RN Registered Nurse Utilization Review / Case Management
$100 per hourWhite Glove Placement New York
Seeking an experienced Registered Nurse for an 8-week travel assignment in Utilization Review. This role is ideal for an RN with experience in clinical investigations, medical record reviews, and non-acute utilization review. Position Details Specialty: Utilization Review / Case Management Assignment Length: 8 weeks Schedule: Monday-Friday, 8:30 AM-5:00 PM Requirements Active NY Registered Nurse (RN) license AHA BLS certification Minimum 1 year of non-acute utilization review experience required RN experience preferred Experience with nursing investigations and clinical/medical record reviews Employee Benefits Competitive, high-paying assignments Housing + Meals Stipend $100 Benefits Card Friday payday Paid Sick Leave Medical & Dental Coverage Employee Shopping Discounts Referral Rewards Program Mental Health Support Financial Wellness Programs Why Work with Us White Glove Placement isn't your average agency-we're a team built for today's nurses. Based in New York and trusted across the U.S., we combine premium travel opportunities with personal support that puts you first. From competitive pay packages to concierge-level service, we help you grow your career while living life on your terms. Wherever your journey takes you, we've got your back.
#WGBIDS
#J-18808-Ljbffr White Glove Placement New York- ...Job Title: RN - Utilization Review Position Summary We are seeking a Utilization Review Registered Nurse (RN) to review patient records and determine the appropriateness... ...utilization. Coordinate with case management and insurance teams as needed. Document...Suggested
- ...to the LTSS department. RN will be responsible for providing case management services and evaluating... ...authorization and concurrent review. Provides monthly... ...of treatment setting by utilizing the applicable medical policy... ...NY Requires an AS/BS in Nursing At least 2 years of...SuggestedContract workRemote workMonday to FridayFlexible hours
$35 - $40 per hour
...through service offerings for clinical, case management, member engagement, provider... ...containment, and analytics. Job Title RN Utilization Management Reviewer Responsibilities Conduct timely... ...Massachusetts Board of Registration in Nursing. 1 to 2 years of Utilization...SuggestedHourly payTemporary workRemote workMonday to FridayFlexible hoursWeekend work- ...Power of Every One. Job Title Utilization Management RN Reviewer Location Cleveland Facility Remote... ...that the UR process for the case was followed. Attend all staff... ...of an accredited school of nursing Current state licensure as a Registered Nurse (RN) Basic Life Support...SuggestedFull timeWork at officeRemote workShift workWeekend work
$57.24k - $62.18k
...Nurses – are you looking for a change... ...in personalized managed health care,... ...individual will utilize clinical knowledge... ...a second level reviewer. This... ...interfaces with case managers and disease... ...QUALIFICATIONS: Registered Nurse with valid... ...not limited to RN, LMSW, LMHC. Must...SuggestedTemporary workWork at officeRemote workMonday to FridayFlexible hours- ...Currently seeking a Utilization Management RN . Please see details and qualifications... ...an active PA license or a Nurse Licensure Compact to include... ...through medical record review to determine medical necessity... ...information when needed. Refer cases that do not meet criteria to...Immediate startRemote workDay shift
$35 - $45 per hour
...IntePros is seeking a Remote Utilization Review Nurse serves as a key clinical... ...Medicare guidelines. Refer cases outside established guidelines... ...communication with payer plan case managers, patients, and provider... ...professional nursing program (RN, LPN, or LVN). Minimum of...Contract workRemote workWeekend work- ...A healthcare services provider is seeking a Remote Utilization Review Nurse to coordinate clinical resources, ensuring compliance with healthcare... ...or home health. This contract role offers a chance to manage healthcare quality efficiently while working remotely. #J-1...Contract workRemote work
$85k - $95k
..., and pre-admission reviews to determine medical... ...ensure appropriate utilization of services according... ...Collaborate with physicians, case managers, and insurance... ...3 years of clinical nursing experience (medical-... ...) Current, active Registered Nurse (RN) licensure Prior...Shift work- Job Summary: The Registered Nurse in Utilization Review is responsible for managing and evaluating patient care within acute hospital... ...evidence-based guidelines. The RN collaborates with... ...medical necessity criteria, and case management. Proficient in InterQual...Remote workDay shiftWeekday work
$2,507 per week
...Registered Nurse (RN) | Utilization Review Location: New York, NY Agency: Infojini Healthcare Pay: $2,507 per week Shift Information: 3 days x 11 hours Contract Duration: 8 Weeks Start Date: 10/26/2026 About the Position TravelNurseSource...Daily paidPermanent employmentFull timeContract workTemporary workImmediate startFlexible hoursShift work$2,507 per week
...Registered Nurse (RN) | Utilization Review Location: New York, NY Agency: Infojini Healthcare Pay: $2,507 per week Shift Information: 3 days x 11 hours Contract Duration: 8 Weeks Start Date: 10/26/2026 About the Position RN - Utilization...Full timeContract workShift work$45 - $50 per hour
