Showing 1–12 of 12 jobs
Florida Blue
Florida, US (Hybrid)
$71.2–115.7K / year
The CRN is responsible for performing medical reviews using established criteria to ensure the member is receiving care at the most appropriate level.
2 wk. ago
GuideWell
Florida, US (Hybrid)
$71.2–115.7K / year
The CRN is responsible for performing medical reviews using established criteria to ensure the member is receiving care at the most appropriate level.
2 wk. ago
Florida, US (Hybrid)
$25.00 – $41.00 / hour
The Administrative Nurse, LPN will support Clinical Review/Utilization Management processes in pre-service medical review, post-service medical…
4 days ago
Florida, US (Hybrid)
$25.00 – $41.00 / hour
The Administrative Nurse, LPN will support Clinical Review/Utilization Management processes in pre-service medical review, post-service medical…
3 days ago
Gainwell Technologies LLC
United States (Remote)
$78–88K / year
It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges.
2 wk. ago
Piedmont Healthcare Inc.
United States (Remote)
Overview Detailed review, analysis and extraction of clinical information from patient medical records and drafting of effective narratives for…
1 mo. ago
United States (Remote)
$35.00 – $40.00 / hour
Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw…
1 yr. ago
Central Health
United States (Remote)
Overview The Manager, Utilization Review Nursing is responsible for the operational oversight and leadership of Sendero Health Plans’ Utilization…
1 mo. ago
Clover Health
United States (Remote)
$100–130K / year
At Clover Health, we are committed to providing high-quality, affordable, and easy-to-understand healthcare plans for America’s seniors.
6 days ago
Devoted Health
United States (Remote)
$82.7–96.5K / year
Job Description A bit about this role: The Clinical Guide Part A will be part of the Utilization Management team, responsible for inpatient,…
2 mo. ago
United States (Remote)
$71.1–97.8K / year
Become a part of our caring community The Utilization Management Registered Nurse uses clinical nursing skills to interpret and support the…
1 mo. ago
