Wellmont Health System Corporate - Kingsport, TN 3.7

Provides education and updates about utilization management and regulatory changes. LPN with at least two (2) years of clinical experience in an acute care...

Estimated: $53,000 - $73,000 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.

UF Health Shands Hospital - Gainesville, FL 4.2

Registered nurse (RN) with current Florida license with three (3) years critical care nursing experience, five (5) years medical-surgical nursing experience or...

$26 - $34 an hourSponsored

Healogics, Inc - Jamestown, ND 3.1

Responsible for cost management through appropriate utilization and management of labor and supply utilization. Management experience preferred....

Estimated: $80,000 - $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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Saint Francis Hospital - Memphis - Memphis, TN 3.8

Graduate of an Accredited LPN Program. Previous Hospital Case Management experience is preferred. Current LPN license to practice in the State of TN....

Sponsored

Anthem, Inc. - Chicago, IL 3.8

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

Estimated: $59,000 - $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.

Meridian Health Plan - Detroit, MI 

Prepare monthly and quarterly utilization management reports for quarterly Utilization Management Committee (UMC) and the Board of Directors....

Estimated: $98,000 - $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.

Medical Mutual of Ohio - Cleveland, OH 4

Performs utilization management activities to ensure the provision of safe, timely, appropriate, and necessary covered healthcare services to members;...

Estimated: $54,000 - $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.

WCF Shared Services - Saint Petersburg, FL 3.8

Knowledge of Case Management process and the Utilization Review process. Utilization Review Nurse (Remote)(Job Number:. Florida LPN or RN license required....

Presbyterian Healthcare Services - Albuquerque, NM 3.6

May perform, audits of entities delegated for utilization management functions . Identifies members with complex conditions requiring one on one case management...

Estimated: $67,000 - $97,000 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.

Southeast Georgia Health System - Brunswick, GA 3.9

Documents Case Management activity in the medical record as appropriate. Facilitates timely and appropriate patient care delivery and hospital resource...

Estimated: $48,000 - $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.

South Bay Community Services - Massachusetts +3 locations3

Attend management meetings as necessary. Oversee all utilization review for MCOs and private insurances for entire Day Services division....

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.

PharmMD Solutions LLC - Brentwood, TN 

ADH) and medication risk management (MRM) departments as needed. LPN/LVN/MA with 10+ years of medical office experience with 5+ years of experience or 3 years...

Estimated: $61,000 - $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.

Virginia Premier Health Plan, Inc. - Glen Allen, VA 3.4

Refers potential high-risk cases which will benefit from other specialized case management services to the respective case management team....

Estimated: $62,000 - $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.

Presbyterian Healthcare Services - Albuquerque, NM 3.6

Prefer 1 year of experience in MCO, health plan insurance environment , with expertise performing utilization management or experience working in long term care...

Estimated: $39,000 - $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.

myNEXUS - Brentwood, TN 3

Utilization Management Nurse/Care Manager LPN (Level 1). Utilization Management/Home Health Care:. Perform pre-certification, certification and/or authorization...

Estimated: $37,000 - $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.

Wellmont Health System Corporate - Kingsport, TN 3.7

Works collaboratively with case management department to support efforts in the management of health system goals. LPN or RN with current licensure....

Estimated: $47,000 - $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.

Florida Health Care Plans - Holly Hill, FL 3.8

Previous experience with Case Management, authorization of services or utilization review preferred. Florida Registered LPN licensure....

Estimated: $47,000 - $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.

St. Elizabeth Physicians - Crestview Hills, KY 3.5

LPN Licensure Required. The Clinical Utilization Specialist (CUS) will work directly with Value Based Performance (VBP) director on all set organizational...

ezURs - Richardson, TX 

Claims/Medical Terminology and Utilization Review/Peer Review background. 1-2 of related clinical nursing or case management experience....

Estimated: $55,000 - $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.

Cotiviti - Work at Home 3.2

Applies project management principles in initiating, creating and managing projects. Experience in customer service or client management with a strong focus on...

AmeriHealth Caritas - Southfield, MI 3.4

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

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.

Anthem, Inc. - Norfolk, VA 3.8

Requires an LPN, LVN, or RN; Licensed Utilization Review II (Call Center Nurse)-Medicare. May access and consult with peer clinical reviewers, Medical Directors...

Estimated: $52,000 - $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.

Home Care - McAuley Seton Home Care - Erie County - Buffalo, NY 3.6

Utilization Management experience preferred. Utilization Management LPN Home & Community Based Care – Shared Costs All (McAuley Seton Home Care):....

Estimated: $47,000 - $62,000 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.

River City Medical Group - Sacramento, CA 

The Utilization Review Nurse also conducts initial and ongoing assessments, incorporates disease management protocols, ensures continuity of care through...

Estimated: $78,000 - $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.

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Windrose Health Network - Hope, IN 

Time management and project management skills - - the ability to prioritize and complete multiple tasks quickly and efficiently;...

$46,000 - $66,000 a yearSponsored

BAMSI, Inc. - Weymouth, MA 3.7

Money management skills/budgeting; And utilization of community resources. Attend to the daily needs of consumers on an individual basis as well as foster...

$24 an hourSponsored