...Staffing is looking 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... ...nursing programs with an active New York RN license. #J-18808-Ljbffr...Remote jobHourly pay- ...Responsibilities Review and evaluate electronic... ...and ensure proper utilization of healthcare... ...Current and unrestricted RN license At least 3... ...medical/surgical nursing At least 2 years utilization management experience in acute... ...in Nursing (BSN) Case Management Certifications...For contractorsReliefWork at officeRemote work
- ...In partnership with nursing home operators, these... ...Advantage plans manage medical risk by improving... ...JOB SUMMARY: The Utilization Review Nurse is to assess the... ...provided Certify cases that meet clinical review... ...and unrestricted Registered Nurse (RN) license EQUAL OPPORTUNITY...Full timeTemporary workLocal area
$65 per hour
Job Title: Registered Nurse (RN) - Case Management Location: New York, NY 10037 Start Date: April 19, 2026... ...resources, and ensure appropriate utilization of healthcare services while maintaining... ...planning. Conduct utilization review to ensure appropriate level of care...Hourly payWeekly payLocal areaShift work- ...Job Title: Utilization Management Registered Nurse (UM RN) – SNF / MLTC Location: Remote (Must reside in NY, NJ,... ...experience conducting utilization reviews within a SNF, health plan, or managed... ...nurse practitioners, social workers, case managers, therapists, and facility...Full timeRemote workMonday to Friday
- ...Responsible for clinical review of utilization requests and... ...member of the Utilization Management Team. KEY RESPONSIBILITIES... ...and refers cases that do not meet established... ...accredited School of Nursing. Current, active,... ...license to practice as a Registered Nurse in the State of...
$63k - $94k
...Remote Utilization Review Registered Nurse (UR RN) Are you an experienced RN looking to transition away from the bedside while still making a massive... ...initiate timely physician advisor referrals. Denial Management & Appeals: Coordinate the Peer-to-Peer (P2P) process...Work at officeRemote work10 hours per weekFlexible hoursShift workWeekend workAfternoon shift3 days per week$63.1k - $94.65k
...technology-enabled revenue cycle management solutions for health systems... ...*Must have current compact RN license, or be willing to obtain* NICU and/or Pediatric nursing experience is strongly... .... Schedule Information: Our Utilization Review team provides coverage seven...Temporary workWork at officeLocal areaRemote workFlexible hoursShift work- ...Cleveland Clinic is seeking an Utilization Management RN Reviewer to support remote operations from home. The role covers admission and concurrent reviews, and ensures medical necessity criteria are applied to hospital stays and discharges. Qualifications include RN...Remote work
- ...Cleveland Clinic Health System is seeking an experienced Utilization Management RN Reviewer to work remotely with a focus on admission, concurrent and retrospective reviews. The role supports payer communications, data collection, and clinical decision-making to ensure...Work at officeRemote work
- ...WNS, part of Capgemini, seeks a remote Utilization Review Nurse to perform medical necessity reviews and collaborate with providers to ensure compliant... ...team-oriented environment. Requirements include active RN or LVN licensure, a minimum of two years in utilization...Work at officeRemote work
- ...Determine that the case is assigned to the... ...appropriate team for review (e.g., Medicare,... ...research Identify and utilize appropriate... ...authorizations/denials, case management documentation)... ...to the practice of nursing, in order to achieve... ...Qualifications: Valid RN license in Hawaii...Remote jobWork at office
- Medix is seeking a Remote Utilization Review Registered Nurse (UR RN) to bridge clinical care and hospital operations from a remote setting. Join a team... ...necessity reviews, utilization monitoring, denial management, and collaboration with care managers and payer teams,...Remote jobFlexible hoursShift work
$31 - $35 per hour
Opportunity Overview The Clinical Review & Correspondence RN plays a critical role in supporting utilization management operations by conducting... ...What you’ll need Registered Nurse with active, unencumbered license... ...utilization management and case management programs...Full timeRemote workFlexible hoursShift work- Community Care is seeking a Registered Nurse to perform utilization review and coordinate care for members across the health care continuum. You will assess medical necessity, document decisions, and collaborate with physicians and care teams to optimize outcomes. In this...
$63.1k - $94.65k
...of a partner company, which manages all applications and next... ...Our partner is looking for a Utilization Review RN based in the United States.... ...opportunity for a registered nurse who combines strong clinical... ...clinical indicators. Refer cases to physician advisors when...Temporary workPart timeWork at officeRemote workFlexible hoursShift workAfternoon shift- ...Plans, a division of American Health Partners Inc., seeks a Utilization Review Nurse to assess medical necessity and quality of care. You will support... ...while coordinating care for plan members. The role requires RN licensure with UR experience; CCM is a plus. The position...
$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 $...
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