Utilization Management Nurse Jobs | Glassdoor

Utilization Management Nurse Jobs

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  • 3.3
    Quantum Health – Columbus, OH
    Est. Salary $56k-$78k
    21 days ago 21d
    Job Title: Utilization Management Nurse (RN) Working Group: Clinical Services Reports to: POD Manager Quantum… to join our winning culture! We are looking for a Utilization Management Nurse. Roles and Tasks: Promote the mission…
  • 2.5
    FirstCare Health Plans – Lubbock, TX
    Est. Salary $46k-$63k
    3 days ago 3d
    Requisition Number 16-0133 Post Date 11/7/2016 Title Utilization Management Nurse City Lubbock State TX Description SUMMARY… RESPONSIBILITIES: •Maintains current knowledge of approved utilization management criteria and guidelines as well as Evidence of Coverage…
  • 3.6
    Commonwealth Care Alliance – Springfield, MA
    Est. Salary $57k-$76k
    23 days ago 23d
    benefits plan. Position Description: The Utilization Management (UM) Review Nurse is responsible for day-to-day timely clinical… for medical necessity and decision-making. The Utilization Management Review Nurse has a key role in ensuring CCA meets CMS compliance…
  • 3.1
    Next Level Health Partners, LLC – Chicago, IL
    EASY APPLY
    3 days ago 3d
    clinical nursing experience in a psychiatric acute care setting. Two years managed care case management and/or utilization management… various medical management systems. Education/Experience: Associate’s degree in Nursing. Bachelor’s degree in Nursing preferred.…
  • 2.9
    San Francisco Health Plan – San Francisco, CA
    Est. Salary $87k-$116k
    7 days ago 7d
    California Registered Nurse for its Inpatient Utilization Management team. You must be a California Registered Nurse who is passionate… populations. Prior experience in case management, resource management or utilization review preferred. Experience with Medi-…
  • 3.5
    Advocate Health Care – Oak Brook, IL
    Est. Salary $62k-$83k
    20 days ago 20d
    Required two-three years of experience within Utilization and/or Case Management. Preferred inpatient acute hospital experience Hours… Bachelors of Nursing Preferred, Associate of Nursing Required Required State of Illinois, Registered Nurse License Required…
  • 2.5
    Catholic Health Initiatives – Federal Way, WA
    Est. Salary $65k-$88k
    15 days ago 15d
    Appeals & Grievance (A&G) Utilization Management RN Nurse Specialist is a hybrid role where the Nurse is responsible for managing… • Bachelor of Science in Nursing preferred • Demonstrated experience in health plan Utilization Review, Discharge Planning,…
  • 3.6
    Evolent Health – Baltimore, MD
    Est. Salary $74k-$94k
    Today 11hr
    experienced nurse who has case management and utilization management experience to join our population health team as a Utilization Management… Bachelor’s Degree in Nursing 3-5 years of nursing experience doing utilization management and care management in a managed care…
  • InsiderJobBoard.com – Bronx, NY
    1 days ago 20hr
    The Utilization Management Nurse will conduct reviews of current inpatient services, and determine medical appropriateness of… with Utilization Management policies and procedures. ESSENTIAL FUNCTIONS Perform utilization management, utilization review…
  • 3.4
    Liberty Mutual – Wausau, WI
    28 days ago 28d
    Mutual Insurance has the opportunity for you. The Utilization Management Nurse performs review services to determine if medical… Current nursing registration required. Basic knowledge of states workers' compensation laws, disability management and utilization…
  • 2.5
    Affinity Health Plan – Bronx, NY
    Est. Salary $63k-$98k
    3 days ago 3d
    The Utilization Management Nurse will conduct reviews of current inpatient services, and determine medical appropriateness of… with Utilization Management policies and procedures. ESSENTIAL FUNCTIONS Perform utilization management, utilization review…
  • 3.7
    Cottingham & Butler – Davenport, IA
    Est. Salary $39k-$60k
    1 days ago 1d
    HealthCorp is seeking an RN with 3 or more years of clinical experience to join our team. This position is responsible for…
  • 4.0
    Beacon Health System – Elkhart, IN
    Est. Salary $47k-$63k
    9 days ago 9d
    Utilization Management Nurse JOB SUMMARY * Reports to the Manager, Social Services or Director, Care Coordination. Serves… through the successful completion of a Nursing program. A valid and current Registered Nurse license in the state of Indiana is required…
  • 2.6
    MRI Boston Group – Boston, MA
    6 days ago 6d
    Job Title: Utilization Management Nurse Manager Job ID: C3707 Location: Boston, MA Industry: Health Care Job… and motivated UM Nurse Manager who wants to really want to have an impact on patients’ lives. · The Utilization Manager will oversee…
  • 2.7
    Centers Plan for Healthy Living – Staten Island, NY
    Est. Salary $56k-$74k
    3 days ago 3d
    Overview: � Utilization Management Registered Nurse The Utilization Management nurse works within a multidisciplinary… their home to improve their quality of life. The Utilization Management nurse will assess and process all authorization requests…
  • 2.3
    HealthSmart – Charleston, WV
