North Florida Shared Services - Tallahassee, FL

Utilization Review Nurse. Utilization Review Nurse (Work From Home)(. Third Party Payer and Denial Management experience a plus....

ARGUS HOME HEALTH CARE - Denver, CO

Utilization of DME equipment:. Medication management and administration including injections. Under direct supervision of an RN, provides delegated skilled...

Estimated: $35,000 - $50,000 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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Astoria Skilled Nursing and Rehabilitation - Canton, OH

Coordinates the facility case management and utilization review processes. Coordinates with Rehabilitative Services at the facility and oversees rehabilitation...

Estimated: $40,000 - $55,000 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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Community Nursing and Rehab - Indianapolis, IN

Medical Records Coordinator ( Licensed Practical Nurse / LPN )*. O2ne Program – Paid LPN and RN Training....

Estimated: $29,000 - $40,000 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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Molina Healthcare - Long Beach, CA

Responsible for the development and implementation of training curriculum for Utilization Management, Case Management, and LTSS staff....

Estimated: $60,000 - $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.

13d

Banner Health - Mesa, AZ

At least two years of experience in prior authorization, utilization management, or case management. Must have a working knowledge of care management, prior...

Estimated: $45,000 - $59,000 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.

Molina Healthcare - Troy, MI

Utilization Management Certification (CPHM). 3-5 years clinical practice with managed care, hospital nursing or utilization management experience....

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.

13d

AmeriHealth Caritas - Doral, FL

Minimum 2 years’ experience in utilization management, preferably within managed care. We offer integrated managed care products, pharmaceutical benefit...

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.

8d

Aetna - Richmond, VA

Utilization management for acute inpatient hospitalization, acute inpatient rehabilitation, cross coverage for other staff members....

Estimated: $74,000 - $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.

Aetna - New Albany, OH

An LPN license is required. The UM Nurse Associate performs medical necessity review in response to requests for prior authorization of outpatient services....

Estimated: $45,000 - $60,000 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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RadNet - Los Angeles, CA

Come join our utilization review Team in West Los Angeles (Sepulved/Santa Monica Blvd) as a Utilization Management Nurse....

Estimated: $45,000 - $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.

RadNet - Los Angeles, CA

Come join our utilization review Team in West Los Angeles (Sepulved/Santa Monica Blvd) as a Utilization Management Nurse....

Estimated: $52,000 - $69,000 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.

1d

Anthem, Inc. - Deerfield, IL

Familiarity with Utilization Management Guidelines preferred. Previous utilization and/or quality management and/or call center experience helpful....

Estimated: $64,000 - $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.

Eskenazi Health - Indianapolis, IN

The Utilization Management Nurse is responsible for managing each member's plan of care, monitoring for appropriate resource utilization, and collaborating with...

Estimated: $52,000 - $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.

Medica - Minnetonka, MN

Previous utilization management experience strongly preferred, and/or clinical/hospital experience. RN or LPN licensed in Minnesota....

Estimated: $48,000 - $69,000 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 - Albuquerque, NM

Current, unrestricted LPN license in New Mexico. 1+ years of clinical or case management experience. Experience with utilization review for an insurance company...

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Molina Healthcare - Troy, MI

Project management experience. Completion of an accredited LVN or LPN training program. 2 years utilization review experience and 2 years managed care...

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.

eviCore healthcare - Melbourne, FL

Trains in clinical certification, utilization management, URAC and NCQA principles, policies, and procedures....

Estimated: $34,000 - $46,000 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.

12d

AmeriHealth Caritas - Southfield, MI

Required minimum 2 years’ experience in utilization management, preferably within managed care. We offer integrated managed care products, pharmaceutical...

Estimated: $48,000 - $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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AmeriHealth Caritas - Harrisburg, PA

Communicates and interacts in a real time basis via “live” encounters with providers to facilitate and coordinate the activities of the Utilization Management...

Estimated: $54,000 - $69,000 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.

4d

AmeriHealth Caritas - Doral, FL

Managed care or utilization review experience preferred. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy...

Estimated: $45,000 - $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.

Florida Hospital Wesley Chapel - Wesley Chapel, FL

One year of experience in Case Management. LPN Nursing degree from accredited School of Nursing. The UR Specialist will establish professional productive...

Estimated: $46,000 - $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.

Medical Mutual of Ohio - Toledo, OH

Performs discharge planning and utilization management activities to ensure the provision of safe, timely, appropriate, and necessary covered healthcare...

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.

9d

Progressive Alternatives - Kalamazoo, MI

LPN. Oversee Management of assigned sites. Attend Senior Management meetings as scheduled. Lpn level care with 12 hour daytime shifts....

Estimated: $35,000 - $49,000 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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CareNational - Phoenix, AZ

Utilization Review Nurse (RN or LPN) - Managed Care*. The Utilization Review Nurse is responsible for utilization management and utilization review for...

$58,000 - $78,000 a yearSponsored

MedNetOne Health Solutions - Detroit, MI

Decrease of emergency room utilization and hospital readmissions. Monitors patient utilization via various electronic tools and payer reports....

Estimated: $52,000 - $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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