Meridian Health Plan - Remote +2 locations

Functions collaboratively with the members of the Utilization Management team, and specifically with the inpatient review nurses, Case Managers, Utilization...

Estimated: $67,000 - $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.

Oasis Home Healthcare Inc - Ashburn, VA 

Ensure accurate and timely case management, including HHA supervision, authorization management and interdisciplinary communication....

Estimated: $71,000 - $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.

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BAYADA Home Health Care - Honolulu, HI 3.8

Ensure accurate and timely case management, including HHA supervision, authorization management and interdisciplinary communication....

Estimated: $71,000 - $98,000 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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Arkansas Total Care - Little Rock, AR 3.3

Educate providers on utilization and medical management processes. Promote the quality and cost effectiveness of medical care by applying clinical acumen and...

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.

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Aetna - Richmond, VA 3.8

Previous MCO experience or hospital/office prior authorization experience strongly desired. The Prior Authorization Nurse (LPN or LVN) position facilitates the...

Estimated: $49,000 - $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.

Centene Corporation - Tempe, AZ +1 location3.3

Utilization Management experience. Educate providers on utilization and medical management processes. Promote the quality and cost effectiveness of medical 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.

Cambia Health - Lewiston, ID 3.6

Utilization Management Nurse - Prior Authorization. Utilization Management Clinician would have a/an Associate or Bachelor’s Degree in Nursing or related field...

Estimated: $46,000 - $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.

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.

Humana - Panama City, FL 3.7

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

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.

Magnolia Health Plan - Oxford, MS 3.3

Educate providers on utilization and medical management processes. Promote the quality and cost effectiveness of medical care by applying clinical acumen and...

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.

Pennsylvania Health and Wellness - Harrisburg, PA 3.3

Educate providers on utilization and medical management processes. Promote the quality and cost effectiveness of medical care by applying clinical acumen and...

Estimated: $54,000 - $76,000 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.

LA Healthcare Connections - Lafayette, LA 3.3

Candidates with Prior Authorization, Discharge Planning, or Utilization Review experience highly preferred....

Estimated: $51,000 - $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.

Sunshine State Health Plan - Sunrise, FL +1 location3.3

Educate providers on utilization and medical management processes. Promote the quality and cost effectiveness of medical care by applying clinical acumen and...

Estimated: $56,000 - $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.

Blue Cross and Blue Shield of Kansas City - Kansas City, MO 4.1

1+ year(s) of utilization review, disease management, and/or case management experience. Conducts pre-service, concurrent and / or post-service utilization...

Estimated: $66,000 - $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.

Arkansas Total Care - Little Rock, AR 3.3

Educate providers on utilization and medical management processes. Promote the quality and cost effectiveness of medical care by applying clinical acumen and...

Estimated: $54,000 - $72,000 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.

Coordinated Care - Spokane, WA +1 location3.3

Participate in utilization management committees and work on special projects related to utilization management as needed....

Estimated: $58,000 - $76,000 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.

Commercial Solutions - Austin, TX 3.3

Educate providers on utilization and medical management processes. Promote the quality and cost effectiveness of medical care by applying clinical acumen and...

Estimated: $55,000 - $76,000 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.

DXC Technologies - Topeka, KS 3.3

Provides directions for utilization review. Self-motivated with strong time management and organizational skills....

Estimated: $58,000 - $78,000 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.

Sunflower State Health Plan - Lenexa, KS 3.3

Educate providers on utilization and medical management processes. Promote the quality and cost effectiveness of medical care by applying clinical acumen and...

Estimated: $53,000 - $72,000 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.

CenCal Health - Santa Barbara, CA 4.3

Certification in case management, utilization review, or healthcare management. Perform timely prospective review for services requiring prior authorization....

Estimated: $77,000 - $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.

Envolve-IL - Chicago, IL 3.3

Educate providers on utilization and medical management processes. Promote the quality and cost effectiveness of medical care by applying clinical acumen and...

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.

PacificSource Health Plans - Boise, ID +2 locations3.2

Experience in case management, disease management, utilization management and program development using evidence based medicine required....

Estimated: $97,000 - $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.

Buckeye Community Health Plan - Columbus, OH 3.3

Educate providers on utilization and medical management processes. Promote the quality and cost effectiveness of medical care by applying clinical acumen and...

Estimated: $54,000 - $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.

MHM Services, Inc. - Santa Fe, NM 3

UTILIZATION MANAGEMENT RN. Utilization management review experience required. Experience with concurrent and retro review, prior authorization, and case...

Estimated: $74,000 - $98,000 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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VITAS Healthcare - Milpitas, CA 3.6

Staff Supervision and Management*. Hospice management experience, highly preferred. Current California Registered Nurse license required....

Estimated: $130,000 - $180,000 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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Jai Medical Systems Managed Care Organization, Inc. - Hunt Valley, MD 

Managed Care Organization, located in Baltimore County, is now seeking a full-time, licensed registered nurse for utilization review and case management....

Estimated: $56,000 - $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.

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