Average salary: $94,139 /yearly
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$34 - $55 per hour
...for clinical, financial, and resource utilization information. Provides intervention and... ...records days authorized in EPIC 2. Denial Management : Monitors and identifies patterns... ...initiatives Participates in nursing unit and department clinical outcome projects...SuggestedFull timeLuminis Health
Annapolis, MD4 hours ago$100k - $110k
A leading correctional healthcare provider is seeking a Utilization Management RN to serve as a Regional Office Case Manager. Responsibilities... ...coordinating patient care plans. Applicants should have a Registered Nurse Licensure and at least one year of experience. This full-...SuggestedFull timeWork at office- ...& development Vision insurance Location: Outpatient Case Management West Los Angeles VAMC, 11301 Wilshire Blvd, Los Angeles,... ...Angeles VA Medical Center. Job Summary: We are seeking a Utilization Management Nurse to join our team! As a Utilization Management Nurse, you...SuggestedWork at officeRelocation packageFlexible hours
- A healthcare organization is seeking a Registered Nurse-Utilization Management to ensure effective nursing practices and quality improvement. The role involves educating internal and external clients on clinical standards, collaborating with interdisciplinary teams, and...Suggested
- Utility Management Nurses (Insurance Coding & Revenue Management) We are seeking a dedicated Utility Management Nurse specializing in Insurance Coding & Revenue Management in Oklahoma City, OK. Responsibilities Accurately code insurance claims and manage revenue cycles...SuggestedFull time
$54.1k - $116.76k
...be a 12.5% differential for this shift. Utilizes clinical skills to coordinate, document... ...all aspects of the utilization/benefit management program for preauthorization for mental... ...Education If RN, Bachelor's degree in nursing required with emphasis on Behavioral Health...SuggestedHourly payFull timeTemporary workLocal areaWork from homeFlexible hoursShift workWeekend work- ...Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing. Job Description Details: Under minimal supervision, provides medical and/or behavioral health utilization management for members of Medical Plan in accordance with the schedule of benefits...SuggestedContract work
- A leading healthcare staffing firm is seeking a Utilization Management Nurse for a fully remote position. The role involves reviewing medical records, applying clinical guidelines, and communicating with providers. Candidates must have an active RN license and at least...SuggestedRemote jobHourly payFull timeContract work
$23.79 - $38.86 per hour
Job Summary Utilization Review, Utilization Management, Advocacy and Education Clinical Analysis and Data Management Clinical Care Management/Coordination... ...\'s degree (ADN) required, Bachelor of Science in Nursing (BSN), or Master\'s of Science in Nursing (MSN) preferred...SuggestedTemporary workWork experience placementReliefShift work- ..., or DE for permanent conversion) Position Type: Contract (6-12+ months) with potential for full-time conversion As a Utilization Management Nurse, you will: Review medical records to determine medical necessity for services Apply clinical guidelines such as InterQual...SuggestedRemote jobHourly payPermanent employmentFull timeContract work
- A leading staffing firm in Miami seeks a Registered Nurse for Utilization Management. The ideal candidate will have at least 3 years of nursing experience in a critical care setting and be skilled in medical necessity reviews and authorization processes. Responsibilities...Suggested
- A health management organization located in Tulsa, Oklahoma, is looking for a clinical reviewer to join their Utilization Management Team. The role involves assessing utilization requests and implementing care coordination for high-risk members. Candidates must have a...Suggested
$60.2k - $107.4k
...scale. Join us to start Caring. Connecting. Growing together. Utilization Management RN Coder will accurately and efficiently review and extract... ...while providing high quality reviews. The Appeals nurse will perform their job functions, adhering to both Optum and...SuggestedMinimum wageFull timeWork experience placementLocal areaRemote work- ...healthcare organization in Atlanta seeks an experienced registered nurse to oversee acute hospital admissions and ensure appropriate... ...hold a current RN license in Georgia, with a master's degree and utilization review experience preferred. The role offers a flexible...SuggestedFlexible hours
- A leading healthcare organization in Florida seeks a Utilization Management Staff RN to oversee the Utilization Management program for inpatient... ...teams. Candidates should be graduates from an accredited nursing program with a valid RN license and at least five years of...Suggested
