Aetna - Cary, NC +4 locations3.8

Registered Nurse is required. Functional - Medical Management/Medical Management - Hospital/1-3 Years. Requires an RN with unrestricted active license....

Estimated: $62,000 - $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.

Christus Health - Tyler, TX 3.8

3-5 years acute care nurse experience and 2-3 years of case management experience is required. Must have knowledge of Managed Care, health plan design, clinical...

Estimated: $69,000 - $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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Intermountain Healthcare - Burley, ID 3.9

Current RN License in state of practice. Ensures cost-effective use of staff by ensuring appropriate nurse to patient ratio and utilization of staff by...

Estimated: $62,000 - $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.

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Meritage Medical Network - Novato, CA 4

Coordinates Utilization Management activities for commercial and Medicare enrollees. Current unrestricted RN and driver's licenses....

Estimated: $70,000 - $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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Humana - Panama City, FL +6 locations3.7

RN - Utilization Management, Multiple Locations in Florida - 8AM-5PM Monday-Friday w/weekend rotations*. Previous experience in utilization management required....

Estimated: $77,000 - $99,000 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 +1 location3.6

This position plays a pivotal role in the clinical management of New Century Health’s Utilization Management programs....

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.

Aetna - Allentown, PA 3.8

This position is for a Utilization Management Nurse Consultant with Aetna's Care Management program in the Public & Labor Unit....

Estimated: $75,000 - $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 3.8

Utilization Management (UM) experience required. The UM Nurse utilizes clinical skills to coordinate, document, and communicate all aspects of the utilization...

Estimated: $64,000 - $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.

UnitedHealth Group - Tennessee +10 locations3.6

Background involving utilization review for an insurance company or experience in case management. Minimum of 3 years total RN experience....

WellCare - Remote +1 location3.5

Executes periodic competitor utilization management program comparison and analysis to ensure WellCare’s utilization management program maintains competitive...

Estimated: $84,000 - $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.

Anthem, Inc. - United States 3.8

Appeals experience and/or Utilization Management Experience strongly desired.*. Nurse Appeals Senior:. Nurse Appeals or Nurse Appeals Sr (Job Family) Eagan, MN...

Estimated: $84,000 - $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.

Aetna - Harrisburg, PA 3.8

Utilization management experience preferred. RN licensure is required. Nursing/Registered Nurse (RN) is required....

Estimated: $59,000 - $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.

US Department of Veterans Affairs - Louisville, KY 3.9

Utilization Management experience. The Robley Rex VAMC is recruiting for a Registered Nurse with experience in Utilization Management....

$69,000 - $110,000 a year

UnitedHealth Group - Texas +5 locations3.6

The Utilization Management Nurse works under the direct supervision of an RN or MD. Answers Utilization Management directed telephone calls;...

UnitedHealth Group - Melville, NY 3.6

In this position Utilization Management Review Nurse - RN, you will be assisting with Denial Prevention. Perform initial concurrent utilization management...

Health Information Alliance - Fort Washington, PA 

Ideal candidate must have hospital case management experience and solid utilization review experience applying evidenced based criteria sets along with...

Estimated: $60,000 - $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.

Humana - Kentucky +1 location3.7

Previous experience in utilization management required. The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination,...

Estimated: $63,000 - $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.

Humana - Tampa, FL 3.7

Previous utilization review experience. Registered Nurse in state of Florida with no restrictions. Identifies members with high risk CMS Hierarchical Condition...

Estimated: $64,000 - $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.

McBee - Wayne, PA 

Part-time Utilization Review Nurse. We are looking for a Part-time Utilization Review Nurse in either the West, Northwest, or Southwest regions to join our Care...

Estimated: $72,000 - $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.

Aetna - Hartford, CT 3.8

Nursing/Certified Long Term Care Nurse is desired. Applying clinical expertise to assure appropriate benefit utilization....

Estimated: $61,000 - $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.

WCF Shared Services - Saint Petersburg, FL 3.7

Utilization Review Nurse (Remote)(Job Number:. Knowledge of Case Management process and the Utilization Review process....

US Department of Veterans Affairs - Gainesville, FL 3.9

VA Form 10-2850a - Application for Nurses and Nurse Anesthetists. VA Form 10-2850a - Application for Nurses and Nurse Anesthetists can be found at:....

$100,000 - $130,000 a year

Aetna - Blue Bell, PA 3.8

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

Estimated: $68,000 - $93,000 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. Nurse job responsibilities vary depending on licensure, assignment, and shift but can include the following:....

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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Piney Ridge Center - Waynesville, MO 

Benefits for RN position:. Requirements for the Registered Nurse:. Intervenes in crisis management on the milieu;...

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.

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Beebe Healthcare - Lewes, DE 3.8

RN - Registered Nurse. RN Diploma/RN Graduate Program. Demonstrates competency with airway assessment and management-O2 therapy, ventilator management,...

Estimated: $63,000 - $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.

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