level Social Worker or Counselor. Poplar Springs Hospital, a 183 bed acute care and residential facility, is located in Petersburg,...

Estimated: $59,000 - $75,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Today

Kootenai Health - Coeur d'Alene, ID

Reviewers evaluated every phase of trauma patient care. As an Emergency Room Nurse knows, your specialty encompasses caring for patients of all age groups and...

Benefits: Vision Insurance • Health Insurance • Tuition Reimbursement

Estimated: $55,000 - $74,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Today

UT Southwestern Medical Center - Dallas, TX

Submits confidential records and research materials to study group reviewers at other institutions when applicable....

Estimated: $29,000 - $42,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Today

WELLSTONE - Jeffersonville, IN

Graduate Degree in social work, mental health/behavioral sciences, or related field and/or currently licensed to practice as a Registered Nurse (RN) by the...

Benefits: Vision Insurance • Paid Time Off • Health Insurance

Estimated: $52,000 - $74,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Today

myNEXUS - Brentwood, TN

Therapy Case Reviewer - PTA or COTA Required. Perform pre-certification, certification and/or authorization activities for all requested Home Health Services...

Estimated: $44,000 - $57,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Today

Mohawk Valley Health System - Utica, NY

NYS Registered Nurse licensure. The Quality Professional is a Registered Nurse with clinical experience in Med/Surg, Critical Care and other acute care services...

Estimated: $75,000 - $98,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Today

MANATEE MEMORIAL - Bradenton, FL

The MBS Coordinator and Clinical Reviewer ensures continuous compliance with the MBS Accreditation and Quality Improvement Program (MBSAQIP) requirements,...

Estimated: $45,000 - $64,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Today

Anthem, Inc. - St. Louis, MO

Prepares reports and documents for referral of cases requiring clinical review to a Nurse reviewer. Medical Management Specialist I/II – St....

Estimated: $36,000 - $50,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Today

Concerto HealthCare - Aliso Viejo, CA

Assists Senior Medical Director and Medical Director/Physician Advisor reviewers with the composition of written non-coverage determinations within required...

Estimated: $66,000 - $87,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Today

Philips - Carlsbad, CA

Registered nurse, respiratory therapist or equivalent education, clinical experience, training. Collaborate with Engineering, Customer Support, Field personnel,...

Estimated: $73,000 - $100,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Today

Mercy Health - Fairfield, OH

Registered Nurse – Licensed in the State of Ohio. Cooperates with insurance reviewers to facilitate certified days and provide additional information if patient...

Estimated: $50,000 - $72,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Today

Children's Hospital of Philadelphia - Philadelphia, PA

RN - Registered Nurse. Registered Nurse with a minimum of 3 years experience as clinical nurse in an acute care pediatric setting....

Estimated: $65,000 - $80,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Today

HMS Holdings - Remote

Registered Nurse (RN). Reviews medical information to collect data, ensure appropriate billing of data and follow up on concerns raised by nurse and physician...

Estimated: $54,000 - $75,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

1d

BlueCross BlueShield of North Dakota - Fargo, ND

North Dakota (ND) Registered Nurse (RN) License or RN License valid for work in ND. The Utilization Management Reviewer (RN) processes pre-service requests in a...

Estimated: $58,000 - $78,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

1d

Anthem, Inc. - West Des Moines, IA

Nurse Medical Management II LTSS – West Des Moines, Iowa. Consult with clinical reviewers and/or medical directors to ensure medically appropriate, high quality...

Estimated: $56,000 - $77,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

1d

Anthem, Inc. - West Des Moines, IA

Nurse Medical Management II LTSS – West Des Moines, Iowa. Consult with clinical reviewers and/or medical directors to ensure medically appropriate, high quality...

Estimated: $55,000 - $73,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

1d

Anthem, Inc. - Indianapolis, IN

Nurse Care Manager I, II, Sr. Partners with physician clinical reviewers and/or medical directors to interpret appropriateness of care, intervention planning,...

Estimated: $65,000 - $83,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

1d

Strategic Behavioral Health, LLC - Las Vegas, NV

Interfaces with managed care organizations, external reviewers and other payors. Join US and be a part of a dynamic TEAM!...

Estimated: $67,000 - $91,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

1d

Sprout Health Group - Eatontown, NJ

Completion of a Master's, Post-Master's or Doctorate from a Nurse Practitioner program accredited by the Commission on the Collegiate of Nursing Education (CCNE...

Estimated: $98,000 - $140,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Sponsored

UHS - Havenwyck Hospital - Auburn Hills, MI

Informs physician of need to contact the managed care reviewers and follows up to ensure call is made and ascertain the number of days obtained....

Benefits: Vision Insurance • Paid Time Off • Health Insurance

Estimated: $51,000 - $70,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Sponsored2d

Chinese Hospital - San Francisco, CA

Utilization Management Nurse Reviewer. The Nurse reviewer accurately tracks as well as reports utilization and quality data....

Estimated: $72,000 - $100,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Sponsored2d