- ...Clinical Research, Rehabilitation Therapy, and Nursing. Job Description Location: Downers Grove... ...successful and timely return to work. Manage services, strategies, policies, and... ...management, clinical coverage, and policies. Utilize clinical skills to coordinate, document,...Work at officeWeekend work
$72.8k - $130k
...to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results... ...for remote work based on business needs. As a Sr Utilization Management Nurse in the Boston MA Regional Area, the role centers on ensuring...Minimum wageFull timeWork experience placementCasual workLive inWork at officeLocal areaRemote work$89.07k - $162.8k
...Coordinates negotiates procures and manages care of our members/enrollees to facilitate... ...Columbia Contract for the population served. Utilizes standards/ guidelines to manage and... ...Graduate of an accredited School of Nursing required and Bachelor's degree preferred...Full timeContract workWork at officeRelocationMedStar Health
Washington DC2 days ago$26.01 - $68.55 per hour
...home with strong preference for those residing in EST or CST.*Utilization Management is a 24/7 operation and work schedule may include weekends,... ...Qualifications**-3+ years of experience as a Registered Nurse-Must hold active and unrestricted RN licensure in state of residence...Hourly payFull timeTemporary workWork at officeLocal areaWork from homeFlexible hoursAfternoon shift- A leading children's health organization in Hartford, CT, seeks an On-site Utilization Management Nurse. The role emphasizes strong clinical skills and knowledge in utilization management, requiring proficiency in medical record reviews and collaboration with healthcare...
$71.61k - $111k
Utilization Review Nurse page is loaded## Utilization Review Nurselocations: 43 New Scotland Avenue Albany, NY 12208time type: Full timeposted... ...Yesterdayjob requisition id: 67356Department/Unit:Care Management/Social WorkWork Shift:Day (United States of America)Salary...Shift work- A major healthcare provider is seeking a Registered Nurse for Utilization Management in South Carolina. This full-time role requires 2+ years of experience in acute care and active RN licensure. Responsibilities include assessing healthcare services and coordinating care...Full timeFlexible hours
- Job Title: “Nurse Case Manager II - Transition OD Care Registered” Estimated Length of Assignment: 5 Months (with possible extension) Est... ...member’s needs to ensure appropriate administration of benefits Utilizes case management and quality management processes in...Work at officeLocal areaImmediate start1 day per week
- A healthcare staffing firm is seeking an experienced Registered Nurse in Michigan to provide utilization review for healthcare services. Candidates should possess a valid RN license and experience in both utilization review and Interqual. This opportunity offers a competitive...
- A healthcare company is seeking a Registered Nurse for Utilization Management in Michigan. This role involves reviewing services and patient care quality, conducting stay reviews, and preparing appeals to payors. Candidates must be licensed in Michigan with three years...Work at office
- A healthcare organization is hiring a Registered Nurse to support Utilization Management. Candidates should have a minimum of 2 years of acute care experience, active RN licensure, and be willing to work flexible hours including weekends. Key responsibilities include coordinating...Flexible hours
- ...IT), Clinical Research, Rehabilitation Therapy and Nursing. Job Description Location : Downers Grove, IL Responsibilities... ..., policies and programs are comprised of network management, clinical coverage, and policies. · Utilizes clinical skills to coordinate, document and...Work at officeWeekend work
- A leading healthcare organization seeks a Registered Nurse for a remote position in Utilization Management. The role involves evaluating healthcare services, collaborating with providers, and requires 3+ years of nursing experience. Candidates should possess an active RN...Remote jobFull timeWork at office
$26.01 - $68.55 per hour
A healthcare organization is seeking a Remote Registered Nurse for Utilization Management. This role requires 3+ years of RN experience and an active license. Responsibilities include assessing healthcare services, coordinating treatments, and working closely with providers...Remote jobHourly payFull time- A leading healthcare provider in Wisconsin seeks an experienced Registered Nurse for a full-time role in Utilization Management. The position involves assessing and coordinating healthcare services for members, requiring a minimum of 2 years of experience in acute care...Full time
