... 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 ...
Utilization Management Representative II
Columbus, OH · On-site
$17.33 - $26.59/hr
Utilization Management Representative II Utilization Management Representative II Location: This ... Refers cases requiring clinical review to a nurse reviewer; and handles referrals for specialty ...
Utilization Management Representative II
Columbus, OH · On-site
$17.33 - $26.59/hr
Utilization Management Representative II Utilization Management Representative II Location: This ... Refers cases requiring clinical review to a nurse reviewer; and handles referrals for specialty ...
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 ...
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 ...
Utilization Management Representative II
Columbus, OH · On-site
$17.33 - $26.59/hr
Utilization Management Representative II Location: This role enables associates to work virtually ... Refers cases requiring clinical review to a nurse reviewer; and handles referrals for specialty ...
Utilization Management Representative II
Columbus, OH · On-site
$17.33 - $26.59/hr
Utilization Management Representative II Location: This role enables associates to work virtually ... Refers cases requiring clinical review to a nurse reviewer; and handles referrals for specialty ...
Utilization Management Representative II
Columbus, OH · On-site
$17.33 - $26.59/hr
Utilization Management Representative II Location: This role enables associates to work virtually ... Refers cases requiring clinical review to a nurse reviewer; and handles referrals for specialty ...
Utilization Management Representative II
Columbus, OH · On-site
$17.33 - $26.59/hr
Utilization Management Representative II Location: This role enables associates to work virtually ... Refers cases requiring clinical review to a nurse reviewer; and handles referrals for specialty ...
Customer Success Utilization Manager
Columbus, OH · On-site
$73K - $95K/yr
... remote upgrades. Analyze data to maximize utilization of KARL STORZ software, OR1, and video ... Establish and maintain strong working relationships with nurses, physicians, materials management ...
New
Customer Success Utilization Manager
Columbus, OH · On-site
$73K - $95K/yr
... remote upgrades. Analyze data to maximize utilization of KARL STORZ software, OR1, and video ... Establish and maintain strong working relationships with nurses, physicians, materials management ...
New
Maintain compliancy with regulation changes affecting utilization management. PositionRequirements Bachelor's degree required. Active RN License from an accredited nursing school Minimum three to ...
Maintain compliancy with regulation changes affecting utilization management. PositionRequirements Bachelor's degree required. Active RN License from an accredited nursing school Minimum three to ...
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 ...
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 ...
License Practical Nurse
$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 ...
License Practical Nurse
$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 ...
Registered Nurse
$46.35/hr
Pay: $46.35 per hour Schedule: Part-Time, 6pm-6am and 6am-6pm as needed Impact lives with ... Practice basic cost containment and utilization management for patient care and facility operations.
Registered Nurse
$46.35/hr
Pay: $46.35 per hour Schedule: Part-Time, 6pm-6am and 6am-6pm as needed Impact lives with ... Practice basic cost containment and utilization management for patient care and facility operations.
Demonstrates compliance with facility-wide Utilization Management policies and procedures ... We also offer our employee assistance program to part time employees. * Your Impact Matters: Join a ...
Demonstrates compliance with facility-wide Utilization Management policies and procedures ... We also offer our employee assistance program to part time employees. * Your Impact Matters: Join a ...
Demonstrates compliance with facility-wide Utilization Management policies and procedures ... We also offer our employee assistance program to part time employees. * Your Impact Matters: Join a ...
Demonstrates compliance with facility-wide Utilization Management policies and procedures ... We also offer our employee assistance program to part time employees. * Your Impact Matters: Join a ...
Demonstrates compliance with facility-wide Utilization Management policies and procedures ... We also offer our employee assistance program to part time employees. * Your Impact Matters: Join a ...
Demonstrates compliance with facility-wide Utilization Management policies and procedures ... We also offer our employee assistance program to part time employees. * Your Impact Matters: Join a ...
RN Case Manager - Prior Authorization
Columbus, OH · On-site
$30/hr
Current RN, required ... Utilization Management (CPUR) certification, Certified Case Manager (CCM), or equivalent preferred.
RN Case Manager - Prior Authorization
Columbus, OH · On-site
$30/hr
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 ...
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 ...
Practice basic cost containment and utilization management for patient care and facility operations ... Degree in nursing , current valid nursing license as a Licensed Practical Nurse for the state of ...
Practice basic cost containment and utilization management for patient care and facility operations ... Degree in nursing , current valid nursing license as a Licensed Practical Nurse for the state of ...
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 ...
Part-Time Remote Licensed Psychologist
Columbus, OH · On-site +1
$90/hr
We manage the administrative side of private practice, including marketing, verifying client insurance benefits, and handling the invoicing/billing process so you can accept insurance without ever ...
Part-Time Remote Licensed Psychologist
Columbus, OH · On-site +1
$90/hr
We manage the administrative side of private practice, including marketing, verifying client insurance benefits, and handling the invoicing/billing process so you can accept insurance without ever ...
Part Time Remote Utilization Management Nurse information
See salary details
$21.39 - $25.72
2% of jobs
$25.72 - $30.05
9% of jobs
$33.01 is the 25th percentile. Wages below this are outliers.
$30.05 - $34.38
21% of jobs
The median wage is $37.88 / hr.
$34.38 - $38.70
23% of jobs
$38.70 - $43.03
13% of jobs
$46.39 is the 75th percentile. Wages above this are outliers.
$43.03 - $47.36
10% of jobs
$47.36 - $51.68
8% of jobs
$51.68 - $56.01
5% of jobs
$56.01 - $60.34
5% of jobs
$60.34 - $64.66
2% of jobs
$64.66 - $68.99
2% of jobs
$21
$42
$68
How much do part time remote utilization management nurse jobs pay per hour?

Job description
Why You Should Work For Us:
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!
- Assesses services for members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and guidelines.
- Analyzes clinical service requests from members or providers against evidence based clinical guidelines.
- Conducts prior authorization reviews to determine financial responsibility
- 2 years Inpatient background with Hospital Nursing (Med-Surg, ER)
- Well versed in Utilization Management - Must be able to determine elective vs urgent request with Prior Authorization ReviewÂ
- Provider Claims, Appeals and Denials - certain services require prior authorization (PA) from the Utilization Management (UM) department
- 6 + months of Interqual experience
- 6+ months of Coding with ICD10 and CPT/ HCPCS
Interested in being considered?Â
If you are interested in applying to this position, please click the Green I'm Interested Button to email your resume and contact Jeff St Louis 407-478-0332x223.Â
About Healthcare Support
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.
Industry
Recruiting and staffing services
Company size
201 - 500 Employees
Headquarters location
Maitland, FL, US
Year founded
2003