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Showing 10 results
Utilization Management Nurse - Case Management

Compensation not listed

Posted 10 days ago

Job Requirements POSITION SUMMARY The Utilization Management (UM) Nurse performs medical necessity reviews on all payer admissions to determine appropriate admission status and documents all information that relates to insurance reimbursement in appropriate reviews for the Health First Integrated Delivery Network...

Melbourne, Florida
Utilization Management Nurse Specialist RN II

$88,854 - $142,166/yr

Posted 11 days ago

$88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Servin...

Inpatient Utilization Management Nurse, RN - Remote in PST or MST

$29 - $52/hr

Posted 14 days ago

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a...

Sacramento, California
Utilization Management Nurse, Extended Care Facilities

$90,000 - $107,000/yr

Posted 19 days ago

Mass General Brigham Health Plan Holding Company, Inc. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community s...

Somerville, Massachusetts
Utilization Management Nurse Specialist RN II (Outpatient)

$88,854 - $142,166/yr

Posted 24 days ago

$88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Servin...

Los Angeles, California
Utilization Management Nurse
Children’s Hospital of Philadelphia logo

Children’s Hospital of Philadelphia

Utilization Management Nurse

$92,100 - $117,400/yr

Posted 1 month ago

Day (United States of America) Seeking Breakthrough Makers Children’s Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation. At CHOP, your experience is valu...

Philadelphia, Pennsylvania
Utilization Management Nurse

Compensation not listed

Posted 1 month ago

Vālenz® Health is the platform to simplify healthcare – the destination for employers, payers, providers and members to reduce costs, improve quality, and elevate the healthcare experience. The Valenz mindset and culture of innovation combine to create a distinctly different approach to an inefficient, uninspired...

Location flexible
Utilization Management Nurse
Children's Hospital of Philadelphia logo

Children's Hospital of Philadelphia

Utilization Management Nurse

$92,100 - $117,400/yr

Posted 1 month ago

Day (United States of America) Seeking Breakthrough Makers Children’s Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation. At CHOP, your experience is valu...

Worcester, Massachusetts
Utilization Management Nurse

Compensation not listed

Posted 1 month ago

MISSION Our mission is to enhance well-being by connecting individuals with vital health resources through a compassionate workforce that embodies the spirit of neighbors helping neighbors. VALUES HealthOne is guided by a cultural framework that embodies our values and drives our decisions. Our PURPOSE is to care for...

Dalton, Georgia
Utilization Management Nurse Consultant

$29 - $62/hr

Posted 6 months ago

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do....

Richmond, Virginia