Reston Hospital Center - Reston - Reston, VA 3

Registered Nurse, RN - Utilization Review (Work From Home)(Job Number:. Experience with Midas (or other utilization review programs)....

Anthem, Inc. - Eagan, MN 3.8

Utilization Management Experience. RN - Nurse Medical Management I/II/Sr Inpatient Review - Eagan, Minnesota PS2790....

Estimated: $63,000 - $88,000 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

First Choice Home Care - Sterling, VA 3.6

RN:. Wound care management; Develops and monitors a process to monitor appropriate utilization of services. She/he will be responsible for the coordination and...

$70 - $90 an hourSponsored

Home Health Foundation - Lowell, MA 3.3

In depth understanding of Medicare Conditions of Participation, PPS and case management. Promote efficient utilization of resources to achieve desired clinical...

Estimated: $80,000 - $120,000 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

Specialty Government Services - Moody Air Force Base, GA 3.8

RN Utilization Manager (Contract)*. Must have utilization management, utilization review or case. Professional organizations concerning Utilization Management...

Estimated: $68,000 - $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.

Soyring Consulting - United States 5

Healthcare Consultant / Case Management Consultant / Interim Director / RN Registered Nurse. Minimum 3 years’ experience in a Management role within Case...

Estimated: $100,000 - $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.

Specialty Government Services - Travis AFB, CA 3.8

CLINICAL NURSE - UTILIZATION MANAGEMENT. Must have utilization management, utilization review or case management experience for 24 recent consecutive months....

Estimated: $93,000 - $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.

Tufts Health Plan - Watertown, MA 3.8

Identifies utilization risks and medical trend management opportunities. EWork workforce management. Actively engages in medical trend management opportunities....

Estimated: $78,000 - $110,000 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.

WellCare - Honolulu, HI 3.5

Executes periodic competitor utilization management program comparison and analysis to ensure WellCare's utilization management program maintains competitive...

Estimated: $89,000 - $120,000 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.

Humana - Utah 3.7

Previous experience in utilization management, discharge planning and/or home health or rehab. Senior Case Manager, RN....

Estimated: $64,000 - $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.

WellCare - Remote 3.5

Experience providing care management or utilization management services in a managed behavioral health organization, community mental health center, health plan...

Estimated: $67,000 - $96,000 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.

Chamberlain College of Nursing - United States 3.9

RN Health Assessment. RN Community Health Nursing. Utilization of assessment findings in clinical decision making....

Estimated: $57,000 - $76,000 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.

Aetna - San Diego, CA 3.8

3-5+ years utilization management experience is required. Fundamental Components of the Manager of Utilization Management include, but are not limited to:....

Estimated: $80,000 - $110,000 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.

Horizon Blue Cross Blue Shield of New Jersey - Newark, NJ 4

Requires project management skills. Licensed RN or SW preferred. Requires basic knowledge of health plan activities including Utilization Management (UM), the...

Estimated: $55,000 - $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.

Inovalon - Remote 3.2

Compiles information and prepare reports for management; Must be licensed and credentialed LPN or RN; Consistently demonstrate excellent effective time...

Estimated: $57,000 - $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.

Highmark Health - Delaware 3.2

3-5 years management. This includes utilization management, strategic planning, care cost initiatives, system development and quality outcomes....

Estimated: $82,000 - $120,000 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.

ArchCare - New York, NY 

Nurse Case Management:. Active NYS RN License. The primary role of the Utilization Review (UR) Nurse is to provide clinical support to the Clinical Services...

Estimated: $70,000 - $97,000 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.

ProgenyHealth - Plymouth Meeting, PA 

Utilization Management / Clinical Care Nurses coordinate overall member care, from pre-admission, continued stay (concurrent review) and any outpatient services...

Estimated: $51,000 - $66,000 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.

McBee - Remote 

Experience as a Director of Care Manager or Utilization Review RN, preferably within ED Care Management. Experience with Allscripts Care Management and other...

Estimated: $82,000 - $110,000 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.

Valeant - Field 3.4

RN, FNP, PA Esthetician or related license required. Time management is essential, especially towards the end of month/quarter/year....

Estimated: $56,000 - $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.

Aetna - Blue Bell, PA 3.8

Identifies members for referral opportunities to integrate with other products, services and/or programs Identifies opportunities to promote quality...

Estimated: $60,000 - $88,000 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.

Capital Caring - Leesburg, VA 4.1

Works with IDT in monitoring treatments and medication utilization outside of traditional practice, always being conscious of optimal resource management....

Estimated: $73,000 - $96,000 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.

American Addiction Centers - Brentwood, TN 3.3

The Vice President is responsible to ensure effective and cost-efficient management of Utilization Review & Management (“UR/UM”)....

Estimated: $120,000 - $170,000 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.

Aetna Better Health of New Jersey - Princeton, NJ 4.2

Utilization Management Nurse Consultant. Case Manager - RN. Aetna Better Health of New Jersey Hiring Event!...

Sponsored

Anthem, Inc. - Eagan, MN 3.8

Experience developing utilization/care management policies and procedures. RN - Nurse Case Manager I/II/Sr (Job Family) Eagan, MN PS2787....

Estimated: $57,000 - $85,000 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

St. Luke's University Health Network - Bethlehem, PA 4.2

Previous care management experience is preferred. Collaborates with the business office, utilization review staff, denials management and physician advisors in...

Estimated: $74,000 - $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.

Sponsored