Care Review Nurse
Columbus, OH · On-site
Care Review Nurse Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing ...
Columbus, OH · On-site
Care Review Nurse Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing ...
Columbus, OH · On-site
Care Review Nurse Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing ...
... Nursing (Med-Surg, ER ... Well versed in Utilization Management - Must be able to determine elective vs urgent request with ...
... Nursing (Med-Surg, ER ... Well versed in Utilization Management - Must be able to determine elective vs urgent request with ...
Columbus, OH · On-site
Works with the Utilization Management team primarily responsible for inpatient medical necessity ... Review cases for in patients/in hospital: skilled care, acute rehab and long term acute care Nurses ...
Columbus, OH · On-site
Works with the Utilization Management team primarily responsible for inpatient medical necessity ... Review cases for in patients/in hospital: skilled care, acute rehab and long term acute care Nurses ...
Columbus, OH · On-site
Minimum 3-4 years of clinical practice in hospital setting. • 1+ year utilization management, and/or case management. • Required Licensure/Certification: Active, unrestricted State Nursing (RN) ...
Columbus, OH · On-site
Minimum 3-4 years of clinical practice in hospital setting. • 1+ year utilization management, and/or case management. • Required Licensure/Certification: Active, unrestricted State Nursing (RN) ...
Columbus, OH · On-site
Maintain compliancy with regulation changes affecting utilization management. PositionRequirements Bachelor's degree required. Active RN License from an accredited nursing school Minimum three to ...
Columbus, OH · On-site
Maintain compliancy with regulation changes affecting utilization management. PositionRequirements Bachelor's degree required. Active RN License from an accredited nursing school Minimum three to ...
Columbus, OH · On-site +1
The CFCM-RN maintains an awareness of State and National Health care trends, JCAHO, CMS, and third-party payer Utilization Management guidelines. The Financial aspect of the role involves acquiring ...
Columbus, OH · On-site +1
The CFCM-RN maintains an awareness of State and National Health care trends, JCAHO, CMS, and third-party payer Utilization Management guidelines. The Financial aspect of the role involves acquiring ...
Columbus, OH · On-site
Minimum 3-4 years of clinical practice in hospital setting. 1+ year utilization management, and/or case management. Required Licensure/Certification: Active, unrestricted State Nursing (RN) license ...
Columbus, OH · On-site
Minimum 3-4 years of clinical practice in hospital setting. 1+ year utilization management, and/or case management. Required Licensure/Certification: Active, unrestricted State Nursing (RN) license ...
Columbus, OH · On-site
$24.75 - $33.75/hr
Works with the Utilization Management team primarily responsible for inpatient medical necessity ... Active, unrestricted State Nursing License Practical Nurse, license in good standing for the State ...
Columbus, OH · On-site
$24.75 - $33.75/hr
Works with the Utilization Management team primarily responsible for inpatient medical necessity ... Active, unrestricted State Nursing License Practical Nurse, license in good standing for the State ...
RN Case Manager Licking Memorial Health Systems (LMHS) is a leading, non-profit healthcare ... Utilization review and or discharge planning experience preferred * Excellent verbal and written ...
Quick apply
RN Case Manager Licking Memorial Health Systems (LMHS) is a leading, non-profit healthcare ... Utilization review and or discharge planning experience preferred * Excellent verbal and written ...
Current RN, required ... Utilization Management (CPUR) certification, Certified Case Manager (CCM), or equivalent preferred.
Current RN, required ... Utilization Management (CPUR) certification, Certified Case Manager (CCM), or equivalent preferred.
RN Case Manager Licking Memorial Health Systems (LMHS) is a leading, non-profit healthcare ... Utilization review and or discharge planning experience preferred * Excellent verbal and written ...
RN Case Manager Licking Memorial Health Systems (LMHS) is a leading, non-profit healthcare ... Utilization review and or discharge planning experience preferred * Excellent verbal and written ...
RN Case Manager Licking Memorial Health Systems (LMHS) is a leading, non-profit healthcare ... Utilization review and or discharge planning experience preferred * Excellent verbal and written ...
RN Case Manager Licking Memorial Health Systems (LMHS) is a leading, non-profit healthcare ... Utilization review and or discharge planning experience preferred * Excellent verbal and written ...
RN Case Manager Licking Memorial Health Systems (LMHS) is a leading, non-profit healthcare ... Utilization review and or discharge planning experience preferred * Excellent verbal and written ...
RN Case Manager Licking Memorial Health Systems (LMHS) is a leading, non-profit healthcare ... Utilization review and or discharge planning experience preferred * Excellent verbal and written ...
RN Case Manager Licking Memorial Health Systems (LMHS) is a leading, non-profit healthcare ... Utilization review and or discharge planning experience preferred * Excellent verbal and written ...
