Columbus, OH · On-site
$30/hr
HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical ... Utilization review, prior authorization, or managed care experience preferred. * Active OH RN ...
Columbus, OH · On-site
$30/hr
HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical ... Utilization review, prior authorization, or managed care experience preferred. * Active OH RN ...
Columbus, OH · On-site
HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical ... Management (UM) department * 6 + months of Interqual experience * 6+ months of Coding with ICD10 ...
Columbus, OH · On-site
HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical ... Management (UM) department * 6 + months of Interqual experience * 6+ months of Coding with ICD10 ...
Columbus, OH · Remote
$29.05 - $67.97/hr
Resolves escalated complaints regarding utilization management and long-term services and supports ... At least 2 years clinical nursing experience, including at least 1 year of utilization review ...
Columbus, OH · Remote
$29.05 - $67.97/hr
Resolves escalated complaints regarding utilization management and long-term services and supports ... At least 2 years clinical nursing experience, including at least 1 year of utilization review ...
Columbus, OH · Remote
$29.05 - $67.97/hr
Job Summary Utilizing clinical knowledge and experience, responsible for review of documentation to ... utilization management and long-term services and supports (LTSS) issues. • Identifies and ...
Columbus, OH · Remote
$29.05 - $67.97/hr
Job Summary Utilizing clinical knowledge and experience, responsible for review of documentation to ... utilization management and long-term services and supports (LTSS) issues. • Identifies and ...
Columbus, OH · Remote
$29.05 - $67.97/hr
Job Summary Utilizing clinical knowledge and experience, responsible for review of documentation to ... utilization management and long-term services and supports (LTSS) issues. • Identifies and ...
Columbus, OH · Remote
$29.05 - $67.97/hr
Job Summary Utilizing clinical knowledge and experience, responsible for review of documentation to ... utilization management and long-term services and supports (LTSS) issues. • Identifies and ...
No case managers if that is their only experience. Must have Utilization Review or Management ... Nurses who are used to doing both production and review work Additional Information All your ...
No case managers if that is their only experience. Must have Utilization Review or Management ... Nurses who are used to doing both production and review work Additional Information All your ...
Underpinned by technology, data, analytics, AI, change management, talent and sustainability ... Experience building provider performance scorecards ( utilization , quality, access, equity ...
Underpinned by technology, data, analytics, AI, change management, talent and sustainability ... Experience building provider performance scorecards ( utilization , quality, access, equity ...
... utilization management. PositionRequirements Bachelor's degree required. Active RN License from an accredited nursing school Minimum three to five year's related experience,preferably in the ...
... utilization management. PositionRequirements Bachelor's degree required. Active RN License from an accredited nursing school Minimum three to five year's related experience,preferably in the ...
Minimum 2 years' experience in Utilization Review, Medicaid authorization, Behavioral Health Billing, Case Management, or similar role. * Strong knowledge of Medicaid MCO authorization portals and ...
Quick apply
Minimum 2 years' experience in Utilization Review, Medicaid authorization, Behavioral Health Billing, Case Management, or similar role. * Strong knowledge of Medicaid MCO authorization portals and ...
Current Registered Nurse license as required by state regulations in which the facility operates. * 1-year experience in a psychiatric health care facility preferred. * CPR certification is required ...
Current Registered Nurse license as required by state regulations in which the facility operates. * 1-year experience in a psychiatric health care facility preferred. * CPR certification is required ...
Current Registered Nurse license as required by state regulations in which the facility operates. * 1-year experience in a psychiatric health care facility preferred. * CPR certification is required ...
Current Registered Nurse license as required by state regulations in which the facility operates. * 1-year experience in a psychiatric health care facility preferred. * CPR certification is required ...
Current Registered Nurse license as required by state regulations in which the facility operates. * 1-year experience in a psychiatric health care facility preferred. * CPR certification is required ...
Current Registered Nurse license as required by state regulations in which the facility operates. * 1-year experience in a psychiatric health care facility preferred. * CPR certification is required ...
Columbus, OH · On-site +1
The job duties require the utilization of clinical knowledge to interpret and apply medical ... of 2 years clinical care experience, caring for patients, anticipating their needs, and ...
Columbus, OH · On-site +1
The job duties require the utilization of clinical knowledge to interpret and apply medical ... of 2 years clinical care experience, caring for patients, anticipating their needs, and ...
... Experience: 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 ...
... Experience: 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 ...
