RN - Utilization Review
Compu-Vision Consulting
Job Title: RN - Utilization Review (000298) Keywords: Number of Positions: 1 Remaining Positions: 1 Duties: 1 year of non-acute utilization review experience - required RN experience - preferred This is the pay range that RightSourcing (a part of Magnit) reasonably expects to pay someone for this position, however, as a supplier your expected pay range may vary and/or include certain benefits like: Stipends (for clinical traveler workers only), Medical, Dental, Vision, 401K [include any compulsory benefits such as commissions, incentive bonuses, etc. if applicable]. Skills: 1 year of non-acute utilization review experience - requiredRN experience - preferred Education: Required: New York State RN License, Primary Source Verification, AHA BLS, Languages: English Read Write Speak Attachments: JD.docx Skills:
Required
- Community Nursing
- Quality Improvement
- ...Orison-Solutions-LLC is seeking an experienced Registered Nurse (RN) - Utilization Review to assess medical necessity, appropriateness, and level of care for patients. The RN will review clinical documentation, apply established guidelines, and collaborate with physicians...Suggested
- ...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...SuggestedFull timeRemote work
$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... ...nursing programs with an active New York RN license. #J-18808-Ljbffr kozmetickesluzby....SuggestedRemote jobHourly pay- ...role is specific to the LTSS department. RN will be responsible for providing case management... ...based on authorization and concurrent review. Provides monthly telephonic outreach to... ...appropriateness of treatment setting by utilizing the applicable medical policy and...SuggestedContract workRemote workMonday to FridayFlexible hours
- ...We are seeking an experienced Registered Nurse (RN) - Utilization Review to evaluate the medical necessity, appropriateness, and level of care for patients. The RN will review clinical documentation, apply established medical guidelines, and collaborate with physicians...Suggested
- RN - Utilization Review Travel Profession: RN Specialty: Utilization Review Shift Details: 3 Day Shifts X 11.5 Hrs Job Order Details: Start Date 10/26/2026 End Date 12/19/2026 Duration 8 Week(s) Client Details: City New York State NYShift workDay shift
- ...Job Summary and Responsibilities As our Utilization Management Nurse, you will be a critical... .... Every day, you will meticulously review medical records, authorize services, and... ...outcomes. Collaborates with facility RN Care Coordinators to ensure progression of...
- ...RN - Utilization ReviewKeywords: Number of Positions: 1 Remaining Positions: 1Duties: 1 year of non-acute utilization review experience - required RN experience - preferred This is the pay range that RightSourcing (a part of Magnit) reasonably expects to pay someone for...
- ...A healthcare staffing firm is seeking a skilled Utilization Review RN to join their team. This fully remote position requires a valid PA RN license and prior experience in insurance utilization review. Responsibilities include conducting clinical reviews, applying evidence...Remote work
$2,550 - $2,630 per week
...Job Description Job Description RN – Utilization Review Location: East Elmhurst, NY 11370 Employment Type: Contract – 13 Weeks + Possible Extension Pay Rate Travel: $2,550 – $2,630 per week Local: $69 – $73 per hour Position Summary We are seeking...Hourly payContract workLocal area- ...facility in California is seeking experienced nursing professionals to review medical records and ensure appropriate admission status. The role... ...patient admissions. Candidates must have a valid California RN license and at least two years of clinical experience or a Master...Remote work
- ...A healthcare staffing agency is seeking a Utilization Management RN to work remotely from PA, DE, or NJ. The role involves assessing clinical information, determining medical necessity for services, and collaborating with providers. Candidates should have at least three...Remote workFlexible hoursWeekend workDay shift
$122.91k - $188.02k
Healthfirst is seeking a Medical Peer Reviewer based in Pennsylvania to evaluate medical necessity as part of utilization management. The role requires collaboration with various medical departments and demands flexibility in workload. The hiring range is $122,907 to $1...- Healthfirst in New Jersey is seeking a Medical Peer Reviewer to support the CMO Administration by assessing requests for authorization... ...per week and paid time off; the team collaborates across Utilization Management, Care Management, and medical departments. #J-1880...
