Aetna-Albany, NYEst. $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.

Positions include Precertification, Concurrent Review, and Retro Review. Unrestricted NYS RN license. Click here to review the benefits associated with this...

Wilson N. Jones Regional Medical Center-Sherman, TXEst. $83,000 - $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.

Performs retro reviews, when requested, on patients who have been discharged; Directs admission, concurrent, and retrospective review activities of all payers....

Aetna-San Antonio, TXEst. $56,000 - $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.

Precertification, pre determination, concurrent review, retro review, and discharge planning activities of the DOD members. An RN license is required....

Aetna-Richfield, OHEst. $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.

This is a utilization review position Reviewing precerts, retros, nonpars and concurrent review cases. An RN license is required....

MemorialCare-Fountain Valley, CAEst. $51,000 - $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.

Essential Job Outcomes Completes initial concurrent review process and subsequent reviews for all selected admissions to initiate the clinical documentation...

Aetna-Shreveport, LAEst. $54,000 - $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.

Provides case management services which may include pre-admission, concurrent, discharge and/or retro review, follow-up assessment or outreach phone....

Ascension (System Office)-Sterling Heights, MIEst. $40,000 - $56,000 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.

Assists in the review of appeals cases for first level and retro authorizations. RN Util Mgmt Nurse-ABS. Reviews clinical information for concurrent reviews,...

Oroville Hospital-Oroville, CAEst. $58,000 - $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.

Responsibilities specific to Utilization Review include performing admission and concurrent review, and at times retro-review of all in-patients conforming to...

Florida Hospital-Orlando, FLEst. $51,000 - $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.

Medical record investigative review knowledge. Under supervision, the UM nurse proactively coordinates case reviews for admission criteria, concurrent...

Adventist Health System-Orlando, FLEst. $54,000 - $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.

Medical record investigative review knowledge. Under supervision, the UM nurse proactively coordinates case reviews for admission criteria, concurrent...

SIHO Insurance Services-Columbus, INEst. $59,000 - $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.

Current, unrestricted RN or LPN license. Reviews all NON-certification files for correct documentation. The position is responsible for the receiving and...

Palmetto-Columbia, SCEst. $45,000 - $56,000 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.

Obtain and review old records for retro reviews by insurance companies. Current South Carolina RN license required....

Lafayette General Medical Center-Lafayette, LA $21 - $36 an hour

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.

Chart review skills. Perform timely retro reviews to determine the necessity of continued hospital stay based upon Centers of Medicare and Medicaid Services...

Prime Healthcare Services HQ-Ontario, CAEst. $57,000 - $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.

Required to work closely with colleagues in producing information analysis and data abstractors for retro, concurrent, and real time monitoring....

University of Illinois at Chicago-Chicago, ILEst. $57,000 - $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.

Five years (60 months) of RN experience required. Healthcare Utilization Review Coordinator II - UM/DC Planning (Job ID #73286)....

Palmetto Health-Columbia, SCEst. $38,000 - $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.

Review chart for initial clinical data and submit to appropriate insurance company/companies.Obtain and follow up with insurance companies, pre-certification...

Valley Forge Medical Center & Hospital-Norristown, PAEst. $47,000 - $65,000 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.

Coding of diagnoses, record review, clinical support, coordination with billing, case appeals, retro reviews, etc._....

Wilson N. Jones Regional Medical Center-Sherman, TXEst. $83,000 - $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.

Performs retro reviews, when requested, on patients who have been discharged; Directs admission, concurrent, and retrospective review activities of all payers....

JSP Recruitment Services-Chesterfield, MO $48,000 - $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.

Performing retro and prepayment reviews of medical records:. RN, LPC, LCSW, LMHC, PT, OT, or ST license. Perform retrospective and prepayment reviews of medical...

Cox Health-Springfield, MOEst. $58,000 - $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.

Current MO RN license. The position is responsible for filing appeals for denials and conducting medical record review to assist in obtaining retro...

Miami Children’s Health System-Miami, FLEst. $59,000 - $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.

Two years’ experience in case management/utilization review preferred. Performs admission and concurrent/retro reviews using system approved criteria....


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