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52,078 Nurse Reviewer, Utilization jobs

Meridian Health Plan - Remote +2 locations

Current license (without restriction) to practice as a Licensed Practical Nurse or Registered Nurse in the designated State is required....

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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Intermountain Healthcare - Burley, ID 3.9

Ensures cost-effective use of staff by ensuring appropriate nurse to patient ratio and utilization of staff by monitoring use of premium pay, agency,...

Estimated: $62,000 - $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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Jefferson Regional Medical Center - Pine Bluff, AR 3.9

Registered Nurse (RN) (Required). Assuring the appropriate utilization of resources. CPR certification required for all Registered Nurses prior to working on...

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EK Health Services Inc - Work at Home 

We have a new opening as a Legal Nurse Consultant. O All work is done within the scope of practice for a Registered Nurse....

Estimated: $67,000 - $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.

McBee - Wayne, PA 

Part-time Utilization Review Nurse. We are looking for a Part-time Utilization Review Nurse in either the West, Northwest, or Southwest regions to join our Care...

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.

CareCentrix - Tampa, FL 

Follows Utilization Management and URAC/NCQA standards. Excellent knowledge of Utilization Management and URAC/NCQA standards....

Estimated: $49,000 - $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.

US Department of Veterans Affairs - North Chicago, IL +1 location3.9

VA Form 10-2850a - Application for Nurses and Nurse Anesthetists can be found at:. TThe Utilization Management Registered Nurse (UMRN) is responsible for...

$59,000 - $120,000 a year

United Therapeutics - Home Based 3.9

Disease state, adverse effect mitigation, device utilization and dosing, among others. Clinical Nurse Educator (Southern US – TX, AK, LA, MS, AL, TN, KY, VA, NC...

Estimated: $84,000 - $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.

McBee - Wayne, PA 

We are looking for talented reviewers to join our team of nurses and therapists from across the United States. Part Time OASIS Chart Review Nurse....

Estimated: $57,000 - $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.

ProgenyHealth - Plymouth Meeting, PA +1 location

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

Estimated: $51,000 - $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.

Medical Mutual of Ohio - Cleveland, OH 4.0

Registered Nurse with current State of Ohio unrestricted license. Keeps up to date on utilization management regulations, policies and practices including...

Estimated: $56,000 - $70,000 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.

HEALTHCAREfirst - United States 3.1

Coding / OASIS / 485 Remote Review Nurse. 2 years utilization of home health OASIS review experience....

Estimated: $63,000 - $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.

Anthem, Inc. - United States 3.8

Prior telephonic nurse management experience. Nurse Care Manager I - Disease Management Position. Partners with physician clinical reviewers and/or medical...

Estimated: $87,000 - $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.

Aetna - Aliso Viejo, CA +8 locations3.8

Nursing/Registered Nurse (RN) is required. Communicates with providers and other parties to facilitate care/treatment Identifies members for referral...

Estimated: $83,000 - $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.

Weld County, CO - Greeley, CO 

Provides support to the case management team around utilization of home health services. Experience as a nurse in a home health care or nursing home setting....

$27 an hour

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.

Windham Group - Manchester, NH 4.7

Utilization Review Nurse – Workers’ Compensation*. Registered Nurse (RN) (Required). Utilization Review experience, preferably with workers comp....

Estimated: $60,000 - $78,000 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 +1 location

Clinical audits focus on medical utilization management behavioral health utilization management. License as a registered nurse or licensed practical nurse in...

Estimated: $56,000 - $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.

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.

Aetna - High Point, NC 3.8

As an Utilization Nurse Consultant you will utilize clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management...

Estimated: $48,000 - $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.

Blue Cross and Blue Shield of Kansas City - Kansas City, MO 4.1

1+ year(s) of utilization review, disease management, and/or case management experience. Recognizes, documents and reports inappropriate billing patterns or...

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.

WellCare - Remote +1 location3.5

Executes periodic competitor utilization management program comparison and analysis to ensure WellCare’s utilization management program maintains competitive...

Estimated: $76,000 - $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.

AdventHealth Fish Memorial - Orange City, FL 3.7

Registered Nurse Cath Lab AdventHealth Fish Memorial. Demonstrates the ability to learn and practice new techniques and equipment utilization by attending...

Estimated: $56,000 - $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.

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Villas of Holly Brook - Rantoul, IL 

A registered nurse or licensed practical nurse licensed to practice as required by State Regulations. Seeking part time evening nurse....

Estimated: $46,000 - $63,000 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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Porter Medical Center - Middlebury, VT 3.4

Unit Nurse Manager - Post Acute Unit. Assists staff/charge nurses in problem solving and reports same to DNS....

$38 - $57 an hourSponsored