Quick apply
RN Case Manager Licking Memorial Health Systems (LMHS) is a leading, non-profit healthcare ... Utilization review and or discharge planning experience preferred * Excellent verbal and written ...
RN Case Manager Licking Memorial Health Systems (LMHS) is a leading, non-profit healthcare ... Utilization review and or discharge planning experience preferred * Excellent verbal and written ...
RN Case Manager Licking Memorial Health Systems (LMHS) is a leading, non-profit healthcare ... Utilization review and or discharge planning experience preferred * Excellent verbal and written ...
RN Case Manager Licking Memorial Health Systems (LMHS) is a leading, non-profit healthcare ... Utilization review and or discharge planning experience preferred * Excellent verbal and written ...
RN Case Manager Licking Memorial Health Systems (LMHS) is a leading, non-profit healthcare ... Utilization review and or discharge planning experience preferred * Excellent verbal and written ...
Columbus, OH · On-site
$55K - $110K/yr
The position's objective is to provide high quality customer service in workers' compensation medical case management and utilization review, primarily telephonically.The Nurse Case Manager provides ...
New
Columbus, OH · On-site
$55K - $110K/yr
The position's objective is to provide high quality customer service in workers' compensation medical case management and utilization review, primarily telephonically.The Nurse Case Manager provides ...
New
Hartford, OH · On-site
$94K - $293K/yr
Minimum of 2 years of experience in care delivery operations, utilization management, or clinical performance improvement * Bachelor's Degree Preferred Qualifications: * Clinical background (RN, MD ...
Hartford, OH · On-site
$94K - $293K/yr
Minimum of 2 years of experience in care delivery operations, utilization management, or clinical performance improvement * Bachelor's Degree Preferred Qualifications: * Clinical background (RN, MD ...
Columbus, OH · On-site
$94K - $293K/yr
Minimum of 2 years of experience in care delivery operations, utilization management, or clinical performance improvement * Bachelor's Degree Preferred Qualifications: * Clinical background (RN, MD ...
Columbus, OH · On-site
$94K - $293K/yr
Minimum of 2 years of experience in care delivery operations, utilization management, or clinical performance improvement * Bachelor's Degree Preferred Qualifications: * Clinical background (RN, MD ...
... Nurse or a Respiratory Therapist OR Social Work SW/MSW (potential license per state guidelines ... Demonstrates compliance with facility-wide Utilization Management policies and procedures.
... Nurse or a Respiratory Therapist OR Social Work SW/MSW (potential license per state guidelines ... Demonstrates compliance with facility-wide Utilization Management policies and procedures.
$39K - $50.3K
15% of jobs
$50.3K - $61.5K
8% of jobs
$63.2K is the 25th percentile. Wages below this are outliers.
$61.5K - $72.8K
15% of jobs
The median wage is $79.9K / yr.
$72.8K - $84.1K
20% of jobs
$84.1K - $95.4K
11% of jobs
$101K is the 75th percentile. Wages above this are outliers.
$95.4K - $106.6K
13% of jobs
$106.6K - $117.9K
5% of jobs
$117.9K - $129.2K
3% of jobs
$129.2K - $140.5K
4% of jobs
$140.5K - $151.7K
3% of jobs
$151.7K - $163K
3% of jobs
$39K
$89.5K
$163K
Cities with the most Apprentice Utilization Management Nurse job openings:
States with the most job openings for Apprentice Utilization Management Nurse jobs include:
The most popular types of Utilization Management Nurse jobs are:

Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Healthcare members with the right care at the right place at the right time. Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review. Assesses services for Members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and guidelines.
Medicaid Division
Duties: Review cases for in patients/in hospital: skilled care, acute rehab and long term acute care Nurses working at the facilities Members are being care for, will be sending over clinical information to be reviewed by the Care Review Clinician. Therefore, this agent will not be traveling and will be reviewing information at the office.
Qualifications: Background Hospital Utilization Management. Insurance Utilization Manager/Review and Millemen Experience (MCG). No case managers if that is their only experience. Must have Utilization Review or Management. Utilization Review (1 year +), Past hospital experience (3-4 years of experience, less experience is ok if they have more Utilization Review experience) Potential for longer term dependent on enrollment Workers will be doing Concurrent Inpatient Review MUST have one of the following AT LEAST -Utilization Review in hospital setting Nurses who are used to doing both production and review work
All your information will be kept confidential according to EEO guidelines.
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Integrated Resources Inc (IRI), based in Edison, NJ, US, is an esteemed player in the staffing solutions industry with a credible presence on their official website irionline.com. Notably, IRI provides a range of professional staffing services including contract, contract-to-hire, and direct hire solutions to a wide spectrum of industries such as healthcare, life sciences, manufacturing, financial, insurance, and others. Since its inception, IRI has been committed to delivering top-talent and optimum solutions to meet its clients' diverse needs.
Recruiting and staffing services
51 - 200 Employees
Edison, NJ, US
1996