LexiCode-RemoteEst. $44,000 - $54,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. 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. 5 or more years of nurse medical record review and denials management experience...

5 days ago

Palmeira Home Health-Globe, AZ$60,000 - $75,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. 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.

Monitor nursing staff assignments, caseloads and service utilization. Must currently hold, or be able to obtain by date of hire, RN licensure through the...

4 days ago, Sponsored

AllyAlign Health-Martinsville, VAEst. $50,000 - $69,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. 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.

Licensed RN work:. At least one year of experience working as a licensed RN. Promotes high quality outcomes and better utilization of long term care services....

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Cottonwood Healthcare-North Platte, NEEst. $64,000 - $80,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. 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.

Progressive Management in Skilled Nursing:. Current RN licensure in the state where employed. Assists facilities with medication assistance/administration and...

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Humana-Louisville, KYEst. $72,000 - $95,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. 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 or Quality Management experience. Current RN license in state where employed. Second Level Review Nurse:....

5 days ago

Banner Health-Phoenix, AZEst. $51,000 - $70,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. 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.

Prior Case Management experience preferred. Collects and communicates pertinent, timely information to payers and others to fulfill utilization and regulatory...

9 days ago

Anthem, Inc.-St. Louis, MOEst. $59,000 - $77,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. 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.

Case Management, Utilization Management or Discharge Planning preferred. We are looking for licensed RN’s who will provide specialized, custom case management...

Anthem, Inc.-Chicago, ILEst. $63,000 - $90,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. 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.

1-3 Years Utilization Management experience required. 3-5 years Case Management experience required. Requires knowledge of care management assessment technique,...

Qualis Health-Albuquerque, NMEst. $68,000 - $98,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. 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.

Our utilization management best practices assure that patients receive the right care, in the right setting, at the right time, thereby avoiding the overuse,...

Quality Health Strategies-Washington, DCEst. $54,000 - $77,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. 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 a BSN or an RN with additional current and active degree/license/certification/s in an applicable program such as Certified Professional in Healthcare...

Quality Health Strategies-Nashville, TNEst. $53,000 - $70,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. 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, active and non-restricted RN licensure required. Quality Management - Looks for ways to improve and promote quality;...

Quality Health Strategies-Baltimore, MDEst. $55,000 - $68,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. 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, active and non-restricted RN licensure required. Quality Management - Looks for ways to improve and promote quality;...

Quality Health Strategies-Boston, MAEst. $51,000 - $72,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. 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, active and non-restricted RN licensure required. Quality Management - Looks for ways to improve and promote quality;...

Quality Health Strategies-Chicago, ILEst. $52,000 - $70,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. 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, active and non-restricted RN licensure required. Quality Management - Looks for ways to improve and promote quality;...

Quality Health Strategies-Atlanta, GAEst. $53,000 - $71,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. 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, active and non-restricted RN licensure required. Quality Management - Looks for ways to improve and promote quality;...

Quality Health Strategies-Denver, COEst. $55,000 - $69,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. 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, active and non-restricted RN licensure required. Quality Management - Looks for ways to improve and promote quality;...

Central California Alliance for Health-Scotts Valley, CAEst. $59,000 - $78,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. 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.

Knowledge of Utilization Management, and/or Case Management principles and practices; Participates in the Utilization Management (UM) Care Programs;...

Central California Alliance for Health-Merced, CAEst. $59,000 - $76,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. 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.

Knowledge of Utilization Management, and/or Case Management principles and practices; Participates in the Utilization Management (UM) Care Programs;...

UnitedHealth Group-Baton Rouge, LA

As a Field based and Telephonic Behavioral Health Care Advocate you will be responsible for case management and utilization review of behavioral health and...

UnitedHealth Group-Kansas City, KS

As a Behavioral Health Care Advocate you will be responsible for case management and utilization review of behavioral health and substance abuse cases....

Kaiser Permanente-Atlanta, GAEst. $59,000 - $83,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. 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 utilization trends in the market area, keeping appropriate management informed. Refers cases identified as risk management, peer review or quality...

Humana-Tampa, FLEst. $47,000 - $69,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. 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.

Previous experience in utilization management, discharge planning and/or home health or rehab. 1 year minimum previous hospital case management and/or health...

6 hours ago

Humana-Louisville, KYEst. $50,000 - $63,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. 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.

Previous experience in utilization management, discharge planning and/or home health or rehab. Examine clinical programs information to identify members for...

3 days ago

ERNC-Everett, MAEst. $57,000 - $81,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. 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 qualified candidate for this position must be a licensed RN with previous experience in Long Term Care and in managing/supervising staff....

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Specialty Professional Services-Fairfax, VA$46 - $50 an hour

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. 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.

General knowledge of case management process including utilization review, transitional planning, outcomes management and assessment, payer industry, resource...

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Innovative Care Management, Inc.-Milwaukie, OREst. $59,000 - $81,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. 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 Position Summary:. Two years of prior experience with Utilization Management. UM nurses simultaneously screen cases for possible referral...

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