BlueCross BlueShield of South Carolina - Florence, SC 3.8Online Now!

Experience in Part B Medicare utilization review and MCS. Provides support and review of medical claims and utilization practices....

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.

Christus Health - Santa Fe, NM 3.8Online Now!

The Clinical Appeals Nurse will review each case identified/referred for appeal based on Milliman Care Guidelines (MCG), InterQual, and/or other relevant...

Estimated: $62,000 - $87,000 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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Radford Health & Rehab Center - Radford, VA 

Registered Nurse (RN)*. Registered Nurse (RN) (Required). Review physician’s orders, lab reports and contact pharmacy regarding any change in medication....

Estimated: $50,000 - $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.

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SCL Health - Lafayette, CO 3.2

Review and monitor therapy and treatment plans. You bring your body, mind, heart and spirit to your work as a Registered Nurse....

Estimated: $57,000 - $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.

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Healthfirst - New York, NY 3.6Online Now!

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.

Johnson & Johnson Family of Companies - Horsham, PA +1 location4.3

Perform quality review of ICSR which includes review of source documents and ensuring that the case is accurate and that corrections to the case, if applicable,...

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.

MedManagement LLC - Birmingham, AL +1 location

Our nurses work with a strong group of board certified practicing physicians, skilled administrators and a state of the art technical staff to review medical...

Estimated: $40,000 - $52,000 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.

NL PROFESSIONAL SVC - Memphis, TN Online Now!

HEDIS Nurse Job Summary:. The HEDIS Nurse is responsible for complete and accurate medical record review of charts collected from provider offices and the...

$50 - $60 an hour

Martin Luther King, Jr. Community Hospital - Los Angeles, CA 3.4

The licensed vocational nurse renders professional nursing care to patients at the Ambulatory Clinic. Documents relevant material in medical record and forwards...

Estimated: $43,000 - $57,000 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.

Zelis Healthcare - Field 

Review itemized bill for medical appropriateness and billing inconsistencies by performing a line by line clinical review of claim....

Jzanus Consulting, Inc. - West Hempstead, NY 

Registered Nurse (RN) (Required). General computer knowledge is required for reviews. We have an opportunity in our West Hempstead office for a RN Medical...

$35 - $45 an hour

Medtronic - Chanhassen, MN 4

Reviews and analyzes system generated trend reports within department software prior to telephonic assessment....

Estimated: $47,000 - $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.

ProgenyHealth - Plymouth Meeting, PA 

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

Middle Tennessee State University - Murfreesboro, TN 4.3

Family Nurse Practitioner Board Certification. Master of Science with Family Nurse Practitioner Certification required....

Estimated: $72,000 - $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 - Remote 

Part Time OASIS Chart Review Nurse. Enter results from review in appropriate fields of the database. Review ICD-10 coding and sequencing from documentation in...

Estimated: $58,000 - $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.

NYU Langone Health - New York, NY 4.1

Registered Nurse License-NYS. Engages in self-assessment and peer review; Current Registered Professional Nurse in New York.Education:....

State of Washington Dept. of Social and Health Services - Tacoma, WA 3.4Online Now!

Critically review complex medical information for analytic review for further assessment, care, treatment planning and to assess for level of risk....

$74,000 - $120,000 a year

Cigna - Work at Home 3.7

As an owner of cases, the Specialty Care Options Case Manager performs clinical review of services, coordinates transition of care, and accurately calculates...

Estimated: $59,000 - $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.

Highmark Health - Pittsburgh, PA 3.2

Active United States RN (Registered Nurse) license. Implement all care management reviews according to accepted and established criteria, as well as other...

Health Information Alliance - Fort Washington, PA Online Now!

Current license to practice as a Registered Professional Nurse. Utilization Review is a safeguard against unnecessary and inappropriate medical care....

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.

Beth Israel Deaconess Medical Center - Lexington, MA 4

License Registered Nurse required., and Certificate 1 Basic Life Support required. Continues to update clinical knowledge and skills though consultation, the...

Estimated: $56,000 - $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.

Ascension (System Office) - Sterling Heights, MI 3.4Online Now!

Licensed Registered Nurse. Creates draft documents for medical director and committee review and approval. Performs clinical utilization review to determine...

Estimated: $39,000 - $56,000 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.

Intermountain Healthcare - Ogden, UT 3.9Online Now!

Evaluates patient response to interventions through review of achievement of goals, clinical outcomes, patient and family satisfaction....

Estimated: $55,000 - $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.

Wayside Youth & Family Support Network - Framingham, MA 3.6

Acts as Wayside’s MAP Nurse Monitor. The Campus Nurse is expected to act. Reviews all medical/medication incident report daily and signs off on them....

Estimated: $50,000 - $65,000 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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KITTANNING CARE CENTER - Kittanning, PA 3Online Now!

Registered Nurse (RN)*. Registered Nurse, RN, Unit Manager, ADON, DON, Nurse, Long Term Care, Skilled Nursing....

Estimated: $57,000 - $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.

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Interim HealthCare - Englewood, CO 3.4

Registered Nurse RN Home Health. Registered Nurse (RN) licensure active in Colorado. Review, interpret, transcribe and carry out physician orders....

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