Anthem, Inc. - Syracuse, NY 3.8

2 years of clinical and utilization review experience; Review of claim edits, pre-noted inpatient admissions or, episodic outpatient therapy such as physical...

Estimated: $42,000 - $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.

York Hospital - York, ME 3.6

Work with the multidisciplinary team to evaluate and improve concurrent review process and appeal documentation....

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Orchard Hospital - Gridley, CA 3.3

Assists the Utilization Review Committee in the assessment and solution of identified utilization review problems....

Estimated: $110,000 - $150,000 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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Baylor Scott & White Health - Dallas, TX 3.9

The Utilization Review Nurse provides ongoing communication with health plan utilization departments regarding medical necessity for prospective, concurrent,...

Estimated: $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.

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Erie County Medical Center Corporation - Buffalo, NY 3.9

Completes concurrent performance improvement data collection for the hospital quality measures consistent with regulatory and contractual obligations;...

Estimated: $68,000 - $89,000 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.

JPS Health Network - Fort Worth, TX 3.9

The Utilization Review Nurse I (URN-I) functions as the primary liaison between all third party payers and the Behavioral Health Department....

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.

BlueCross BlueShield of Kansas City - Kansas City, MO 4.1

Conducts pre-service, concurrent and / or post-service utilization management reviews to ensure appropriate use of the health care system and to maximize health...

Estimated: $63,000 - $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.

ProgenyHealth - Plymouth Meeting, PA 

The clinical care nurse serves as a nurse reviewer for admissions, lengths of stay and a facilitator for discharge planning....

McBee - Remote 

The Care Management Nurse position requires concurrent review of emergency department admissions for a busy hospital. Care Management Nurse....

Allegiance Benefit Plan Mgmt. - Missoula, MT 

Great opportunity to learn as you will cross train to perform Concurrent Review, Utilization Review and Case Management functions....

Estimated: $49,000 - $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.

ezURs - Richardson, TX 

The Utilization Review Nurse (UR Nurse) performs medical necessity review of proposed, concurrent, or retrospective clinical services for injured workers in...

Estimated: $55,000 - $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.

Bryan Health - Lincoln, NE 4.1Online Now!

Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act....

Estimated: $59,000 - $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.

Bryan Health - Lincoln, NE 4.1Online Now!

Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act required....

Estimated: $62,000 - $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.

Cigna - Phoenix, AZ 3.7

¨ Performs prospective, concurrent and retrospective reviews for inpatient acute care, rehabilitation, referrals and select outpatient services including DME...

Estimated: $62,000 - $89,000 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.

Kindred Healthcare - Denver, CO 3.4

Authorization & appeals management nurse, appeals management nurse, appeals management, appeals coordinator, authorization, appeals, managed care, pre-admission...

Estimated: $47,000 - $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.

Harvard Pilgrim Health Care - Wellesley, MA 4.2

Performs concurrent review using HPHC criteria and guidelines to determine when services are no longer medically necessary and to transition to appropriate...

Estimated: $52,000 - $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.

Healthfirst - New York, NY 3.6

Registered Nurse (RN). The RN Case Manager, Utilization Management coordinates the care plan for assigned members and conducts pre-certification, concurrent...

Estimated: $71,000 - $89,000 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.

ChaseSource, LP - North Austin, TX 3.5

The Registered Nurse conducts pre-service, concurrent/ retrospective reviews. Registered Nurse (RN). Conducts any utilization or medical management review...

$41 an hour

Mercy Health - Oregon, OH +2 locations3.7Online Now!

Participates in concurrent performance improvement activities and on-going MR review activities. Reviews medical record every 24-48 hours as appropriate....

Estimated: $55,000 - $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.

Aetna - Cary, NC +8 locations3.8

Registered Nurse is required. Click here to review the benefits associated with this position. Utilizes clinical skills to coordinate, document and communicate...

Estimated: $60,000 - $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.

Shared Services Center - Bethlehem - Pennsylvania 

The Nurse Auditor is also responsible for Compliance reviews and audits as directed by the Ethics and Compliance Officer and/or VP of PFS and RSC PFS Directors....

Estimated: $43,000 - $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.

CorVel Corporation - Pittsburgh, PA 3.1

Prospective, concurrent and retrospective utilization review. The Professional Review Nurse provides analysis of medical services to determine appropriateness...

Estimated: $54,000 - $72,000 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.

Lake Health/University Hospitals Seidman Cancer Center - Mentor, OH Online Now!

Performs concurrent and retrospective review of medical records. Registered Nurse (RN). Registered Nurse BSN required....

Estimated: $59,000 - $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.

Anthem, Inc. - San Jose, CA 3.8

Performs admission and concurrent stay reviews on hospitalized patients. Performs telephonic, fax and/or on-site reviews with skilled nursing facilities, home...

Estimated: $70,000 - $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.

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Bridgeway Health Solutions - Tempe, AZ 3.3

Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case...

Estimated: $54,000 - $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.

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Baylor Scott & White Health - Dallas, TX 3.9

The Utilization Review Nurse is a registered nurse who provides clinical review against standard criteria for the purpose of evaluating medical necessity for...

Estimated: $100,000 - $140,000 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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