Convergent-Boca Raton, FLEstimated: $59,000 - $80,000 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.

Convergent’s Boca Raton FL Insurance Department has openings for a remote Utilization Review Nurse. Two to five years of Utilization Review experience in...

Surgery Center of Wasilla-Wasilla, AKEstimated: $68,000 - $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.

Current RN License. Effective utilization of staff resources. Cost effective utilization of supplies and equipment....

Standards Healthcare-Temple, TXEstimated: $56,000 - $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.

Review the utilization and progress of the patient with the supervisor and attending physician as necessary. Licensed as a RN in the State of Texas....

Jai Medical Systems MCO, Inc-Hunt Valley, MDEstimated: $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.

Managed Care Organization, located in Hunt Valley, MD, is now seeking a full-time, licensed registered nurse for utilization review and case management....

Highmark Health-Pittsburgh, PAEstimated: $56,000 - $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.

Active United States RN (Registered Nurse) license. This job implements effective utilization management strategies including:....

Sedgwick Claims Management Services-Charleston, WVEstimated: $53,000 - $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.

Utilization Review RN. Documents all utilization review outcomes in utilization review software. Utilization review based certification strongly preferred....

Christus Health-Irving, TXEstimated: $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.

Be available for after-hours telephonic utilization review needs of providers as mandated by governmental and contractual guidelines....

Avera Health-Sioux Falls, SDEstimated: $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.

The Utilization Review RN reviews scheduled, concurrent and retrospective inpatient and outpatient cases to determine primary and secondary insurance...

ProgenyHealth-Plymouth Meeting, PAEstimated: $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.

Review of all services (readmissions and elective procedures) for first year of life. Five (5)+ years experience working in a concurrent review or discharge...

InforMed Med Mgmt Services-Annapolis, MD

Minimum of 3-5 years of clinical RN experience is needed. The PHN works closely with the provider(s) to ensure that services are provided in the most...

A Better Today Recovery Services-Scottsdale, AZEstimated: $44,000 - $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.

Quality assurance and utilization review. Federal, state and county regulations pertaining to utilization review....

Johns Hopkins Health Care-Glen Burnie, MDEstimated: $50,000 - $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.

Authorization Medical Review RN. Clinical review with physicians is necessary. Current RN licensure in the State of Maryland;...

Humana-Pembroke Pines, FLEstimated: $60,000 - $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.

Humana is seeking an Onsite Utilization Review RN who will completing medical necessity reviews of inpatient admissions of Medicare members, conduct face to...

Healthsmart Preferred Care-Charleston, WVEstimated: $50,000 - $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.

• Provide pre-procedure, pre-admission, admission, concurrent and retrospective review on a daily basis. • Conduct discharge review and referral for members...

Humana-Charleston, WVEstimated: $59,000 - $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.

Conduct admission review, post-discharge calls and discharge planning. Humana is seeking a Clinical Advisor RN who will collaborate with other health care...

Alvarez & Marsal-Los Angeles, CAEstimated: $56,000 - $80,000 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.

Perform utilization management, utilization review or concurrent review and Retrospective reviews leveraging Interqual guidelines and benefit determination....

Carewise Health, Inc-Louisville, KYEstimated: $84,000 - $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.

The Utilization Management Nurse is responsible for the delivery of the Utilization Management process to include:....

Berkley Medical Management Solutions-Bedford, NHEstimated: $49,000 - $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.

Review job analysis with physician. Graduate of an accredited school of nursing and possess a current RN license required....

Humana-Charlotte, NCEstimated: $59,000 - $80,000 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 is seeking a Utilization Review nurse to review clinical information to ensure appropriateness of services, utilizing Milliman and CMS guidelines, and...

UnitedHealth Group-Tennessee

Background involving utilization review for an insurance company or experience in case management. NLC (Nurse License Compact) RN license....

UnitedHealth Group-Nebraska

Background involving utilization review for an insurance company or experience in case management. NLC (Nurse License Compact) RN license....

UnitedHealth Group-Washington, DC

Background involving utilization review for an insurance company or experience in case management. NLC (Nurse License Compact) RN license....

UnitedHealth Group-California

Background involving utilization review for an insurance company or experience in case management. NLC (Nurse License Compact) RN license....

Envision Home Health-Burien, WAEstimated: $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.

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

Platinum Business Corporation-Lakehurst, NJEstimated: $74,000 - $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.

And utilization of resources. American Accreditation Healthcare Commission/Utilization Review Accreditation Commission (URAC);...

NewWave Telecom & Technologies-Austin, TXEstimated: $49,000 - $65,000 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 standards and practices. Medical/Utilization Review experience preferred. Ensure all basic documentation requirements are available or...


Your Recent Searches