    Est. Salary $40k-$55k
    9 days ago 9d
    time, as needed. ", "jobName": "UTILIZATION MANAGEMENT NURSE", "shareURL": "https://workforcenow.adp.com/jobs… TITLE: Utilization Management Staff RN STATUS: EXEMPT REPORTS TO: Utilization Management Director DATE:…
  • 2.6
    Alameda Alliance for Health – Alameda, CA
    Est. Salary $69k-$93k
    2 days ago 2d
    The Outpatient Utilization Management (UM) Nurse is responsible for conducting clinical reviews of outpatient authorization requests… requests. The Outpatient UM Nurse works directly with members, case management, Authorization Unit Specialists (AUS) and providers…
  • Community Care Plan – Sunrise, FL
    2 days ago 2d
    Summary: The Utilization Management Nurse (UMN) works under general supervision of the Director and/or supervisor of Medical… with diverse populations Knowledge of case management and utilization review concepts, InterQual Criteria, Florida Medicaid…
  • 3.5
    Memorial Hospital of South Bend – South Bend, IN
    Est. Salary $44k-$59k
    10 days ago 10d
    !|!Tell us about a friend who might be interested in this job. All privacy rights will be protected.!|!false!|!Tell us about…
  • 3.6
    Advanced Resources (IL) – Chicago, IL
    3 days ago 3d
    our top clients in Chicago! We are looking for a Utilization Management Nurse for a managed care organization in the loop. If you… Document Medical Management decisions in appropriate computer system. Communicate Medical Management decisions to appropriate…
  • 2.9
    MHM Services, Inc. – Santa Fe, NM
    Est. Salary $46k-$62k
    11 days ago 11d
    to as "Nursing's Best Kept Secret"Correctional Nursing. We are currently seeking a dynamic Utilization Management Nurse (RN)… authorization, and case management preferred * Clinical nursing experience >5 years * Experience using medical management software programs…
  • 3.7
    Integrity Staffing Solutions – Baton Rouge, LA
    Est. Salary $54k-$82k
    11 days ago 11d
    care required Managed care/utilization review experience strongly preferred. -Registered Nurse (RN) with unrestricted LA state… Review RN utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program…
  • 3.5
    Providence Health & Services – Seattle, WA
    Est. Salary $69k-$92k
    10 days ago 10d
    Description: Providence is calling a Utilization Management Nurse (Day Shift, 1.0 FTE) to Providence ElderPlace in Seattle… of Medicare skilled nursing criteria Minimum seven years experience in: Rehab medicine, skilled nursing facility with sub-acute…
  • The Grey Group – Aberdeen, ID
    Est. Salary $43k-$59k
    10 days ago 10d
    RN Utilization Management Nurse needed. This position is located in nearby Pocatello, ID. Registered Nurse to function as our… our Data Abstractor / Quality Utilization Management Nurse. Multiple Shifts and RN Specialties available. Apply to be considered…
  • San Francisco Health Plan HQ – San Francisco, CA
    10 days ago 10d
    California Registered Nurse for its Inpatient Utilization Management team. You must be a California Registered Nurse who is passionate… populations. Prior experience in case management, resource management or utilization review preferred. Experience with Medi-…
  • 2.6
    Corizon Health, Inc. – Brentwood, NY
    Est. Salary $70k-$92k
    14 days ago 14d
    is seeking a UM Nurse, to join our team in August of 2017. JOB SUMMARY The Utilization Management Nurse is responsible for… accredited School of Nursing * Five (5) years of clinical experience. * One (1) to Three (3) years of utilization experience.…
  • 3.3
    Aerotek – Austin, TX
    Est. Salary $46k-$70k
    23 days ago 23d
    Manager, Case Manager Supervisor, Utilization Manager, Utilization Manager Supervisor, Nurse Trainer and Disease Manager. These…
  • 3.1
    Cambia Health Solutions – Salt Lake City, UT
    Est. Salary $53k-$83k
    17 days ago 17d
    Utilization Management Clinician would have a/an Associate or Bachelor’s Degree in Nursing. 3 years of case management, utilization… Overview: Utilization Management Nurse Portland, OR; Lewiston, ID: Burlington, WA and Salt Lake City, UT This position…
  • 2.7
    Memorial Hospital – United States
    Est. Salary $55k-$74k
    11 days ago 11d
    Utilization Management Nurse JOB SUMMARY • Reports to the Manager, Social Services or Director, Care Coordination. Serves… through the successful completion of a Nursing program. A valid and current Registered Nurse license in the state of Indiana is required…
  • 1.8
    HealthCare Partners, IPA – Garden City, NY
    Est. Salary $54k-$73k
    27 days ago 27d
    seeking a Prior Authorization Nurse to join our team. JOB SUMMARY: The Prior Authorization Nurse conducts prospective andretrospective… HealthCare Partners, IPA and HealthCare Partners Management Organization Services comprised of a health care delivery…
  • 2.6
    Clinicas Del Camino Real – Camarillo, CA
    Est. Salary $49k-$66k
    2 days ago 2d
    UM ( Utilization Management ) Nurse Quality Assurance and Utilization Management, Referral Center Location: Camarillo… supervision of the Quality and Utilization Management Director, the Utilization Management Nurse performs case review and first…
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