RN - Utilization Review
Slate Healthcare
Job Title
In this remote role, you will perform utilization reviews, ensuring compliance with clinical guidelines and patient care standards. Collaborate with interdisciplinary teams to assess patient needs and facilitate care coordination. Your expertise in medical necessity determination and familiarity with charting systems like Epic will be essential. This position offers flexibility and the opportunity to make a significant impact on patient outcomes.
Benefits
Weekly Pay, Referral Bonus, Medical benefits, Dental benefits, Vision benefits, 401K retirement plan
$45 - $50 per hour
...for a dedicated Registered Nurse Clinical Reviewer for a fully remote position in New York. This role involves conducting utilization and quality reviews and contributing to clinical... ...of accredited nursing programs with an active New York RN license. #J-18808-LjbffrSuggestedHourly payRemote work- ...A leading healthcare staffing firm is seeking a Utilization Review RN in Syracuse, NY. The role involves conducting utilization management activities, certification reviews, and collaborating with healthcare providers. Candidates must have an RN License in NY and at least...SuggestedMonday to Friday
- ...UofL Health in Louisville, KY seeks an experienced Utilization Review RN to support the Utilization Management function. You will assess medical necessity for admissions and continued stay, coordinate with physicians and case managers, and document in Case Management Software...Suggested
- ...WNS, part of Capgemini, seeks a remote Utilization Review Nurse to perform medical necessity reviews and collaborate with providers to ensure... ...strong team-oriented environment. Requirements include active RN or LVN licensure, a minimum of two years in utilization review...SuggestedWork at officeRemote work
- Kingman Healthcare Incorporated (KHI) seeks an experienced Utilization Review Nurse to support case management in Arizona. You will conduct medical... .... Ideal candidates hold a BSN (MSN preferred), have 3+ years RN hospital experience, and UR or CM exposure. #J-18808-LjbffrSuggested
- ...Mass Digital Health is seeking a Utilization Review Nurse in Quincy, Massachusetts. This role involves evaluating patients for appropriate admission... ...coordination. This position requires at least two years of RN experience in care management or utilization management. The...
- ...the United States is seeking an Inpatient Utilization Management Clinician to evaluate... ...remote, full-time role requires an active RN license, nursing degree, and experience with... ...physicians and care management to ensure timely reviews, document outcomes, and maintain...Full timeRemote work
- ...Comagine Health is seeking Clinical Utilization Review Nurses (RN) licensed in Alabama for a remote, full-time role. You will assess medical necessity and quality of healthcare services through prospective, concurrent, and retrospective reviews to support compliant, cost...Full timeRemote work
$33 - $37 per hour
A national healthcare staffing firm seeks an experienced RN Utilization Review Nurse in Troy, MI. Responsibilities include utilization review for Medicaid and Medicare, managing authorization processes, and collaborating with healthcare teams to ensure quality care. Ideal...Hourly payMonday to Friday- ...knowledge and a current Arkansas licensure as a RN. Preferably experienced in the use of ICD... ...written format with the Medical Staff, review organizations, administration and others... ...control system to assure effective utilization of hospital facilities and services. Assist...Work at office
- ...Job Description Job Description Utilization Review Specialist Job Description Unique opportunity to join Maryhaven, Central Ohio’s largest... ...Health Records. Must have LPCC, LSW, LCDC III or RN. Utilization Review Specialist Requirements ~ Salary...
