Federal Services-Hampton, VAEstimated: $58,000 - $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.

The Utilization Review Nurse I provides first level clinical review for all outpatient and ancillary services requiring authorization....

Chinese Hospital-San Francisco, CAEstimated: $79,000 - $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.

Utilization Management Nurse Reviewer. Current unrestricted California RN license. The Nurse reviewer performs on-site, written or telephonic assessments and...

North Metro Medical Center-Jacksonville, AREstimated: $37,000 - $50,000 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, RT, RRT, RCIS, RCES. Efficient utilization of department supplies and resources. Wears TLD badge daily, reviews radiation exposure reports and uses...

Futures of Palm Beach-Tequesta, FLEstimated: $57,000 - $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.

Provide assistance to Director of Utilization Review in communicating pertinent nursing information. Futures of Palm Beach is a one-of-a-kind residential...

Federal Services-Tempe, AZEstimated: $57,000 - $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.

The Utilization Review Nurse I provides first level clinical review for all outpatient and ancillary services requiring authorization....

Eskenazi Health-Indianapolis, INEstimated: $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.

The Utilization Reviewer/Inpatient Payor Specialist is responsible for working behind the scenes to maximize the quality and cost of efficiency of health...

Molina Healthcare-Long Beach, CAEstimated: $65,000 - $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.

Minimum one year Utilization Review and/or Medical. RN, BSN, or LCSW. Assists with Complex Claim review;...

Dignity Health-Bakersfield, CA

The incumbent will also incorporate into the utilization review process the ability to access and interpret clinical information against the designated review...

Buckeye Community Health Plan-Columbus, OHEstimated: $41,000 - $53,000 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 state’s LPN/LVN or RN license. Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical...

UnitedHealth Group-Tonawanda, NY

Experience in utilization review, concurrent review or risk management. Current, unrestricted RN license in the state of New York....

UnitedHealth Group-New York, NY

Experience in utilization review, concurrent review or risk management. Current, unrestricted RN license in the state of New York....

Mercy-St. Louis, MOEstimated: $51,000 - $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.

Prepares and refers cases to Physician Advisor/Medical Director for review appropriately. Recognizes importance of case management for all patients especially...

MetroPlus Health Plan-New York, NY $90,000 a year

Communicate with RN assessors and contracted vendors inconsistencies and changes needed in the review. Experience in medical records review, utilization and...

Louisiana State Government-Jackson, LA $4,100 - $8,200 a month

Serves on various committees such as, Nursing Policy and Procedure Committee, patient safety, quality assurance, and utilization review....

Community Health Network-Indianapolis, INEstimated: $61,000 - $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.

Strong computer skills KeywordsCase Management, CM, Utilization Review, UR. Provides hospital case management/utilization review and discharge planning to...

Baptist Memorial Health Care Corporation-United StatesEstimated: $38,000 - $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.

Experience with utilization review, performance improvement and discharge planning required. Perform an after visit summary review with navigator patients when...

Spartanburg Medical Center-Arlington, VAEstimated: $54,000 - $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.

The OASIS Review RN is responsible for the prospective review of OASIS assessments to include:. Reviews visit utilization for appropriateness as per care...

WellCare-Phoenix, AZEstimated: $51,000 - $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.

Required 2 years of experience in a clinical setting with general nursing exposure in utilization management to include pre-authorization, utilization review,...

Vanderbilt University Medical Center-Nashville, TNEstimated: $41,000 - $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.

Conduct initial admission based on utilization review medical necessity criteria. Utilization Specialist (UMS)....

Blue Cross Blue Shield of North Carolina-Durham, NCEstimated: $46,000 - $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.

Documents outcome of reviews. Gathers information and prepares documentation for internal review. Reviews claims for Individual Business for possible...

Veterans Affairs, Veterans Health Administration-Reno, NV $63,000 - $120,000 a year

And the RN has registration in that country (e.g., Philippines). Identifies and assesses resource utilization and safety issues, taking appropriate action....

Columbia Nursing Solutions-Baltimore, MDEstimated: $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.

Experience with utilization review or appeals review. Utilization review, registered nurse, milliman, interqual, ICD-9, ICE-10, CPT, HCPCS, DRG, APC, CPT, pre...

Dane Street-Palm Beach Gardens, FLEstimated: $36,000 - $47,000 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.

Must be graduate of an accredited RN program. Minimum of two years of experience in medical terminology, nursing, claims management, utilization review, pre...

Embrace Hospice-Villa Rica, GAEstimated: $58,000 - $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.

Review and evaluate each case through a variety of means to include but not limited to home visits, conferences, record review, and the services provided by...

Bayfront Health St. Petersburg-Saint Petersburg, FLEstimated: $58,000 - $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.

Position 95% Utilization Review*. \*\_ER RN experience is a PLUS!!*. Experienced ER RNs Apply Now!*....

Houston Behavioral Healthcare Healthcare Hospital-Houston, TXEstimated: $58,000 - $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.

The OP RN will also work on labs, education groups, take off orders, utilization review duties, and performs related duties if requested....


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