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1,200 Concurrent Review Nurse I jobs

Meridian Health Plan - Remote +2 locations

A Day in the Life of a Pre-Service Review Nurse:. Current license (without restriction) to practice as a Licensed Practical Nurse or Registered Nurse in the...

Estimated: $62,000 - $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.

AdventHealth DeLand - DeLand, FL 3.7

Registered Nurse Clinical Case Manager AdventHealth Deland. Utilization review, resource management, care coordination discharge/transitional planning;...

Estimated: $53,000 - $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.

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Ascension Healthcare - Austin, TX 3.5

Reviews admissions and service requests within assigned unit for prospective, concurrent and retrospective medical necessity and/or compliance with...

Estimated: $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.

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Ascension Healthcare - Halethorpe, MD 3.5

Registered Nurse -RN-Coord - Pre-Certification, coordinates patient intake activities and resources. Registered Nurse -RN-Coord - Pre-Certification - Patient...

Estimated: $61,000 - $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.

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Blue Cross and Blue Shield 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: $66,000 - $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.

McBee - Wayne, PA 

Part-time Utilization Review Nurse. This position requires concurrent review of emergency department admissions for a busy hospital....

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.

Pennsylvania Health and Wellness - Harrisburg, PA 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: $61,000 - $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.

Coordinated Care - Tacoma, WA +1 location3.3

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: $60,000 - $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.

SilverSummit Healthplan - Las Vegas, NV 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: $66,000 - $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.

Absolute Total Care - Columbia, SC 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 - $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.

Sunshine State Health Plan - Sunrise, FL +2 locations3.3

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: $57,000 - $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.

Arkansas Total Care - Little Rock, AR 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.

Peach State Health Plan - Smyrna, GA 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: $53,000 - $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.

Managed Health Services IN - Indianapolis, IN 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: $51,000 - $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.

McBee - Portland, OR 

The Utilization Review Nurse position requires concurrent review of emergency department admissions for a busy hospital....

Estimated: $72,000 - $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.

State of Arizona - Phoenix, AZ 3.6

Concurrent/Utilization Review Nurse. The Concurrent/Utilization Nurse will perform healthcare utilization management, prior authorization, concurrent hospital...

$70,000 a year

Florida Blue - Jacksonville, FL 4.0

Participate in weekly case review. Home health care, rehab, SNF, utilization review, discharge planning or case management Experience with planning,...

Estimated: $57,000 - $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.

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: $56,000 - $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.

Meridian Health Plan - Remote +2 locations

A Day in the Life of a Utilization Management Inpatient Review Nurse:. Current license (without restriction) to practice as a Licensed Practical Nurse or...

Estimated: $70,000 - $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.

Humana - Miramar, FL 3.7

Licensed Registered Nurse (RN) in the Florida with no disciplinary action. The Utilization Management Nurse 2 utilizes clinical nursing skills to support the...

Estimated: $57,000 - $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.

Commercial Solutions - Austin, TX 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: $61,000 - $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.

Noha - North Charleston, SC +2 locations

Registered Nurse (RN) (Preferred). Applying criteria to inpatient admissions and performing concurrent review functions, identifying discharge planning needs...

Estimated: $46,000 - $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.

Inland Empire Health Plan - Rancho Cucamonga, CA 3.7

Responsible for the oversight of concurrent and retrospective reviews for medical necessity per evidenced based criteria, appropriateness of service and level...

$69,000 - $110,000 a year

CNS Healthcare - Southfield, MI 

Perform review of requests for services/procedures that require medical necessity review and/or benefit interpretation for authorization....

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.

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TotalMed Staffing - Tacoma, WA 3.6

We are in urgent need of a Concurrent Review Nurse for a well-known health insurance organization in Tacoma. Registered Nurse (RN) (Preferred)....

Estimated: $52,000 - $67,000 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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Valley Presbyterian - Van Nuys, CA 4.1

Document concurrent TAR reviews daily. Independently performs daily concurrent chart reviews on all assigned patients utilizing approved hospital criteria (Medi...

Estimated: $82,000 - $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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