Anthem, Inc. - United States 3.8

Provides live utilization review from incoming phone queue. Conducts pre-certification, continued stay review, care coordination, or discharge planning for...

Estimated: $69,000 - $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.

Baylor Scott & White Health - Pflugerville, TX 3.9

Specialty/Department/Practice - Utilization Review. The Utilization Review Nurse provides ongoing communication with health plan utilization departments...

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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ASR health benefits - Grand Rapids, MI 

We are looking for a Utilization Management Nurse to join our Health Management Department. Utilization review and Care coordination/discharg:....

Estimated: $48,000 - $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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Mercy - Springfield, MO 3.2

The Utilization Review Nurse is responsible for the development, implementation, coordination, and follow-up of projects related to Mercy Care Management....

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Aetna - Blue Bell, PA +1 location3.8

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

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.

Specialty Government Services - Travis AFB, CA 

CLINICAL NURSE - UTILIZATION MANAGEMENT*. Must have utilization management, utilization review or case management....

$50 - $52 an hour

Anthem, Inc. - Indianapolis, IN +5 locations3.8

Utilization Management Representative I. Refers cases requiring clinical review to a Nurse reviewer. Responsible for coordinating cases for precertification and...

Aetna - Blue Bell, PA 3.8

The UM Nurse Consultant utilizes clinical skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options and services to...

Estimated: $60,000 - $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.

Anthem, Inc. - United States 3.8

Conducts pre-certification, inpatient, retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with applicable...

Estimated: $64,000 - $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.

UnitedHealth Group - New Braunfels, TX +5 locations3.6

Performs utilization review activities, including pre-certification, concurrent, and retrospective reviews according to guidelines....

Anthem, Inc. - Eagan, MN 3.8

Utilization Management Rep I:. Utilization Management Rep I/II/III (Job Family) - Eagan, MN PS2791. May act as liaison between Medical Management and internal...

Estimated: $33,000 - $42,000 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. - Midland, GA +1 location3.8

UM Nurse Medical Management I/II/Sr. Requires current active unrestricted GA RN license to practice as a health professional within the scope of practice in...

Estimated: $57,000 - $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.

Anthem, Inc. - Iowa 3.8

Utilization Management Representative I. Refers cases requiring clinical review to a Nurse reviewer. Responsible for coordinating cases for precertification and...

Anthem, Inc. - Georgia 3.8

Utilization Management Representative I is responsible for coordinating cases for precertification and prior authorization review....

Estimated: $43,000 - $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 - Salt Lake City, UT 3.9

1 year in Managed Care, Utilization Management, or Case Management. Working understanding of coding or utilization management criteria (i.e., InterQual, CMS...

ProMedica - Toledo, OH 3.7

Nurse uses effective utilization management, resource. The UM nurse reviews clinical. Utilization Management (UM) nurses work to maximize the....

Estimated: $63,000 - $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.

Blue Cross Blue Shield of Rhode Island - Providence, RI 3.6

Certified Case Management certification, Certified Professional Utilization Review certification. Understanding of utilization review techniques, including all...

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.

Liberty Mutual - Wausau, WI +2 locations3.7

Basic knowledge of states workers' compensation laws, disability management and utilization product review preferred....

$65,000 - $82,000 a year

UnitedHealth Group - Cheyenne, WY 3.6

5+ years of healthcare quality utilization management experience. Positions in this function are responsible for case management and utilization review of...

SSM Health - Madison, WI 3.7

Previous experience in utilization management or prior authorization reviews. Provides Utilization Management Department coverage for medical management reviews...

Meridian Health Plan - Detroit, MI +1 location

Functions collaboratively with the members of the Utilization Management team, and specifically with the inpatient review nurses, Case Managers, Utilization...

Estimated: $60,000 - $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.

New Directions Behavioral Health - United States 

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

Estimated: $65,000 - $90,000 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.

New Directions Behavioral Health - Florida 

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

Estimated: $57,000 - $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.

Scenic Mountain Medical Center - Big Spring, TX 3.9

Job Health Information Management Services. Minimum of 3 years clinical or inpatient coding experience in an acute care setting required....

Estimated: $65,000 - $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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MHM Services, Inc. - Jacksonville, FL 

Case management and utilization review experience required. Utilization Management/Utilization Review experience required....

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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Good Shepherd Rehabilitation Network - Allentown, PA 4.1

Five years of experience in case management, care management, quality assurance or utilization review for an integrated health care system....

Estimated: $54,000 - $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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