- ...improvement huddles, employee surveys, and town hall meetings Job Description A Day In The Life The Utilization Review Specialist (RN) is responsible for ensuring appropriate utilization of healthcare services across the continuum of care. This role evaluates...Full timeWork at officeWeekend work
- ...Job Description Job Description Position Summary The PACE Utilization Review Specialist – RN oversees clinical utilization management for participants enrolled in the Program for All-Inclusive Care for the Elderly. The position ensures that services are medically...Work at office
- ...evidence based clinical guidelines. Conducts prior authorization reviews to determine financial responsibility Qualifications 2 years... ...with Hospital Nursing (Med-Surg, ER) Well versed in Utilization Management-Must be able to determine elective vs urgent request...Private practice
$25k
...Job Description Job Description To Apply for this Job Click Here Position: UTILIZATION REVIEW RN- Case Management (IN PERSON) - Up to $25K SIGN ON BONUS Location: Farmington, NM **Onsite- In person Schedule: Days Responsibilities: Meets expectations...Permanent employmentWork at officeRelocation package- ...Providing timely and evidence-based utilization review services, the full-time Utilization Review RN will work remotely to manage complex medical conditions, treatment planning, and recovery for injured employees while advocating for effective medical treatment. Key responsibilities...Full timeWork experience placementRemote work
$2,743 - $2,905 per week
...Job Description Job Description RN II – Case Management / Utilization Review (CNA) (Contract) – 13 Weeks Location: California 93405 Pay: $2,743 – $2,905/week Schedule: Day Shift, 4x10s (no set days; occasional weekends) Hours: 7:30 AM – 6:00 PM Call...Contract workDay shift- ...Job Description: Ascension Texas Utilization Management Department (Fully Remote)Job Summary:• Provides health care services regarding... ...admissions, case management, discharge planning and utilization review.Responsibilities:• Reviews admissions and service requests within...Remote work
- Job Title With level of care screening criteria such as MCG or Interqual, CMS regulations as related to hospital admissions, utilization management or utilization review, and interfacing with health care payers/regulatory agencies.
- ...RN - Utilization Review MedWave Healthcare Staffing is currently seeking a Utilization Review RN for a travel assignment in Tuba City, Arizona. The candidate that will best match this position will have at least 1 year of experience as a RN and previous travel experience...Weekly payContract work
$63k - $65k
...National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Utilization Review RN As a nurse at Sedgwick, you can build a meaningful and rewarding career while advocating for patients in a nontraditional...Full timeWork experience placementLocal areaRemote workFlexible hours$2,507 per month
...Client Name Central office Job Type Travel Offering Nursing Profession RN Specialty Utilization Review Job ID 19239171 Job Title RN - Utilization Review (000298) Weekly Pay $2507.0...Weekly payWork at officeShift work$2,014.8 per month
...Lee Health-Corporate Center Job Type Travel Offering Nursing Profession RN Specialty Utilization Review Job ID 38239897 Job Title RN - Utilization Review Weekly Pay $2014.8 Shift...Weekly payShift work$38.66 - $58.32 per hour
...Utilization Review RN Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit...Full timeRemote work$1,387 - $1,858 per week
...RN - Utilization Review Weekly Pay: $1387 - $1858 Shift: 8 hour days Start Date: 10/26/2026 End Date: 01/25/2027 Duration: 13 Week(s) City: Torrance State: CA *Estimated pay and benefits package based on pay range over last 36 months. Exact pay and...Weekly payShift work- ...Utilization Review Nurse Full compliance is required 2 weeks prior to the start date. Hospital rental property limited and based on availability... .... Tuba City Regional Healthcare does not require your RN to have an AZ state license. Tuba City Regional Health Care Corporation...For contractors
- ...Utilization Review Rn Travel Position Job Type: Travel Profession: RN Specialty: Utilization Review Shift Details: Shift 8 HR Days Job Order Details: Start Date 10/26/2026 End Date 01/25/2027 Duration 13 Week(s) Client Details: City Torrance State CA...Shift work
$3,161.25 per month
...Rikers Island Correctional Facility Job Type Travel Offering Nursing Profession RN Specialty Utilization Review Job ID 19020974 Weekly Pay $3161.25 Shift Details Shift 5x8 Days...Weekly payShift work$2,816.09 per month
...Jacobi Medical Center - NYCHH Job Type Travel Offering Nursing Profession RN Specialty Utilization Review Job ID 18960406 Weekly Pay $2816.09 Shift Details Shift 5x8 Days Scheduled...Weekly payShift work$2,879 per month
...Hospitals Corporation-Rikers Island Job Type Travel Offering Nursing Profession RN Specialty Utilization Review Job ID 19030015 Job Title RN - Utilization Review Weekly Pay $2879.0...Weekly payShift work
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