Specialty Professional Services-Fairfax, VA $46 - $50 an hour

Know an RN friend?*. Inpatient acute hospital case management:. Looking for 10 RN’s Case manager with 2+ years experience....

Innovative Management Solutions-Rutland, VT $63,000 - $97,000 a year

Delivers quality nursing care through the utilization of the nursing process. Available for assignment to duty on an ad hoc basis and in a various potential...

Care1st Health Plan-San Diego, CAEstimated: $71,000 - $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.

Interface with Medical Director on Complex Case Management Department and Utilization Management activities (i.e....

UnitedHealth Group-Taunton, MA

Utilization Management experience. Case Management experience. Active, unrestricted RN license in the state of MA....

UnitedHealth Group-Chelsea, MA

Utilization Management experience. Case Management experience. Active, unrestricted RN license in the state of MA....

UnitedHealth Group-Quincy, MA

Utilization Management experience. Case Management experience. Active, unrestricted RN license in the state of MA....

UnitedHealth Group-Springfield, MA

Utilization Management experience. Case Management experience. Active, unrestricted RN license in the state of MA....

UnitedHealth Group-Tewksbury, MA

Utilization Management experience. Case Management experience. Active, unrestricted RN license in the state of MA....

UnitedHealth Group-Boston, MA

Utilization Management experience. Case Management experience. Active, unrestricted RN license in the state of MA....

Change Healthcare-Pensacola, FLEstimated: $49,000 - $63,000 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.

5+ years Utilization Review experience. Coordination of the team approach to management of patient care in an in-patient and/or outpatient basis;...

DeTar Healthcare System-Victoria, TXEstimated: $61,000 - $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.

Experience in Utilization Management/Case Management, Critical Care, patient outcomes/quality management and/or inpatient coding considered a plus....

Aetna-Phoenix, AZEstimated: $70,000 - $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.

Managed care or utilization management experience preferred. Managed care or utilization management experience is preferred....

UnitedHealth Group-Phoenix, AZ

BSN degree if an RN. Ensures effective utilization of Midas or Optum® CDI 3D Technology to document all verbal, written, electronic clarification activity....

Memorial Sloan Kettering-New York, NYEstimated: $52,000 - $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.

Utilization Specialist Case Management. Managed Care/Insurance utilization experience strongly preferred....

Molina Healthcare-Midvale, UTEstimated: $68,000 - $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.

Resolves escalated complaints regarding Utilization Management and Long Term Services & Supports issues....

Cleveland Clinic-Lakewood, OHEstimated: $41,000 - $56,000 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.

Prior Utilization Management experience is preferred. Recommends resource utilization. Completes Utilization Management for assigned patients with a minimum of...

Commonwealth Care Alliance-Charlestown, MAEstimated: $46,000 - $61,000 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.

Familiarity with utilization management review, preferred. The Utilization Management (UM) Specialist is responsible for applying clinical and benefit...

Covenant HealthCare-Saginaw, MIEstimated: $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.

Demonstrates competence in denial/appeals management and utilization management. 3 years successful performance in utilization management required....

Allina Health-Minneapolis, MNEstimated: $61,000 - $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.

Incorporates utilization management functions and responsibilities in the delivery of case management services. Case management experience preferred....

Sunshine State Health Plan-Orlando, FLEstimated: $49,000 - $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.

Experience with Utilization Management and/or Case Management preferred. Auditing authorization for Utilization Management, Case Management and appeals....

Magellan Health-Midlothian, VAEstimated: $43,000 - $55,000 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.

RN license at. Knowledge of utilization management procedures, mental health and substance abuse community resources and providers;...

Aetna-Allentown, PAEstimated: $64,000 - $89,000 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.

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

First Choice Home Care-Sterling, VA $69,000 - $78,000 a year

Develops and monitors a process to monitor appropriate utilization of services. First Choice Home Care is seeking a highly motivated and organized Home Health...

Jefferson Regional Medical Center-Pine Bluff, AR

Assuring the appropriate utilization of resources. Current RN licensure by the Arkansas State Board of Nursing....

Carolina Collaborative Community Care (4C)-Fayetteville, NCEstimated: $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.

Utilization review/discharge planning and previous case management experience also desired. 4C is seeking an experienced RN....


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