Anthem, Inc. - Indianapolis, IN

Nurse Medical Management I or II (Medicare Acute Utilization Management) Location:. Current unrestricted RN license in residing state....

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.

3d

Northpoint Recovery - Boise, ID

Must hold active RN State Board of Nursing licensure. Perform Utilization and Peer-to-Peer reviews as requested by the Billing team....

Education: Bachelor Degree

Estimated: $64,000 - $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.

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Geriatric Services, Inc. - Teaneck, NJ

This position requires 5+ years’ experience as a licensed RN in a community-based setting (preferably assisted living) with management experience (budgeting,...

Education: Bachelor Degree

Estimated: $85,000 - $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.

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AllyAlign Health - Martinsville, VA

Licensed RN work:. At least one year of experience working as a licensed RN. Promotes high quality outcomes and better utilization of long term care services....

Estimated: $45,000 - $67,000 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.

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Presence Health - Des Plaines, IL

Utilization Management Nurse, Presence Health Partners. 3-5 years Utilization Management and/or Managed Care experience preferred....

Education: Bachelor Degree

Estimated: $59,000 - $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.

13d

Adventist Health - Roseville, CA

Health Plan utilization management experience:. Provides utilization management and quality improvement in accordance with utilization policies and processes....

Education: Bachelor Degree

Estimated: $86,000 - $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.

Medica - Minnetonka, MN

Previous utilization management experience strongly preferred, and/or clinical/hospital experience. RN or LPN licensed in Minnesota....

Education: Bachelor Degree

Estimated: $48,000 - $69,000 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 - Tampa, FL

3 years previous experience in utilization management, discharge planning. Examine clinical programs information to identify members for specific case...

Education: Bachelor Degree

Estimated: $58,000 - $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.

1d

Affinity Health Plan - Bronx, NY

Utilization management required. Perform utilization management, utilization review, or concurrent review. Accordance with Utilization Management policies and...

Education: Associate Degree

Estimated: $58,000 - $82,000 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 - New Albany, OH

An RN license is required. Telephonic utilization review of inpatient cases. The UM Nurse Consultant reviews inpatient cases for medical necessity....

Education: Associate Degree

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.

2d

Aetna - Hartford, CT

The Utilization Management Nurse Consultant is an integral member of the care management team. Utilizing clinical skills in a collaborative process to assess,...

Education: Associate Degree

Estimated: $61,000 - $86,000 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 - Allentown, PA

RN license required. This position is for a Utilization Manager with Aetna's Care Management program in the Public & Labor Dedicated Unit....

Education: Associate Degree

Estimated: $88,000 - $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.

Aetna - San Antonio, TX

Functional - Medical Management/Medical Management - Managed Care/Insurance Clinical Staff/1-3 Years. This position requires an RN with an unrestricted active...

Education: Bachelor Degree

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.

Aetna - Richfield, OH

Requires and RN with unrestricted active license. We help our members live fuller and healthier lives while delivering positive financial results to our plan...

Education: Bachelor Degree

Estimated: $74,000 - $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.

Aetna - Williamsport, PA

In the Utilization Management Nurse Consultant position, you will utilizes clinical skills to coordinate, document and communicate all aspects of the...

Education: Associate Degree

Estimated: $77,000 - $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.

Aetna - Richmond, VA

Utilization management for acute inpatient hospitalization, acute inpatient rehabilitation, cross coverage for other staff members....

Education: Bachelor Degree

Estimated: $74,000 - $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.

Mercy - Chesterfield, MO

Makes case management or disease management referrals following assessment of need. You’ll also need a current RN license in our state....

Estimated: $51,000 - $68,000 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 - Tampa, FL

Previous experience in utilization management, discharge planning and/or home health or rehab. Examine clinical programs information to identify members for...

Education: Bachelor Degree

Estimated: $69,000 - $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.

Medical Mutual of Ohio - Toledo, OH

Performs discharge planning and utilization management activities to ensure the provision of safe, timely, appropriate, and necessary covered healthcare...

Estimated: $63,000 - $86,000 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.

5d

Medical Mutual of Ohio - Cleveland, OH

Performs utilization management activities to ensure the provision of safe, timely, appropriate, and necessary covered healthcare services to members;...

Estimated: $54,000 - $68,000 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.

5d

Optima Health - Virginia Beach, VA

Members are enrolled into care coordination, disease management, and complex case management programs depending on their care needs....

Estimated: $64,000 - $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.

B. Braun Medical Inc. - Denver, CO

Current RN license, BSN required, Masters preferred. Management skills when working with NE in accounts, and strong abilities to delegate tasks appropriately...

Education: Master Degree

Estimated: $62,000 - $86,000 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.

B. Braun Medical Inc. - Austin, TX

Current RN license, BSN required, Masters preferred. Management skills when working with NE in accounts, and strong abilities to delegate tasks appropriately...

Education: Master Degree

Estimated: $63,000 - $82,000 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.

Excel MSO, LLC - San Jose, CA

Acute hospital case management, discharge planning, complex case management or utilization management- preferred....

Estimated: $79,000 - $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.

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Southwest General Health Center - Middleburg Heights, OH

Previous Care Management, Case Management or Utilization Management Experience *in a hospital setting *. Utilization Review or Case Management)....

Education: Bachelor Degree

Estimated: $57,000 - $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.

Sponsored10d

MAXhealth - Sarasota, FL

Experience related to case management, utilization management, quality assurance, discharge planning or other cost management program preferred....

Estimated: $81,000 - $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.

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