Dental insurance * Health insurance * Training & development * Vision insurance * Wellness ... As a Utilization Management Nurse on the team, you will be responsible for reviewing patient files ...
Quick apply
Dental insurance * Health insurance * Training & development * Vision insurance * Wellness ... As a Utilization Management Nurse on the team, you will be responsible for reviewing patient files ...
Quick apply
Dental insurance * Health insurance * Training & development * Vision insurance * Wellness ... As a Utilization Management Nurse on the team, you will be responsible for reviewing patient files ...
$80K - $95K/yr
Role Overview The Utilization Management Nurse plays a critical role in ensuring high-quality, cost ... Comprehensive benefits including health, dental, and vision insurance. * A collaborative, inclusive ...
$80K - $95K/yr
Role Overview The Utilization Management Nurse plays a critical role in ensuring high-quality, cost ... Comprehensive benefits including health, dental, and vision insurance. * A collaborative, inclusive ...
The Utilization Management Manager will be responsible for oversight of the hospital's concurrent ... Excellent Medical, Dental, Vision and Prescription Drug Plans * 401(K) with company match and ...
The Utilization Management Manager will be responsible for oversight of the hospital's concurrent ... Excellent Medical, Dental, Vision and Prescription Drug Plans * 401(K) with company match and ...
The Utilization Management Manager will be responsible for oversight of the hospital's concurrent ... Excellent Medical, Dental, Vision and Prescription Drug Plans * 401(K) with company match and ...
The Utilization Management Manager will be responsible for oversight of the hospital's concurrent ... Excellent Medical, Dental, Vision and Prescription Drug Plans * 401(K) with company match and ...
$60 - $75/hr
Dental insurance * Health insurance * Paid time off * Signing bonus * Training & development ... As a Utilization Management Nurse on the team, you will be responsible for reviewing patient files ...
Quick apply
$60 - $75/hr
Dental insurance * Health insurance * Paid time off * Signing bonus * Training & development ... As a Utilization Management Nurse on the team, you will be responsible for reviewing patient files ...
Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote ... medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as ...
Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote ... medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as ...
Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote ... medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as ...
Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote ... medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as ...
Utilization Management Specialist (UM / Utilization Review Nurse) - Remote Location: 100% Remote (U ... medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as ...
Utilization Management Specialist (UM / Utilization Review Nurse) - Remote Location: 100% Remote (U ... medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as ...
Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote ... medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as ...
Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote ... medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as ...
Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote ... medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as ...
Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote ... medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as ...
By guiding this team, the Utilization Management RN drives the continuous improvement of our care ... Medical insurance coverage (Medical, Dental, Vision) * Work/life balance - we mean it! 17 days of ...
By guiding this team, the Utilization Management RN drives the continuous improvement of our care ... Medical insurance coverage (Medical, Dental, Vision) * Work/life balance - we mean it! 17 days of ...
LTC Utilization Management Reviewer Summary: Build your Career. Make a Difference. Presbyterian is ... dental, vision, short-term and long-term disability, group term life insurance and other optional ...
LTC Utilization Management Reviewer Summary: Build your Career. Make a Difference. Presbyterian is ... dental, vision, short-term and long-term disability, group term life insurance and other optional ...
Dalton, GA · On-site
JOB PURPOSE The Utilization Management Nurse performs comprehensive clinical reviews of requested ... Dental Insurance Employee Assistance Program Flexible Spending Account Health & Wellness Program ...
Dalton, GA · On-site
JOB PURPOSE The Utilization Management Nurse performs comprehensive clinical reviews of requested ... Dental Insurance Employee Assistance Program Flexible Spending Account Health & Wellness Program ...
Lemoyne, PA · On-site
$199K - $249K/yr
... dental, vision, paid time off, and 401k, we foster a work, life balance for team members and their ... How you make a difference The Medical Director of Utilization Management leads and oversees ...
Lemoyne, PA · On-site
$199K - $249K/yr
... dental, vision, paid time off, and 401k, we foster a work, life balance for team members and their ... How you make a difference The Medical Director of Utilization Management leads and oversees ...
Responsibilities Utilization Management Coordinator -Full-time Opportunity West Oaks Hospital has ... Excellent Medical, Dental, Vision and Prescription Drug Plans * 401(K) with company match and ...
