Specialty Government Services - Travis AFB, CA 

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

$50 - $52 an hour

Cayuga Addiction Recovery Services - Ithaca, NY 

Resolve insurance issues related to client medications and complete prior authorizations as necessary. Registered Nurse (RN) (Required)....

Estimated: $59,000 - $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. We are currently seeking a Utilization Management RN....

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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IHHMG - Pasadena, CA 

Answers Utilization Management directed telephone calls; Processes all prior authorizations to completion utilizing appropriate review criteria....

$72,000 - $85,000 a yearSponsored

Florida Blue - Jacksonville, FL 4.1

Assist the Prior Authorization non-clinical representatives with the Prior Authorization process. Provide accurate prior authorization information to provider...

Anthem, Inc. - Eagan, MN 3.8

Utilization Management Rep I:. Provides authorization for inpatient admission, outpatient precertification, prior authorization, and post service requests....

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.

Visions Of New Hope, LLC - Stone Mountain, GA 4.5

Review notes and assessments prior to billing. Back up for Authorization of Services in Provider Connect or other required system....

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.

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

Previous Prior Authorization experience. Answers Utilization Management directed telephone calls; The Utilization Management Nurse works under the direct...

Anthem, Inc. - Norfolk, VA 3.8

Utilization Management Representative. Provides authorization for inpatient admission, outpatient pre-certification, prior authorization, and post service...

Estimated: $24,000 - $32,000 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.

SSM Health - Madison, WI 3.7

Previous experience in utilization management or prior authorization reviews. Perform other duties as assigned by Utilization Management Manager or Director of...

Evolent Health - Remote 3.7

Director, Utilization Management. Responsible for achieving targeted utilization management results established by the department and/or client by monitoring...

Estimated: $93,000 - $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.

Veterans Affairs, Veterans Health Administration - Minneapolis, MN 3.9

2.VA Form 10-2850a - Application for Nurse and Nurse Anesthetist. Community UM Nurse Role Overview:. Authorization for Fee Basis Clinical Tracking, cross...

$72,000 - $120,000 a year

Ron's Jobs - Boston, MA 

This person is responsible for management and oversight of daily managerial operations pertaining to utilization management;...

Estimated: $84,000 - $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.

Ascension (System Office) - Sterling Heights, MI 3.4

The RN Utilization Management Nurse coordinates with physicians offices and insurance companies in obtaining authorization for all hospital admissions....

Estimated: $41,000 - $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.

Sanford Health - Fargo, ND +3 locations3.7

Performs utilization management activities in accordance with Utilization Management Plan to assure compliance with accreditation/regulatory requirements....

Estimated: $71,000 - $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.

J Morrissey & Co. - Braintree, MA 

Oversee the performance and productivity of telephonic staff nurses who perform prior authorization and utilization management case management....

$100,000 - $120,000 a year

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.

CDPHP - Albany, NY 3.8

Minimum of two (2) years Utilization Management experience is preferred. In addition, the Medicaid Special Programs Registered Nurse Case Manager is responsible...

Estimated: $67,000 - $95,000 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.

Commonwealth Care Alliance - Charlestown, MA +1 location3.5

The Utilization Management Review Nurse reports to the Utilization Management Nurse Manager. The Utilization Management (UM) Review Nurse is responsible for day...

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.

Commonwealth Care Alliance - Charlestown, MA +1 location3.5

The Utilization Management Review Nurse reports to the Utilization Management Nurse Manager. The Utilization Management (UM) Review Nurse is responsible for day...

Estimated: $61,000 - $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.

Regal Medical Group - Orange, CA 

Checks eligibility and benefits on all DME and home health authorizations prior to forwarding on request to prior authorization nurse or medical director for...

UnitedHealth Group - Washington State +3 locations3.6

Previous experience in Prior Authorizations or related function (case management, utilization review, coverage determination, etc.)....

Sanford Health - Sioux Falls, SD 3.7

RN Utilization Management Specialist | Utilization Management | Sioux Falls. Educates members of the healthcare team regarding trends, external regulations and...

Estimated: $46,000 - $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.

LHC-Illinois Home Health Care - Champaign, IL 3.1

Directs team in adherence to and participates in the Episode Management process. Receives report from field clinicians prior to scheduled days off on patient...

Estimated: $58,000 - $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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Windrose Health Network - Hope, IN 

Assisting with the management of patient referrals, prior authorization requests and telephone messages; Registered Nurse (RN) (Preferred)....

$46,000 - $66,000 a yearSponsored

Care1st Health Plan - Monterey Park, CA 3.3

Monitors all claim issues requiring Inpatient Utilization Management determination. Typically, requires a minimum 7 years prior experience in a utilization or...

Estimated: $71,000 - $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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