UnitedHealth Group-Kansas City, KS

Administer benefits and review treatment plans. As a Behavioral Health Care Advocate you will be responsible for case management and utilization review of...

NCI Information Systems, Inc.-Baltimore, MDEst. $43,000 - $60,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. 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.

Advanced Knowledge of utilization review/ quality assurance procedures. As the Remote Medical Review RN - Casual Status ( Medical Reviewer III ) at AdvanceMed,...

EK Health Services-RemoteEst. $42,000 - $57,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. 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.

EK Health Services has built a reputation for offering superior, goal-oriented Workers' Compensation case management, utilization review, and bill review...

Veterans Affairs, Veterans Health Administration-Monroe, LA $49,000 - $97,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. 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.

Practice, ethics and resource utilization; The RN will demonstrate appropriate knowledge and use of a computer....

Universal American-Columbia, MDEst. $48,000 - $71,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. 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.

RN with current licensure. Review activities that take place during a patient's hospital stay and/ or in a home or community setting to include review of...

Veterans Affairs, Veterans Health Administration-Sioux Falls, SD $45,000 - $90,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. 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.

Practice, ethics and resource utilization. Applying online will allow you to review and track the status of your application....

Sharp Healthcare-San Diego, CAEst. $61,000 - $81,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. 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.

The Utilization Management Department staff applies health plan criteria and/or established organizational guidelines to each case review and adheres to all...

Sunrise Hospital and Medical Center-Las Vegas, NV

102-Case Manager Utilization Review - Full Time No Weekends. Case Management Certification (CCM) or CPUR (Certified Professional Utilization Review) preferred;...

DFW Support Services-Coppell, TX

Case Manager of Utilization Review. C) Maintains current knowledge of regulatory guidelines for Utilization Review....

Bethesda Health-Boynton Beach, FLEst. $63,000 - $84,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. 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.

Utilization Review Case Manager. Utilization Review or related experience. Florida RN licensure required. Responsible for conducting concurrent, retrospective...

Mercy-St. Louis, MOEst. $51,000 - $68,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. 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.

Prepares and refers cases to Physician Advisor/Medical Director for review appropriately. Recognizes importance of case management for all patients especially...

Daviess Community Hospital-Washington, INEst. $62,000 - $83,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. 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.

RN Case Managers develop, implement, and evaluate individualized patient care plans. Act as discharge planner, advocate for patient welfare, and serve as a...

Ernest Health, Inc.-Flagstaff, AZEst. $75,000 - $100,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. 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.

Collects data and ensures accuracy of Quality Indicators and the FIM instrument.Maintains FIM credentialing and staff education.Attends team conferences and...

Blue Cross Blue Shield of North Carolina-Durham, NCEst. $59,000 - $83,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. 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.

Document outcome of reviews. RN Diploma, RN Associate’s degree or Bachelor’s of Science in Nursing (BSN) degree....

Anthem, Inc.-Norfolk, VAEst. $48,000 - $67,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. 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.

3-5 Medical review and or utilization management or managed care experience, which would provide an equivalent background. 2 years clinical RN experience....

Sedgwick Claims Management Services-United StatesEst. $69,000 - $91,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. 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.

Performs drug utilization reviews through the pharmacy benefit manager or vendor. Education & LicensingActive unrestricted RN license in a state or territory of...

Qualis Health-Albuquerque, NMEst. $68,000 - $98,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. 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.

We provide web-based utilization reviews and targeted review programs based on extensive data analysis. Qualis Health is proud to provide third party assessor...

Quality Health Strategies-Washington, DCEst. $54,000 - $77,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. 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.

Delmarva Foundation has multiple lines of business including population health, utilization review, managed care organization quality review, and quality...

Quality Health Strategies-Nashville, TNEst. $53,000 - $70,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. 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.

At least one year healthcare experience that demonstrates expertise in conducting utilization reviews, ICD-9 coding, and CPT coding strongly preferred....

Quality Health Strategies-Baltimore, MDEst. $55,000 - $68,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. 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.

At least one year healthcare experience that demonstrates expertise in conducting utilization reviews, ICD-9 coding, and CPT coding strongly preferred....


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