ProgenyHealth - Plymouth Meeting, PA 

Utilization Management / Clinical Care Nurses coordinate overall member care, from pre-admission, continued stay (concurrent review) and any outpatient services...

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.

Better Home Care LLC - Feasterville-Trevose, PA 3.6

Quality Assurance Registered Nurse Responsibilities:. Will be partnering with RN Clinical Nurse to ensure a proper utilization of services, providing case...

Estimated: $73,000 - $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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Aya Healthcare - Philadelphia, PA 4.2

Utilization Review, Registered Nurse in Philadelphia, Pennsylvania. Aya Healthcare has an immediate opening for the following position:....

Estimated: $76,000 - $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.

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AmeriHealth Caritas - Philadelphia, PA 3.4

Assist in preparation, coordination, and follow up of Utilization Management audits, such as readiness review and DHH site visits, pertaining to the Utilization...

Estimated: $75,000 - $94,000 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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Health Information Alliance - Fort Washington, PA 

Utilization Review is a safeguard against unnecessary and inappropriate medical care. Ideal candidate must have hospital case management experience and solid...

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.

National Medical Reviews - Warminster, PA 

Role and Responsibilities of the Nurse Review Coordinator:. Experience in health insurance, utilization review, quality management and/or managed care....

$60,000 a year

Capital Health - Pennington, NJ +1 location3.8

Gathers clinical information to conduct continued stay utilization review activities with payers on a daily basis....

Estimated: $73,000 - $96,000 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.

ProgenyHealth - Plymouth Meeting, PA 

Utilization Management / Clinical Care Nurses coordinate overall member care, from pre-admission, continued stay (concurrent review) and any outpatient services...

Estimated: $50,000 - $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.

Einstein Healthcare Network - Elkins Park, PA 3.4

A minimum of two years prior Utilization Review experience preferred. Experience as a registered nurse. Determines appropriate utilization of acute inpatient...

Estimated: $54,000 - $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.

Aetna - Blue Bell, PA 3.8

Nursing/Registered Nurse is required. Click here to review the benefits associated with this position. The UM Nurse Consultant utilizes clinical skills in a...

Estimated: $63,000 - $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.

Accolade, Inc. - Plymouth Meeting, PA 

Nursing experience in medical/surgical, triage, case management, telephonic nursing, disease management, discharge planning, care coordination, or 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.

Aetna - Blue Bell, PA 3.8

Nursing/Registered Nurse (RN) is required. Click here to review the benefits associated with this position. The UM Nurse Consultant utilizes clinical skills in...

Estimated: $57,000 - $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.

Doylestown Hospital - Doylestown, PA 3.4

Thorough understanding of managed care systems and utilization review criteria. Recent experience in a hospital, insurance company, or independent review...

Estimated: $62,000 - $85,000 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.

Accolade Inc. - Plymouth Meeting, PA 3.4

Nursing experience in medical/surgical, triage, case management, telephonic nursing, disease management, discharge planning, care coordination, or utilization...

Estimated: $54,000 - $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.

Doylestown Hospital - Doylestown, PA 3.4

Thorough understanding of managed care systems and utilization review criteria. Recent experience in a hospital, insurance company, or independent review...

Estimated: $64,000 - $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.

Doylestown Hospital - Doylestown, PA 3.4

Thorough understanding of managed care systems and utilization review criteria. Recent experience in a hospital, insurance company, or independent review...

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.

AmeriHealth Caritas - Philadelphia, PA 3.4

Assist in preparation, coordination, and follow up of Utilization Management audits, such as readiness review and DHH site visits, pertaining to the Utilization...

Estimated: $75,000 - $94,000 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.

Tandigm Health LLC - West Conshohocken, PA 

And case management, utilization review, discharge planning, and/or nurse navigation experience.experience working/interfacing in a primary care physician...

Estimated: $70,000 - $90,000 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.

Doylestown Hospital - Doylestown, PA 3.4

Thorough understanding of managed care systems and utilization review criteria. Recent experience in a hospital, insurance company, or independent review...

Estimated: $59,000 - $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.

ProgenyHealth - Plymouth Meeting, PA 

The UMA will report to the Supervisor of Utilization Review. The Utilization Management Associate (UMA) will assist the ProgenyHealth UM program by providing...

Estimated: $41,000 - $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.

Metasense Inc - Philadelphia, PA 

*Utilization Review Nurse*. Two years of experience in managed care quality assurance or utilization review. Registered Nurse (RN) (Required)....

$42 an hour

Genex Services - Wayne, PA 3.2

Responsible for the performance of Utilization Review services, including pre-admission certification, second surgical opinion, concurrent utilization review,...

Estimated: $62,000 - $90,000 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.

County of Bucks - Bucks County, PA 3.9

Licensed Practical Nurse (LPN). Click Here for the Bucks County EEO Utilization Report. Reviews and updates Resident Care Plans to reflect current resident...

$30 an hour

AmeriHealth Caritas - Philadelphia, PA 3.4

Demonstrated understanding and proficiency of the workflow and processes in Utilization Management Review in a managed care organization....

Estimated: $73,000 - $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.

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Better Home Care LLC - Feasterville-Trevose, PA 3.6

Quality Assurance Registered Nurse Responsibilities:. Will be partnering with RN Clinical Nurse to ensure a proper utilization of services, providing case...

Estimated: $56,000 - $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.

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The Protocall Group - with our client! - Philadelphia, PA 

Utilization Review Nurse Manager*. Utilization Review Nurse Manager Shifts:. We encourage you to review the job specifics listed belowfor the Utilization...

$32 - $34 an hourSponsored