Aetna - Princeton, NJ 3.8

Promotes/supports quality effectiveness of Healthcare Services and benefit utilization. Click here to review the benefits associated with this position....

Golden Age Home Care - Philadelphia, PA 

Training or experience in utilization review, discharge planning, and case management. Ability to identify problems such as under utilization or over...

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Good Shepherd Rehabilitation Hospital - Allentown, PA 4.1

Five years of experience in case management, care management, quality assurance or utilization review for an integrated health care system....

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Abington Hospital - Jefferson Health - Abington, PA 3.8

2-plus years in home care and/or utilization review preferred. Current licensure as Registered Nurse in Commonwealth of Pennsylvania required....

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Doylestown Hospital - Doylestown, PA 3.4

Completes Utilization Review of Home Health Records. Completes utilization review of Home Health/Hospice records within 5 work days....

Estimated: $56,000 - $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.

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 - $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.

Genex Services - Blue Bell, PA 3.1

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

Estimated: $64,000 - $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.

Aetna - Princeton, NJ 3.8

Nursing/Registered Nurse is required. Registered Nurse (RN) NJ Licensure is required. Click here to review the benefits associated with this position....

Estimated: $56,000 - $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.

ProgenyHealth - Plymouth Meeting, PA 

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

Aetna - Philadelphia, PA 3.8

Responsible for initial review and triage of Care Team tasks. Support comprehensive coordination of medical services including Care Team intake, screening and...

Estimated: $30,000 - $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.

County of Bucks - Bucks County, PA 3.8

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

UnitedHealth Group - Philadelphia, PA 3.6

The Clinical Admin Coordinator (CAC) team for provides administrative support to inpatient care management clinicians in requesting and managing the incoming...

Magellan Health - Newtown, PA 3.6

3 yrs experience post degree in psychiatric and/ or substance abuse health care setting, including utilization review....

Estimated: $55,000 - $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.

Aetna - Blue Bell, PA 3.8

Managed care/utilization review experience preferred. Registered Nurse with behavioral health experience. Functional - Clinical / Medical/Concurrent review /...

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.

AmeriHealth Caritas - Philadelphia, PA 3.4

The Utilization Management Technician functions under the direction of the Supervisor to coordinate, generate and track both incoming and outgoing...

Doylestown Hospital - Doylestown, PA 3.4

Recent experience in a hospital, insurance company, or independent review company, utilization, quality review, home care or case management....

Estimated: $68,000 - $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.

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.

Independence Blue Cross - Philadelphia, PA 3.8

Efficiently collaborates with the hospital utilization review department, attending physicians and members/families as appropriate....

Estimated: $37,000 - $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.

Aetna - Princeton, NJ 3.8

Click here to review the benefits associated with this position. Required to be a licensed registered nurse in the state of New Jersey....

Estimated: $53,000 - $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.

Aetna - Blue Bell, PA 3.8

Utilization Management experience; Nursing/Registered Nurse is required. Click here to review the benefits associated with this position....

Hahnemann Healthcare - Philadelphia, PA 

Provide clinically based concurrent and retrospective review of inpatient medical records to evaluate the documentation and utilization of acute care services....

Estimated: $61,000 - $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 - Princeton, NJ 3.8

Nursing/Registered Nurse (RN). Click here to review the benefits associated with this position. Helps member actively and knowledgably participate with their...

Estimated: $62,000 - $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.

ProgenyHealth - Plymouth Meeting, PA 

The clinical care nurse serves as a nurse reviewer for admissions, lengths of stay and a facilitator for discharge planning....

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.

St. Luke's University Health Network - Bethlehem, PA 4.2

Collaborates with the business office, utilization review staff, denials management and physician advisors in order to communicate medical necessity/insurance...

Estimated: $66,000 - $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.

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Magellan Health - Newtown, PA 3.6

3 yrs experience post degree in psychiatric and/ or substance abuse health care setting, including utilization review....

Estimated: $53,000 - $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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Guardian Life Insurance Company - Bethlehem, PA 3.7

Appeals Nurse Case Manager. Utilization of independent vendors to perform independent medical assessments. Follows best practices for developing reviews and...

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