State of New York - Syracuse, NY 3.9

Reports to the Utilization Management department and works collaboratively with the UM staff for overall identification of patient safety and quality...

Estimated: $65,000 - $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.

Eden Health - Bellingham, WA 3.5

Excellent understanding of performance improvement, quality assurance, and utilization management. Registered Nurse, currently licensed in or able to be...

Estimated: $63,000 - $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.

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Mercy Health - Oklahoma City, OK 3.2

5.4 Demonstrates competency in utilization of departmental and organizational. We have opportunities for nurses who are inspired to pioneer new models of care...

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Jefferson Regional Medical Center - Pine Bluff, AR 3.9

Nurse Residency Program. Registered Nurse (RN) (Preferred). Assuming responsibility for the appropriate utilization of resources....

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Aetna - Blue Bell, PA 3.8

Nursing/Registered Nurse is required. The UM Nurse Consultant utilizes clinical skills in a collaborative process to assess, plan, implement, coordinate,...

Estimated: $67,000 - $94,000 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.

Virginia Premier - Glen Allen, VA 3.5

Current Virginia Registered Nurse with two or more years of Utilization Review experience preferably in the treatment of substance use disorders;...

Estimated: $64,000 - $92,000 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.

Medova Healthcare Financial Group, LLC - Wichita, KS 

Ensure appropriate utilization management, which focuses on helping members to obtain the right care in the right place at the right time to achieve better...

Estimated: $44,000 - $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.

Blue Shield of California - Rancho Cordova, CA 3.6

Requires significant and substantial experience in nursing, 5-7 years acute clinical experience and 3-4 years utilization management preferred....

Estimated: $90,000 - $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.

INTEGRA MLTC, INC. - Lake Success, NY +1 location

Certification in Utilization Review or Utilization Management is preferred. Maintains compliance with regulation changes affecting utilization management....

Estimated: $57,000 - $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.

Neighborhood Health Plan of Rhode Island - Smithfield, RI 3.5

Active Rhode Island License as Licensed Practical Nurse or Registered Nurse. The Risk Adjustment Clinical Reviewer role supports, compiles and cultivates data...

Estimated: $69,000 - $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.

Catholic Medical Center - Manchester, NH 3.7

Current registration in the State of NH as a Registered Nurse. The RAC & Appeals Nurse Reviewer is responsible for performing medical record reviews and...

Estimated: $67,000 - $94,000 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.

Foxconn - Milwaukee, WI 4.0

Previous experience in utilization management, discharge planning and/or home health or rehab. The Registered Nurse is primarily responsible for arranging our...

Estimated: $56,000 - $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.

Aetna - Linthicum, MD 3.8

Promotes/supports quality effectiveness of Healthcare Services and benefit utilization. This is an in office position in Linthicum, MD....

Estimated: $48,000 - $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.

Provider Resources Inc - United States 4.1

Medical Review Nurse. Certification in coding, utilization management/review and/or the quality improvement process preferred....

Estimated: $59,000 - $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.

Tufts Health Plan - Watertown, MA 3.8

Utilization Reviewer will be a Board Certified MD who has had at least five years of clinical experience. The utilization reviewer will be given appropriate...

Estimated: $150,000 - $210,000 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 Beacon Mutual Insurance Company - Warwick, RI 

Certified Disability Management Specialist, Certified Occupational Health Nurse (or similar national certification)....

Estimated: $53,000 - $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.

Independent Nursing Care - Buffalo, NY 

Registered Nurse (RN) (Preferred). Registered Nurse/Chart Reviewers that have 4-5 years geriatric experience that is preferred but not required....

$30 an hour

New Directions Behavioral Health - Florida 3.0

Previous experience in Utilization Review. The Utilization Manager is responsible for providing utilization management, support and care management activities...

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.

Maryland Treatment Centers, Inc. - Baltimore, MD 

Reporting to the Utilization Review Nurse, the Utilization Review Counselor assists in implementing the facility's UR plan while maintaining compliance with all...

Estimated: $40,000 - $58,000 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 - Berkeley Heights, NJ +5 locations3.8

Utilization management experience preferred. Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization....

Estimated: $54,000 - $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.

Medical City Plano - Plano, TX 3.7

Correct utilization of the scheduling features of Meditech system and accurately enter all mandatory information....

CareCentrix - Remote 

Expertise in Utilization Management and knowledge of URAC/NCQA standards. Current and unrestricted license for the market (state) of practice as a Registered...

Estimated: $63,000 - $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.

WellCare - Remote +1 location3.5

Required Licensed Registered Nurse (RN). Executes periodic competitor utilization management program comparison and analysis to ensure WellCare’s utilization...

Estimated: $84,000 - $120,000 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.

Beebe Healthcare - Lewes, DE 3.9

RN - Registered Nurse. Communication with OR Desk/Charge RN and/or department Nurse Manager; This individual is a clinically competent, registered, professional...

Estimated: $62,000 - $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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Bayhealth - Milford, DE 3.8

(ACLS, PALS) Research utilization; Seeking qualified candidates for Clinical Nurse Specialist role that focuses on Surgical Services ;...

Estimated: $71,000 - $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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St. Otto's Care Center - Little Falls, MN 

Performance of duties requires cost-effective utilization of resources. Graduate from an accredited school of nursing with current licensure as a Licensed...

Estimated: $37,000 - $53,000 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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