Change Healthcare-Pensacola, FLEstimated: $56,000 - $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.

5+ years Utilization Review experience. On March 1, 2017 McKesson Corporation (NYSE MCK) and Change Healthcare Holdings, Inc., formed a new healthcare...

Secord & Associates, Inc.-Springfield, MAEstimated: $76,000 - $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.

RN*. Education of the RN*. Michele Secord, RN, MSN, CPC*. The Case Manager is responsible for the care coordination and utilization review of high acuity...

Excel MSO, LLC-San Jose, CAEstimated: $64,000 - $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.

Performs concurrent, prior authorization and retrospective reviews according to established policies, procedures, and review guidelines....

MTC Medical-Marion, OHEstimated: $51,000 - $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.

MTC Medical is seeking a *full-time RN for*. Review medical files to determine all provided services are documented....

Quality Health Strategies-Oklahoma City, OKEstimated: $42,000 - $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.

The Medical Review Nurse position is a perfect fit for an RN with a strong clinical background and some Medicare/Medicaid medical review experience....

Anthem, Inc.-Indianapolis, INEstimated: $69,000 - $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.

Utilization Management experience preferred. Conducts pre-certification, continued stay review, care coordination, or discharge planning for appropriateness of...

UnitedHealth Group-Eden Prairie, MN

Experience in utilization review, concurrent review and / or risk management. Current, unrestricted RN license in the State of MN....

LexiCode-RemoteEstimated: $44,000 - $54,000 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 experience. RN with current license in state of residence. Ability to efficiently review large volumes of documents with high comprehension...

Richmond FSC-Richmond, VA

Experience with Midas (or other utilization review programs). Review the Certification / Authorization report daily to determine deficiencies....

NCI Information Systems, Inc.-Baltimore, MDEstimated: $43,000 - $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.

Advanced Knowledge of utilization review/ quality assurance procedures. As the Remote Medical Review RN - Casual Status ( Medical Reviewer III ) at AdvanceMed,...

R.A.M. Healthcare Consulting Group, Inc.-New York, NYEstimated: $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.

In this position, the utilization review nurse will:. Utilization review/case management:. Be responsible for utilization review and discharge planning for...

Novant Health-Charlotte, NCEstimated: $53,000 - $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.

The Utilization Review RN serves as a leader resource in the utilization review process. The Utilization Review RN coordinates and conducts initial, concurrent,...

Aetna-New Albany, OHEstimated: $31,000 - $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.

Click here to review the benefits associated with this position. Analyzes all utilization, self-report and clinical data available to consolidate information...

Aetna-Cincinnati, OHEstimated: $30,000 - $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.

Functional - Clinical / Medical/Concurrent review / discharge planning/1+ Years. Click here to review the benefits associated with this position....

Aetna-Berkeley Heights, NJEstimated: $42,000 - $52,000 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.

Click here to review the benefits associated with this position. The RN Care Manager Utilizes advanced clinical judgment and critical thinking skills to...

Aetna-Mahwah, NJEstimated: $38,000 - $51,000 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, LSW, LCSW (NJ Licensure) ; Click here to review the benefits associated with this position. Health Services strategies, policies, and programs are comprised...

Aetna-Harrisburg, PAEstimated: $69,000 - $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.

Requires an RN with unrestricted active license. Click here to review the benefits associated with this position....

Aetna-Richmond, VAEstimated: $75,000 - $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.

Review inpatient hospital admissions/rehab. Click here to review the benefits associated with this position....

Aetna-Morrisville, NCEstimated: $71,000 - $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.

Requires an RN with unrestricted active license. Click here to review the benefits associated with this position....

Aetna-Alpharetta, GAEstimated: $72,000 - $95,000 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.

1-2 years utilization management experience; Requires an RN with unrestricted active license. Click here to review the benefits associated with this position....

Aetna-Allentown, PAEstimated: $71,000 - $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.

An RN license is required. Requires an RN with unrestricted active license. Functional - Clinical / Medical/Clinical claim review & coding/1-3 Years....

Aetna-San Antonio, TXEstimated: $75,000 - $99,000 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.

Precertification, pre determination, concurrent review, retro review, and discharge planning activities of the DOD members. An RN license is required....

Aetna-New Albany, OHEstimated: $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.

Utilization management experience required. An active unrestricted RN License required. Click here to review the benefits associated with this position....

Excel MSO, LLC-San Jose, CAEstimated: $56,000 - $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.

Performs concurrent, prior authorization and retrospective reviews according to established policies, procedures, and review guidelines....

Rx Home Care-Bethlehem, PAEstimated: $50,000 - $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.

RN Case Manager*. Responsibilities of RN Case Manager*. Current RN license in good standing - BSN preferred. Review clinical documentation, including OASIS and...

First Choice Home Care-Sterling, VA $80 - $90 an hour

RN:. Monitors clinical record review process. Develops and monitors a process to monitor appropriate utilization of services....


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