Average salary: $94,139 /yearly
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$60k - $65k
...Join a leading healthcare solutions provider as a dedicated Registered Nurse focused on delivering exceptional pharmacy utilization management services. We are looking for an enthusiastic RN who will apply their clinical expertise to promote patient safety, facilitate...SuggestedRemote workSedgwick
Providence, RI4 days ago- ...across the entire patient journey - from care navigation and management to payment integrity, plan performance and provider... ...faster healthcare is possible. About This Opportunity: As a Utilization Management Nurse, you will have a meaningful impact each day by delivering...SuggestedFull timeImmediate startRemote workMonday to FridayFlexible hours
- ...and Healthiest Employer", seeks a Review Nurse. The Review Nurseconducts prior approval... ...a nurse cannot approve Consult with the Manager, Supervisor PA/UM, or Medical Directors... ...Georgia nursing license required Preferred: Utilization Review or Prior Approval...SuggestedContract work
- Overview Registered Nurse Utilization Management Full Time, 80 Hours Per Pay Period, Day Shifts Covenant Health Overview: Covenant Health is the region’s top-performing healthcare network with 10hospitals,outpatient and specialtyservices,andCovenant Medical Group, our...SuggestedFull timeDay shift
- Overview The Insurance Support Nurse participates in the timely management of denials that are received in the Care Coordination Department. Through sound knowledge of utilization management, the nurse assesses a patient's level of care after review of the medical record...Suggested
$71.1k - $97.8k
Become a part of our caring community and help us put health first The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services, discharges and/or benefit administration determinations...SuggestedBi-weekly payFull timeTemporary workApprenticeshipWork at officeLocal areaRemote workWork from homeHome officeMonday to Friday- ...pay range $45.00/yr - $52.00/yr Delivery Manager - Healthcare, Client Relationship Manager, VMS/MSPHiring Locums & Physicians/Nurses/Allied/Professional Coder Across with... ...explanation. Poor Computer Skills Summary : The Utilization Management team reviews the inpatient...SuggestedContract workTemporary workLocumWork at officeHome officeShift work
- ...as heart failure, cancer and other diseases. The role you'll contribute: The role of the Emergency Department Utilization Management (UM) Registered Nurse (RN) is to use clinical expertise by analyzing patient records to determine legitimacy of hospital admission, treatment...SuggestedFull timeLocal areaShift workNight shift
$83k - $99k
...balance, and the ability to contribute to something important, find out more about us at: Role and Responsibilities The Utilization Management Nurse collaborates with external entities such as Brokers, Group Contacts, and Stop Loss supports to provide updated...SuggestedFull timeWork at officeRemote workFlexible hours- A leading health services provider is seeking a Utilization Management Nurse 2 in New York. This full-time position supports care coordination with a focus on Medicare members. The ideal candidate will have an RN license in Florida and substantial clinical experience....SuggestedFull timeWork from home
- A leading healthcare technology firm is seeking a Utilization Management Nurse to provide patient-centered care. This remote position involves reviewing UM cases, ensuring compliance with regulations, and supporting patients through the healthcare system. The ideal candidate...SuggestedRemote jobFlexible hours
$41.71 - $105.65 per hour
...relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts... ...General Brigham. Staff Nurse - 40hr Variable Day - BWH Utilization Management Job Summary The Insurance Support Nurse participates in the...SuggestedHourly payRemote workShift work$60.2k - $107.4k
...global scale. Join us to start Caring. Connecting. Growing together. The Utilization Review Nurse, RN is responsible for providing clinically efficient and effective Inpatient utilization management. Reviews inpatient criteria for acute hospital admissions and concurrent...SuggestedRemote jobMinimum wageFull timeWork experience placementLocal areaMonday to FridayShift work- ...mission to transform healthcare delivery and make a meaningful difference in the lives of our members. Summary: The Utilization Management Appeals Review Nurse is responsible for conducting comprehensive clinical and regulatory reviews of hospital admission appeals,...Suggested
- A health services provider is hiring a Utilization Management Nurse 2 to utilize clinical nursing skills for coordinating and communicating medical services. The ideal candidate should be a licensed RN with over 3 years of nursing experience in an acute care setting. This...SuggestedRemote job
- A leading healthcare organization is seeking a Utilization Management Clinical Manager to utilize clinical expertise in reviewing authorization... ...MA. The ideal candidate requires an Associate's degree in Nursing, a Massachusetts RN License, and preferably 2-3 years of...Remote job
- ...& 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...Work at officeRelocation packageFlexible hours
- Summary The Utilization Management (UM) Staff RN has responsibility for coordination and implementation of the Utilization Management program for... ...RN will perform other duties under the direction of the Nurse Manager or designee as assigned. Basic Requirements English...Permanent employmentTemporary workWork at officeImmediate startRemote workRelocation packageFlexible hoursShift workWeekend work
$71.1k - $97.8k
Overview Become a part of our caring community and help us put health first The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations...Bi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday- 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...
- ...leads to tomorrows cures for conditions such as heart failure, cancer and other diseases. The role you'll contribute The Utilization Management nurse uses clinical expertise to review patient records in the emergency department setting and provide a recommended level of...Full timeLocal areaShift workNight shift
$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)...Temporary workWork experience placementReliefShift work$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...Full timeLuminis Health
Annapolis, MD3 hours ago- ...Job Description Community Health Network of Connecticut, Inc. (CHNCT) is currently seeking two (2) Sr. Inpatient Utilization Management Nurses to join our team. Primary Responsibilities: Perform Utilization Review of admissions and/or continuing inpatient stay...Immediate startFlexible hours
Community Health Network of Connecticut, Inc.
Wallingford, CT13 days ago - ...Description Job Description Overview Collaboration with Managed Care Organizations (MCO) and care providers is vital to... ..., patients, families, internal care givers, and external Utilization Management Nurses. Coordinate internal and external health care team...
Signature HealthCARE, LLC
Louisville, KY26 days ago $32.01 - $68.55 per hour
...do it all with heart, each and every day. Position Summary Utilization Management is a 24/7 operation and work schedules will include weekends... ...Required Qualifications 2+ years of experience as a Registered Nurse in adult acute care/critical care setting. Must have active...Hourly payFull timeTemporary workWork at officeLocal areaFlexible hoursAfternoon shift$26.01 - $62.32 per hour
...convenient and more compassionate. And we do it all with heart, each and every day. Position Summary Medicare Precertification Utilization Management Nurse Consultant position: Utilizes clinical experience and skills in a collaborative process to assess, plan, implement,...Hourly payFull timeTemporary workWork at officeLocal areaMonday to FridayFlexible hoursShift workWeekend workAfternoon shift$29.1 - $62.32 per hour
...person, one family and one community at a time. Position Summary Utilization Management is a 24/7 operation and work schedules will include weekends... ...3+ years of clinical experience as a Registered Nurse in a hospital setting in adult acute care/critical care setting...Hourly payFull timeTemporary workWork at officeLocal areaFlexible hoursAfternoon shift$29.1 - $62.32 per hour
...division of Aetna/CVS Health, is a URAC-accredited medical management organization founded in 1993. We provide flexible, cost-... ...members. Position Summary We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team. In this role, you\'ll be at the...Remote jobHourly payFull timeTemporary workLocal areaMonday to FridayFlexible hoursShift work- ...team is committed to providing quality healthcare coverage to federal employees, retirees, and their families. The FEP Utilization Management Nurse Consultant (Lead) will report to the FEP Utilization Management Medical Review Manager. In this role you will be part of...
