North Florida Shared Services - Tallahassee, FL

Utilization Review Nurse. Utilization Review Nurse (Work From Home)(. Third Party Payer and Denial Management experience a plus....

Aerotek - Watertown, MA

RN:. Other duties as assigned by UM Ops Management. Active RN license in state of MA with no disciplinary action....

Estimated: $58,000 - $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.

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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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Miracle Home Health of Wisconsin - Glendale, WI

Develops, coordinates, and utilizes a system of staff communication that ensures coordinated implementation of plans of treatment and the utilization of...

Estimated: $66,000 - $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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Humana - Tampa, FL

Experience in utilization management, discharge planning and/or home health or rehab. Active RN license in FLwithout restrictions....

Estimated: $61,000 - $79,000 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.

6d

Cigna - Arizona

Utilization Management experience. Knowledge of Utilization Management and Insurance Industry. Adheres to quality assurance standards and all utilization...

Estimated: $63,000 - $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.

Carenet Healthcare Services - San Antonio, TX

Clinical Care Advisor provides telephonic clinical triage assessments, health education, and utilization management services to diverse patients/members....

Estimated: $49,000 - $71,000 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 - Doral, FL

Previous experience in pre-certification, utilization management, discharge planning and/or home health or rehab....

Estimated: $55,000 - $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.

7d

Blue Cross Blue Shield of Massachusetts - Quincy, MA

Conduct pre-certification, concurrent, and retrospective reviews for applicable product lines and levels of care, with emphasis on utilization management,...

Estimated: $50,000 - $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.

2d

Santa Ana (SAN) - RCPS - Santa Ana, CA

3 years previous utilization management experience in a managed care and/or hospital setting. Preferred Current, active California RN license....

13d

Cone Health - Greensboro, NC

40 hours/week (Exempt) 8 hour days 8 am to 5 pm EDUCATION: Required: Associates - Nursing OR Associates Degree-Registered Health Information Administrator ...

Estimated: $51,000 - $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 - Atlanta, GA

Experience in Utilization Management, Medicare and/or Medicaid guidelines. Examine clinical programs information to identify members for specific case...

Estimated: $60,000 - $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.

6d

All well's - Albuquerque, NM

The Utilization Management/ Review Nurse Works with the Utilization Management team responsible for inpatient medical necessity....

$86,000 a yearToday

Central Florida Regional Hospital - Sanford, FL

Provide management and Division oversight related to all operational aspects of a centralized utilization review unit....

8d

Aetna - Phoenix, AZ

RN, LCSW, LPC, LMFT. May be waived based on management decision. Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization...

Estimated: $73,000 - $90,000 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.

Memorial Hospital of Jacksonville - Jacksonville, FL

Registered Nurse (RN) Utilization Review(. Utilization review for the insurance companies. 1 - 3 years of Case Management experience is required....

6d

Highmark Health - Pittsburgh, PA

Certification in utilization management or a related field SKILLS *. Description JOB SUMMARY This job implements effective utilization management strategies...

Estimated: $57,000 - $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.

Highmark Health - Wilkes-Barre, PA

Certification in utilization management or a related field SKILLS *. Description JOB SUMMARY This job implements effective utilization management strategies...

Estimated: $57,000 - $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.

Highmark Health - Pennsylvania

Certification in utilization management or a related field SKILLS *. Description JOB SUMMARY This job implements effective utilization management strategies...

Estimated: $56,000 - $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.

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....

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.

5d

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,...

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....

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...

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.

Excel MSO, LLC - San Jose, CA

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

Estimated: $94,000 - $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.

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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)....

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.

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Madison Medical & Sports Rehabilitation Center - Madison, NJ

Active RN License. Reports back to Providers and Center Management. Ensures utilization of resources for resolution of issues....

Estimated: $65,000 - $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.

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