CareCentrix - Tampa, FL 

Broad knowledge of health care delivery/managed care regulations, contract terms/stipulations, prior utilization management/review experience, and governmental...

Estimated: $44,000 - $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.

Monte Nido & Affiliates - Eugene, OR 3.3

Medication management and administration. Depending on qualifications and experience, additional responsibilities may include insurance utilization reviews or...

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.

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Signature Performance, Inc - North Pole, AK 3.3

This Licensed Practical Nurse will provide utilization management activities in the Referral Management Center....

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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St. Otto's Care Center - Little Falls, MN 

Performance of duties requires cost-effective utilization of resources. Identifies needs and concerns involving safety/risk management and Quality Improvement...

Estimated: $51,000 - $66,000 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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CareCentrix - Tampa, FL 

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

Estimated: $46,000 - $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.

Qlarant - Phoenix, AZ 

LPN licenses are not accepted by CMS. Quality Management - Looks for ways to improve and promote quality; Proactively inform management in advance of due dates...

Estimated: $95,000 - $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.

Princeton Healthcare System - Hamilton, NJ 3.6

Conducts Utilization Management reviews for Princeton House Inpatients, assigned by the Department Coordinator....

Estimated: $51,000 - $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.

McKenzie-Willamette Medical Center - Springfield, OR 3.6

CASE MANAGEMENT - CASE MANAGEMENT LPN - FT-1840617. Job Case Management / Utilization Review. Previous Case Management experience preferred....

$24 - $40 an hour

AmeriHealth Caritas - Baton Rouge, LA 3.4

Required minimum 2 years’ experience in utilization management, preferably within managed care. The nurse will apply medical health benefit policy and medical...

Estimated: $50,000 - $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.

Evolent Health - Remote +5 locations3.7

Function as liaison and subject matter expert related to client PBM systems and processes most specifically related to drug utilization management, drug prior...

Estimated: $30,000 - $39,000 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 Massachusetts - Quincy, MA 4

Utilization Management experience preferred. Focus on efficient utilization management with emphasis on discharge planning;...

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.

First Step of Sarasota - Sarasota, FL 3.8

Maximizes utilization of benefits through contractual management and billing. Organizational, time management, problem solving, crisis management skills as well...

Estimated: $44,000 - $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.

Liberty Behavioral Management - Glenville, NY 

1 year experience in Case Management, Utilization Management, or Chemical Dependency. Appropriately licensed RN, LPN, CASAC, LMHC or LMSW....

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.

TRISTAR Risk Management - United States 3

Knowledge of utilization management, quality improvement, discharge planning, and cost management. Strong interpersonal, time management, project management and...

Estimated: $50,000 - $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.

Torrance Health IPA - Torrance, CA 

Thorough knowledge of utilization management. The Utilization Management Reviewer, RN works closely with physicians, hospitals, and health plans along with...

Estimated: $78,000 - $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.

PRO MED - Florida 3.6

Utilization review or case management experience needed. Looking for RN/LPN in the central Florida area for part time or full time work....

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.

Mitchell International, Inc. - California 3.7

Understands and complies with applicable URAC workers’ compensation utilization management standards. Stays abreast and complies with state/federal legislation...

Estimated: $78,000 - $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.

Torrance Health IPA - Torrance, CA 

Current CA RN or LPN license. Strong analytical, organizational and time management skills. Torrance Health IPA (THIPA), a division of Torrance Memorial Health...

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.

Community Health Plan Of Washington - Seattle, WA 4

Previous experience in Managed Care, Utilization Management, Health Plan Quality, Case Management, Disease Management, and/or Internal Audit, and/or Coding...

Estimated: $63,000 - $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.

Arkansas Blue Cross and Blue Shield - Little Rock, AR 4.1

Four (4) years Utilization Management experience i.e. precertification, utilization review, and /or concurrent review preferred....

Estimated: $45,000 - $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.

NORTH - MAIN MEDICAL CENTER - Martin Health System - Stuart, FL 3.9

Follows department process for management of utilization. Recommend Case Management Certification, additional course work in utilization or other applicable...

Estimated: $49,000 - $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.

Trillium Community Health Plan - Tigard, OR 3.3

Supervise the daily operations of the utilization management (UM) department. Working knowledge and understanding of basic utilization management and quality...

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.

Beaumont Health - Troy, MI 3.9

Includes documentation in both electronic billing system and electronic Care Management system. Licensed as an RN or LPN in the State of Michigan for nurses in...

Estimated: $38,000 - $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.

Torrance Health IPA - Torrance, CA 

Thorough knowledge of utilization management. The Utilization Management Reviewer, RN works closely with physicians, hospitals, and health plans along with...

Estimated: $78,000 - $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.

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The Lutheran Home: Belle Plaine - Belle Plaine, MN 

And have the necessary management skills to plan for and oversee the utilization of resources and the design of work processes....

$4,000 a monthSponsored

Cook Children's Health Care System - Fort Worth, TX 4.3

2 years utilization management or case management experience required. Utilizes Medical Management Committee (MMC) approved clinical criteria to authorize...

Estimated: $65,000 - $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.

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