UnitedHealth Group - Sacramento, CA3.6

Administer benefits and review treatment plans. Experience working in an environment that required coordination of benefits and utilization of multiple groups...

UnitedHealth Group - Sacramento, CA3.6

RN, Nurse, Preservice, Pre-Service, UM, UR, Clinical Review, Clinical Coverage, Utilization Management, Utilization Review, Case Manager, Case Management, LTC,...

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Cynet Healthstaff - Sacramento, CA

Utilization Review RN. BLS, 2 years minimum experience working in utilization review. The department has the responsibility of hospital-wide Utilization Review...

Estimated: $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.

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The Arora Group - California3.8

Registered nurse, RN, medical management, discharge planning, utilization review, case management, clinic, healthcare, health care, medical....

Estimated: $97,000 - $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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Aetna - Rancho Cordova, CA3.8

Experience in Utilization Review or using Milliman guidelines; Applying clinical expertise to assure appropriate benefit utilization *....

Estimated: $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.

Aetna - Sacramento, CA3.8

Click here to review the benefits associated with this position. Utilize clinical tools to review member specific health information and conduct comprehensive...

Estimated: $91,000 - $130,000 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 - Sacramento, CA3.6

Medical Necessity Review. Background involving utilization review for an insurance company or experience in case management....

EK Health Services Inc - Sacramento, CA

EK Health Services has built a reputation for offering superior, goal-oriented Workers' Compensation case management, utilization review, and bill review...

Estimated: $73,000 - $93,000 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.

Health Net of California - Sacramento, CA3.3

Current State LPN/LVN or RN license. Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical...

Estimated: $56,000 - $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.

Health Net of California - Rancho Cordova, CA3.3

Participate in utilization management committees and work on special projects related to utilization management as needed....

Estimated: $56,000 - $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.

PROFESSIONAL SEARCH - Rancho Cordova, CA

Oversight of appropriate correspondence in relation to the case management and utilization review process. Refers medical services which are not in alignment...

Estimated: $76,000 - $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.

Benefit and Risk Management Services - Folsom, CA

Provides statistical case reviews and generates utilization reports. Current California RN License:. Documents review information in computer....

Estimated: $78,000 - $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.

Kaiser Permanente - Sacramento, CA4.2

This review is on a position-by-position basis and includes an analysis of the actual duties performed in each position under review....

Estimated: $62,000 - $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.

Hill Physicians Medical Group - Sacramento, CA3.9

HMO Utilization Management experience preferred. Review and process urgent and non-urgent authorization requests (via phone and fax) for medical necessity...

Estimated: $67,000 - $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.

Professional Search - Rancho Cordova, CA

Oversight of appropriate correspondence in relation to the case management and utilization review process. Refers medical services which are not in alignment...

$90,000 - $110,000 a year

UnitedHealth Group - Sacramento, CA3.6

Prior Utilization Review experience. A background that involves utilization review for an insurance company or in a managed care environment....

Western Health Advantage - Sacramento, CA3.7

The CRN also evaluates and performs utilization review of non-network emergency/urgent hospital admissions and transfers, and facilitates the provision of...

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.

QuestPro Consultants - Sacramento, CA

RN License, and the hope is you will have multi-state RN Licenses in TX or FL would be outstanding. CRRN, COHN, CCM, CMC, CDMS, CMCN, CPHQ, CPUR, CPUM, CLCP or...

$85,000 - $90,000 a year

Blue Shield of California - Rancho Cordova, CA3.6

Current Active CA RN License. Conduct UM/care management (CM) review activities with delegated entities as necessary....

Estimated: $88,000 - $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.

Dignity Health - Rancho Cordova, CA3.9

Develops, reviews, and monitors clinical, service and financial outcomes using performance metrics. Reviews analyses and reports of various activities to...

Federal Services - Rancho Cordova, CA3.3

RN License with Bachelor’s degree; Performs prospective, concurrent and retrospective reviews and first level determination approvals for assigned members, as...

Estimated: $66,000 - $85,000 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.

Sutter Health - Roseville, CA3.9

Current California RN Licensure required. Must have strong clinical assessment skills necessary to provide utilization review and transition planning services...

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.

Mercy San Juan Medical Center - Carmichael, CA3.9

Current CA RN license. Rn, nurse, staff nurse, registered nurse, supervisor, lead, charge, manager, assistant nurse manager, clinical coordinator assistant...

New Dawn Treatment Centers - Sacramento, CA

RN. Shifts, hiring, performing utilization review with insurance companies, coordinating with the admitting physicians, encouraging program completion and...

$21 - $26 an hourSponsored

Chapa-De - Auburn, CA

Supervise Behavioral Health Clinicians, Psychiatrists, and RN Case Managers; Ensure adequate peer review and clinical quality measures in place....

Estimated: $72,000 - $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.

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Maxim Healthcare Services - Sacramento, CA3.6

Participate in Quality Assurance and Utilization review activities, as directed. Maintain accurate and timely patient information, which readily accessible for...

Estimated: $68,000 - $92,000 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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