Cigna - McAllen, TX

Reviews monthly DM productivity and case audit reports with case managers providing feedback about performance and to discuss areas for improvement and to set...

Estimated: $65,000 - $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.

9d

Alliance Medical Center - California

RN. Direct nursing care as required by license standards of care, participates in infection control, utilization review, and quality assessment activities and...

Estimated: $69,000 - $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.

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Valeo Resources, LLC - West Palm Beach, FL

Utilization Review Specialist:. We are seeking a qualified candidate to join our Utilization Review team full time....

$15 - $17 an hourSponsored6d

American Recruiters - Las Cruces, NM

Utilization Review and Discharge Planning. RN license in New Mexico or Compact State. Communicates with physician, payers and other health care providers to...

Estimated: $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.

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8d

Orlando Health - Orlando, FL

Orlando Health's Patient Accounting/ Denial Management Unit is seeking a RN Case Manager/Documentation Specialist....

Estimated: $68,000 - $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.

7d

Duke University and Duke University Health System - Durham, NC

Utilization Review, Case Management, ICU, Critical Care. Specialist, if deemed necessary by team staff shortage....

Estimated: $51,000 - $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.

VHS Consolidated - Las Vegas, NV

Provides clinically based concurrent and retrospective review of inpatient medical records to evaluate the utilization and documentation of acute care services....

Estimated: $51,000 - $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.

VALLEY HEALTH SYSTEM LLC - Las Vegas, NV

Provides clinically based concurrent and retrospective review of inpatient medical records to evaluate the utilization and documentation of acute care services....

Estimated: $66,000 - $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.

The State of Florida - Jacksonville, FL

OPS REGISTERED NURSE SPECIALIST. OPS REGISTERED NURSE SPECIALIST - 65650330. Reviews and approves appropriate level of care decisions....

$17 - $34 an hour

The State of Florida - Orlando, FL

OPS REGISTERED NURSE SPECIALIST - 64801480. Ability to analyze complex reports and determine the service utilization habits of clients and to evaluate the...

$21 - $25 an hour

Stanford Health Care - Palo Alto, CA

Stroke Quality Specialist (RN), Neurosciences. The Quality Specialist is also responsible for the administrative and scientific activities for clinical projects...

Estimated: $62,000 - $88,000 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.

1d

Kaiser Permanente - Pasadena, CA

RN License strongly preferred. Experience in patient care and utilization management activities required. Strong clinical and regulatory expertise in the review...

Estimated: $97,000 - $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.

CalOptima - Orange, CA

Utilization review experience is preferred. Utilization Management or Case Management). Responsible for creating a standardized audit tool for review of...

Estimated: $62,000 - $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.

CalOptima - Orange, CA

Utilization review experience is preferred. Utilization Management or Case Management). Responsible for creating a standardized audit tool for review of...

Estimated: $59,000 - $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.

UPMC - Pittsburgh, PA

UPMC is searching for multiple Clinical Documentation Improvement (CDI) Specialists. CDI Specialists are eligible to work from home, Monday through Friday...

Estimated: $62,000 - $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.

University of Utah Health Care - Salt Lake City, UT

3 to 5 years’ experience with clinical chart review, abstraction, surgical case review. RHIA, RHIT, LPN/LVN, RD, RN, or BSN....

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.

Family Home Health Services - Florida

Quality Assurance and Coding Specialist RN. The Quality Assurance and Coding Specialist RN is responsible for analyzing data, review all Medicare and other...

Estimated: $43,000 - $59,000 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 - Doral, FL

Participate in standing meetings to review performance, identify areas of opportunity, and oversee course for improvements....

8d

MedCost LLC - Winston-Salem, NC

The Utilization Review Specialist is responsible for referring potential participants to the Prenatal Specialist....

Estimated: $61,000 - $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.

7d

Los Angeles County Human Resources - Los Angeles County, CA

Participating in conducting prospective, concurrent, and retrospective utilization reviews of patient services or hospitalization to maintain quality of care...

$77,000 - $110,000 a year

Berkley Medical Management Solutions - Bedford, NH

Review job analysis with physician. Assess appropriate utilization of medical treatment and services available through contact with physicians and other...

Estimated: $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.

Anthem, Inc. - Metairie, LA

Responsibilities exclude conducting any utilization management review activities which require interpretation of clinical information....

Estimated: $29,000 - $39,000 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.

Bolder Healthcare Solutions - Timonium, MD

RN, CCS and CDIS preferred. The work involves concurrent medical record review. Must obtain Certified Coding Specialist (CCS) certification within two years of...

Estimated: $64,000 - $87,000 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.

Community Residences, Inc - Naugatuck, CT

Current CT RN License. On a regular basis, reviews the following:. Reviews all medication errors on a continuous basis....

$30 - $32 an hourSponsored13d

Bay Cove Human Services, Inc. - Boston, MA

Oversee the nurses’ responsibilities in utilization review and work collaboratively with billing specialists and insurance reviewers in utilization review...

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.

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8d

American Recruiters - Ocala, FL

Utilization Review and Discharge Planning. RN license in Florida. Communicates with physician, payers and other health care providers to ensure quality care and...

Estimated: $62,000 - $87,000 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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