UnitedHealth Group - Chelsea, MA3.6

Experience in Appeals and / or Utilization Management. Case Management experience. Active, unrestricted RN license in the state of MA....

Northwestern Medical Center - Saint Albans, VT3.5

Utilization management and/or case management experience preferred. VT RN License. Community care management experience preferred....

Estimated: $52,000 - $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.

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Cherry Health - Muskegon, MI

Oversees general operation of medical services including insuring that appropriate supplies, equipment, patient scheduling, utilization of staff, support staff,...

Estimated: $40,000 - $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.

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Anthem, Inc. - Eagan, MN3.8

Participates in case and/or utilization management execution/decision making for managed member populations. Ensures continued compliance with specific medical...

Estimated: $65,000 - $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.

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UnitedHealth Group - Boston, MA3.6

Experience in Appeals and / or Utilization Management. Case Management experience. Active, unrestricted RN license in the state of MA....

UnitedHealth Group - Quincy, MA3.6

Experience in Appeals and / or Utilization Management. Case Management experience. Active, unrestricted RN license in the state of MA....

UnitedHealth Group - Springfield, MA3.6

Experience in Appeals and / or Utilization Management. Case Management experience. Active, unrestricted RN license in the state of MA....

UnitedHealth Group - Taunton, MA3.6

Experience in Appeals and / or Utilization Management. Case Management experience. Active, unrestricted RN license in the state of MA....

P3 Health Partners - Las Vegas, NV

Educate providers on utilization and Medical Management processes. We are looking for a Utilization Management (UM) Nurse....

Estimated: $64,000 - $81,000 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 - Charlotte, NC3.7

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

Estimated: $58,000 - $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.

Otsego Memorial Hospital - Gaylord, MI4.1

STAFF RN UTILIZATION REVIEW/DISCHARGE PLANNING (RN) 2. Cost Center Name / Number Care Management 8310. Has knowledge of and applies utilization criteria for the...

Estimated: $66,000 - $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.

L.A. Care Health Plan - Los Angeles, CA3.4

In Case Management. The Utilization Management Specialist Position ensures compliance of the participating physician groups (PPGs) with regulatory, contractual...

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.

JK INC - Encino, CA

We are currently looking for an experienced Utilization Review Registered Nurse with clinical documentation experience for a newly formed physician case...

Estimated: $64,000 - $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.

FirstHealth of the Carolinas - Pinehurst, NC3.4

Includes initial assessment and continued stay review using the criteria as approved by the Utilization Management committee....

Estimated: $67,000 - $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.

UnitedHealth Group - Dallas, TX3.6

Knowledge of utilization management, quality improvement, and discharge planning. Demonstrates exemplary knowledge of utilization management and care...

Medpoint Management - Woodland Hills, CA4.1

Two years of prior experience with utilization management preferable. Use effective relationship management, coordination of services, resource management,...

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.

Mercy Health - Des Moines, IA3.8

Collaborates with Utilization Management staff regarding payer information, level of care and status determinations for patients....

Estimated: $54,000 - $77,000 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.

Piper Companies - Glen Burnie, MD3.8

Piper Clinical Solutions is seeking a motivated Outpatient Utilization Review Nurse in Baltimore, MD to support a local health system with utilization...

$85,000 a year

The Carle Foundation - Urbana, IL4.1

Utilizes the five components of case management:. Performs case management activities of assessment, coordination, planning, monitoring, implementation, and...

Estimated: $70,000 - $94,000 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 Health Corporate - Columbus, OH

Excellent understanding of performance improvement, quality assurance, and utilization management. Capital Health Care Network is seeking a Director of Quality...

Estimated: $70,000 - $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.

Memorial Hermann - Houston, TX4.1

Completes Utilization Management and Quality Screening for assigned patients. Utilization Review SpecialistMHMD....

Estimated: $68,000 - $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.

Anthem, Inc. - Louisville, KY3.8

Consults with clinical reviewers and/or medical directors to ensure medically appropriate, high quality, cost effective care throughout the medical management...

Estimated: $32,000 - $42,000 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.

Beacon Health Options - Austin, TX3.2

2 years of Utilization Review experience preferred; The Utilization Review Clinician will be responsible for authorizing and reviewing utilization of mental...

Estimated: $54,000 - $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.

Advocate Health Care - Chicago, IL3.7

Current RN licensure in Illinois. Utilization of critical thinking in timely decision making. Collaborates with the unit manager to manage patient care delivery...

Estimated: $69,000 - $94,000 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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Kare-In-Home Hospice - Gulfport, MS

Participate in utilization review activities. Use a case management approach and make referrals to other services as needed....

Estimated: $47,000 - $60,000 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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Excel Managed Care & Disability Services, Inc. - Oakland, CA

Prior Workers’ Compensation case management experience and/or experience in rehabilitation, utilization review or home health case management....

Estimated: $72,000 - $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.

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