Responsibilities Utilization Management Coordinator -Full-time Opportunity West Oaks Hospital has ... Excellent Medical, Dental, Vision and Prescription Drug Plans * 401(K) with company match and ...
Responsibilities Utilization Management Coordinator -Full-time Opportunity West Oaks Hospital has ... Excellent Medical, Dental, Vision and Prescription Drug Plans * 401(K) with company match and ...
Responsibilities Utilization Management Coordinator -Full-time Opportunity West Oaks Hospital has ... Excellent Medical, Dental, Vision and Prescription Drug Plans * 401(K) with company match and ...
Dalton, GA · On-site
JOB PURPOSE The Utilization Management Nurse performs comprehensive clinical reviews of requested ... Dental Insurance Employee Assistance Program Flexible Spending Account Health & Wellness Program ...
Dalton, GA · On-site
JOB PURPOSE The Utilization Management Nurse performs comprehensive clinical reviews of requested ... Dental Insurance Employee Assistance Program Flexible Spending Account Health & Wellness Program ...
As a Utilization Management Clinical Dental Processor, you will leverage your professional judgment to evaluate service requests and determine their appropriateness, assessing the necessity of ...
As a Utilization Management Clinical Dental Processor, you will leverage your professional judgment to evaluate service requests and determine their appropriateness, assessing the necessity of ...
Albuquerque, NM · On-site +1
$75K - $136K/yr
Summary The Albuquerque VA is looking for Utilization Management Registered Nurse for Care ... Federal health/vision/dental/term life/long-term care (many federal insurance programs can be ...
Albuquerque, NM · On-site +1
$75K - $136K/yr
Summary The Albuquerque VA is looking for Utilization Management Registered Nurse for Care ... Federal health/vision/dental/term life/long-term care (many federal insurance programs can be ...
Pearland, TX · On-site
$13 - $14/hr
Qualifications: * 1-3 years of healthcare, insurance, medical office, or utilization management ... dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance ...
Quick apply
Pearland, TX · On-site
$13 - $14/hr
Qualifications: * 1-3 years of healthcare, insurance, medical office, or utilization management ... dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance ...
$39K - $50.7K
9% of jobs
$59.3K is the 25th percentile. Wages below this are outliers.
$50.7K - $62.4K
22% of jobs
$62.4K - $74K
11% of jobs
The median wage is $81.2K / yr.
$74K - $85.7K
14% of jobs
$85.7K - $97.4K
12% of jobs
$104.7K is the 75th percentile. Wages above this are outliers.
$97.4K - $109.1K
13% of jobs
$109.1K - $120.8K
13% of jobs
$120.8K - $132.5K
5% of jobs
$132.5K - $144.1K
2% of jobs
$144.1K - $155.8K
0% of jobs
$155.8K - $167.5K
0% of jobs
$39K
$91K
$167.5K
Excelling in Dental Utilization Management requires a deep understanding of dental procedures, insurance policies, and clinical guidelines, often supported by a background in dental hygiene, dentistry, or healthcare administration. Familiarity with dental claims software, electronic health records (EHR), and relevant certifications such as Registered Dental Hygienist (RDH) or Certified Professional in Healthcare Quality (CPHQ) is highly valuable. Strong analytical thinking, communication, and attention to detail help professionals effectively review cases, collaborate with providers, and ensure accurate claims processing. These competencies are vital for balancing patient care quality, regulatory compliance, and cost-effectiveness within dental insurance programs.
In Dental Utilization Management, your day typically involves reviewing dental insurance claims, applying clinical guidelines to determine coverage, and communicating with dental providers for additional information or clarification. You may use specialized software and medical records systems to evaluate treatment plans and ensure compliance with policy criteria. Collaboration with other utilization management specialists, claims adjusters, and sometimes members of clinical review teams is common. The role demands a blend of independent case analysis and teamwork to support fair and efficient decision-making, making the work both varied and rewarding.
A Dental Utilization Management job involves reviewing and analyzing dental treatment plans and insurance claims to ensure they meet clinical guidelines and cost-effectiveness standards. Professionals in this role assess the necessity and appropriateness of dental procedures, working closely with providers and insurance companies to maintain quality patient care while managing costs. They may also help develop policies, conduct audits, and provide education on best practices in dental care utilization.