- A leading healthcare provider in the United States is seeking a Physician to provide utilization review services. The successful candidate will utilize clinical expertise to review medical records and ensure compliance with guidelines. This role includes reviewing prior...
$65 per hour
...Job Title: Registered Nurse (RN) – Case Management Location: New York, NY 10037 Start... ...manage resources, and ensure appropriate utilization of healthcare services while maintaining... ...discharge planning. Conduct utilization review to ensure appropriate level of care and services...Hourly payWeekly payLocal areaShift work- ...Currently seeking a Utilization Management RN . Please see details and qualifications below: Position is remote - candidate must reside in... ...evaluate members’ clinical conditions through medical record review to determine medical necessity for services. Using advanced...Immediate startRemote workDay shift
- ...Location: Fully remote (PA RN License or Compact including PA Required), Must Reside in PA, NJ, or DE Employment type: Contract... ...Position Overview: We are seeking a skilled and detail-oriented Utilization Review RN with a valid PA license (or Compact)to join our team. This...Full timeContract workRemote work
$61 - $71 per hour
...Job Description Job Description Job Title: RN - Utilization Review Location: New York, NY Job Type: Contract Duration: 8 Weeks Shift: Day Shift | 9:00 AM – 5:00 PM Schedule: Monday–Friday | 8 hours/day Local Candidates Required: Yes Traveler...Contract workLocal areaMonday to FridayShift workDay shift- ...A leading independent review organization is seeking a Utilization Management Physician Reviewer for a full-time remote role. Candidates must possess an active Nebraska medical license and have a minimum of 5 years clinical practice experience. Responsibilities include...Full timeCasual workRemote workMonday to Friday
- ...IntePros is seeking a Physician Reviewer to provide remote support for a healthcare organization. The role involves reviewing medical... ...position offers a collaborative environment with opportunities to leverage clinical expertise in utilization management. #J-18808-Ljbffr...Remote work
- ...Job Description Job Description Vivo HealthStaff is recruiting for a Utilization Review Physician based in New York for a Managed Care Insurance Plan. This position requires 4 days per month on-site. The Utilization Review Physician is the lead clinician for...Remote work
- Mass Digital Health is seeking a Clinical Reviewer LPN for a work-from-home position. The role involves performing retrospective medical reviews based on patient eligibility and contract requirements, requiring clinical expertise and knowledge of Medicaid guidelines. Candidates...Remote jobContract workWork from home
- ...A peer review organization is seeking a full-time remote Utilization Management Physician Reviewer. Ideal candidates must hold an MD, DO, or DPM degree with active board certification and unrestricted medical license in relevant states. The role involves performing detailed...Full timeRemote workWork from home
- A leading medical review organization is seeking Board-Certified physicians in Gastroenterology for a flexible remote opportunity. This role requires conducting independent Utilization Reviews for just 1-2 hours per week, with no minimum commitment. Candidates must have...Remote workFlexible hours
$20 - $30 per hour
A behavioral healthcare organization is seeking a Utilization Review Specialist to conduct clinical auditing and negotiate authorizations. The ideal candidate has a Bachelor's degree in Social Work or Nursing and 1-2 years of healthcare experience. Responsibilities include...- To support the Ethos Medical Management Team, the full-time Utilization Review Specialist will ensure the efficient and timely processing of Utilization Management and Independent Review requests remotely, while maintaining compliance and delivering exceptional client...Full timeWork at officeRemote work
$50k
...lives of patients and their families What to Expect (Job Responsibilities) Complete pre-authorizations, concurrent reviews, and internal utilization review assessments Consult with the multidisciplinary treatment team to gather necessary information for concurrent reviews...Remote job$140 - $145 per hour
...Job Description Job Description Hi, we're Oscar. We're hiring a Physician Reviewer to join our Utilization Management Team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members....Hourly payFull timePart timeLocal areaRemote workWork from homeHome officeWeekend work$2,046 - $2,160 per week
...Registered Nurse (RN) | Dialysis Location: Atlantic City, NJ Agency: TalentBurst... ...shooting when necessary; efficiently utilizes supplies to prevent waste. Understands,... ...center patient care on an as needed basis Review and comply with the Code of Business...Full timeContract workLocal areaShift workNight shiftAfternoon shift
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