Pataskala, OH · On-site
$51.90K - $71.60K/yr
Not to be posted externally.
Pataskala, OH · On-site
$51.90K - $71.60K/yr
Not to be posted externally.
$24.75 - $33.75/hr
Works with the Utilization Management team primarily responsible for inpatient medical necessity ... Required Experience: Minimum 0-2 years of clinical practice. Preferably hospital nursing ...
$24.75 - $33.75/hr
Works with the Utilization Management team primarily responsible for inpatient medical necessity ... Required Experience: Minimum 0-2 years of clinical practice. Preferably hospital nursing ...
Columbus, OH · On-site
$34 - $44.50/hr
... RUGs utilization in the absence of the Care Management Coordinator. * Remains current with the ... Experience as an MDS Nurse. Ciena Healthcare: We are a national organization of skilled nursing ...
Columbus, OH · On-site
$34 - $44.50/hr
... RUGs utilization in the absence of the Care Management Coordinator. * Remains current with the ... Experience as an MDS Nurse. Ciena Healthcare: We are a national organization of skilled nursing ...
Columbus, OH · On-site
$34.50 - $45.25/hr
... RUGs utilization in the absence of the Care Management Coordinator. * Remains current with the ... Experience as an MDS Nurse. Ciena Healthcare: We are a national organization of skilled nursing ...
Quick apply
Columbus, OH · On-site
$34.50 - $45.25/hr
... RUGs utilization in the absence of the Care Management Coordinator. * Remains current with the ... Experience as an MDS Nurse. Ciena Healthcare: We are a national organization of skilled nursing ...
Industry/Sector Health Services Specialism Operations Management Level Manager & Summary At PwC ... PwC does not intend to hire experienced or entry level job seekers who will need, now or in the ...
Industry/Sector Health Services Specialism Operations Management Level Manager & Summary At PwC ... PwC does not intend to hire experienced or entry level job seekers who will need, now or in the ...
Columbus, OH · On-site
$34.50 - $45.25/hr
... RUGs utilization in the absence of the Care Management Coordinator. * Remains current with the ... Experience as an MDS Nurse. Ciena Healthcare: We are a national organization of skilled nursing ...
Columbus, OH · On-site
$34.50 - $45.25/hr
... RUGs utilization in the absence of the Care Management Coordinator. * Remains current with the ... Experience as an MDS Nurse. Ciena Healthcare: We are a national organization of skilled nursing ...
$20.66 - $24.84
2% of jobs
$24.84 - $29.02
9% of jobs
$31.88 is the 25th percentile. Wages below this are outliers.
$29.02 - $33.20
21% of jobs
The median wage is $36.59 / hr.
$33.20 - $37.38
23% of jobs
$37.38 - $41.56
13% of jobs
$44.81 is the 75th percentile. Wages above this are outliers.
$41.56 - $45.74
10% of jobs
$45.74 - $49.92
8% of jobs
$49.92 - $54.10
5% of jobs
$54.10 - $58.28
5% of jobs
$58.28 - $62.46
2% of jobs
$62.46 - $66.64
2% of jobs
$20
$40
$66
| Aspect | Non Exempt No Experience Utilization Management Nurse | Utilization Management Nurse |
|---|---|---|
| Credentials | Typically no required certifications, entry-level | Often requires RN license, certifications like CCM or CUC |
| Work Environment | Fast-paced, administrative and clinical settings | Clinical review, insurance or healthcare facilities |
| Employer & Industry | Hospitals, insurance companies, healthcare providers | Insurance companies, managed care organizations |
The Non Exempt No Experience Utilization Management Nurse is an entry-level role suitable for those starting in healthcare, often without certifications. In contrast, the Utilization Management Nurse typically requires an RN license and relevant certifications, with more clinical responsibilities. Both roles work within healthcare and insurance settings but differ in experience and qualification requirements.
$30/hr
Contractor
Posted 2 days ago
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Position Purpose: Review requests for contract specific prior authorization of services within a centralized unit
Advantages of this Opportunity:
Hours for this Position: Monday- Friday 8a-5p
Pay $30.00 per hour
Start date: 7/6
If you are interested, please call, Lovely 321-574-6539 and email your resume to me.
The greatest compliment to our business is a referral.
If you know of someone looking for a new opportunity, please pass along my contact information! We offer referral bonuses of up to $100.00 for each placement.
Sourced by ZipRecruiter
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Recruiting and staffing services
201 - 500 Employees
Maitland, FL, US
2003
