Remote Utilization Review RN — Contract Opportunity
HealthEdge Software, Inc.
- Remote job
HealthEdge Software, Inc. is seeking a highly motivated Utilization Review RN to join our team. The RN will perform prospective, concurrent and retrospective reviews of inpatient, outpatient, and ancillary services to ensure medical necessity, appropriate length of stay, and level of care, including appeals initiated by providers and members. Responsibilities include authorizing services, coordinating discharge planning, and documenting outcomes while maintaining regulatory standards. #J-18808-Ljbffr HealthEdge Software, Inc.
$2,038 per week
...is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job... ...healthcare professionals with opportunities designed to meet today’s... ...Review for a Travel contract. Job Details: Job Title:... ...literate; experience working remote; degree accreditation...Contract workRemote workPermanent employmentZero hours contractReliefLocal areaShift workRotating shift- ...options and outside-of-the-box opportunities that focus on your needs and... ...a need for an experienced RN Case Manager with Utilization Review/UM experience. This position is remote based and requires an... ...be required) 40 hours/week Contract Competitive payrates Full benefits...Contract workRemote workMonday to FridayFlexible hours
- ...the LTSS department. RN will be responsible for... ...authorization and concurrent review. Provides monthly... ...treatment setting by utilizing the applicable medical... ..., benefits, and contracts. Ensures member access... ...Additional Info: *possible remote opportunity after training if candidate...Contract workRemote workMonday to FridayFlexible hours
- ...Registered Nurse - Utilization Review The right role can make all the... ...healthcare professionals with opportunities designed to meet today's... ...Utilization Review for a Travel contract. Job Title: Registered... ...; experience working remote; degree accreditation verification...Contract workRemote workRotating shift
$52 - $56 per hour
...role that uses both. We're hiring a contract RN for a New York health plan (... ...medical necessity judgment you built in utilization management. 100% remote (U.S.) | Contract | $52-$56/hr based... ...end: intake, investigation, clinical review, decision and notification Apply...Contract workRemote jobAfternoon shift- Overview Title: Clinical Review Nurse - Prior... ...Location: Fully Remote (PST Time Zone - WA... ...to join our Utilization Management team. In... ...Provides feedback on opportunities to improve the authorization... ...Active RN license (WA; must... ...Employment type: Contract Job function: Health...Contract workRemote work
$3,268 per week
...Travel RN - Case Management/Utilization Review - Case Management American Traveler San Francisco, California... ...with 2 days onsite and 3 days remote per week Day shift schedule, 5x8... ...traveler Maximum RTO of 7 days per contract, with only 1 holiday request...Contract workRemote workWeekly payLocal areaShift workDay shift3 days per week$40 - $50 per hour
Utilization review Registered Nurse ( Post service Medical Review... ...(08:00 AM - 05:00 PM) Remote in California 6+... ...prepayment facility claims for contract compliance, industry... ...a current California RN License Requires at... ...information on benefits, equal opportunity employment, and...Contract workRemote workWork at officeLocal areaShift work- ...A healthcare services provider is seeking a Remote Utilization Review Nurse to coordinate clinical resources, ensuring compliance with healthcare... ...experience in utilization review or home health. This contract role offers a chance to manage healthcare quality efficiently...Contract workRemote work
$55 per hour
...hiring a Concurrent Review Nurse to support... ...space. Location: Remote (must be based in... ...Employment type: 3.5 month contract Pay: $55/hr The... ...case management, utilization management, or... ...within the scope of RN practice in... ...discretion. Equal Opportunity Employer/Veterans/...Contract workRemote workFull timeTemporary workLocal area$1,600 - $1,800 per week
...Hiring: Registered Nurse – Utilization Management Location:... ...(based on experience) Contract Length: 1-year minimum... ..., no telehealth/remote work Minimum Qualifications... ..., and unrestricted RN license Certifications... ..., Utilization Review, or Case Management...Contract workRemote workImmediate startMonday to Friday- ...Concurrent Review RN Immediate need for a talented Concurrent... ...Review RN. This is a 06+ months contract opportunity with long-term potential and is located in US (Remote). Please review the job... ...findings. Educate providers on utilization processes to promote high-...Contract workRemote workImmediate start
- A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care. This... ...communication skills and flexibility are essential. This is a contract position that offers a chance to make a direct impact on...Contract workRemote job
- A global talent management firm is seeking a Utilization Review Nurse for a contract role based in Pennington, NJ. The role involves performing utilization... ...discharge planning. Candidates must have an active RN license in New Jersey, strong analytical skills, and the...Contract workRemote work
$40 per hour
...Care Industry Registered Nurse (RN) $40/hour - Contract for 6 months Must reside in TX Full time remote Candidates must be based in... ...initial, concurrent review activities; discharge care coordination... ...information regarding utilization management requirements and operational...Contract workRemote workFull timeWork at office- Spectraforce is seeking an Utilization Review Registered Nurse (Post-service Medical Review 3) for remote work in California. The role focuses... ...audit of hospital bills to ensure contract compliance and proper billing practices. Strong RN credentials in California and...Contract workRemote job
- ...Clinical Utilization Review Nurses (RN) Based In Alabama Comagine Health is a... ...patient outcomes. Our talented remote workforce spans the... ...and embrace it. We offer opportunities to make a difference from... ...organizational policies, and contract requirements specific to Alabama...Contract workRemote workFull time
- ...Utilization Management RN Remote I'm currently working on a Utilization Management RN opportunity with a health plan client, supporting a temporary... ...optimization. This is a contract role starting 10/15/2026... ...hours. This position will be reviewing prior authorization...Contract workRemote workTemporary workMonday to FridayShift work
- ...Technologies is seeking a Nurse Reviewer to perform clinical reviews to determine... ..., and timely decisions within contract-specific review methodologies.... ...US, with flexible hours and opportunities for ongoing CEU development to maintain RN licensure, plus benefits including...Contract workRemote jobWork from homeFlexible hours
$30 - $45 per hour
...seeking an Operations Specialist III for a contract opportunity in Long Beach, CA. This role requires... ...with experience in Epic EHR and Utilization Review. The selected candidate will perform... ...Medicaid program metrics. This position is remote and offers a pay range of $30-$45 per...Contract workRemote workHourly pay- Location: Fully remote (PA RN License or Compact including PA Required), Must Reside in PA, NJ, or DE Employment type: Contract to full-time hire Position Overview: We are seeking a skilled and detail-oriented Utilization Review RN with a valid PA license (or Compact...Contract workRemote workFull time
- ...Management Location: 100% Remote Schedule: M-F 9:00am... ...have an Illinois state RN license Assess and... ...Summary Works with the Utilization Management team primarily... ...necessity/utilization review and other utilization management... ...Employment type Contract Job function Health...Contract workRemote work
$39 - $40 per hour
...Recruiter at The Judge Group Utilization Management Registered Nurse (RN) Type: 6-Month Contract W2 Location: Remote - but MUST reside in... ...and utilization review. You will be responsible... ...phone number regarding job opportunities, your job application, and...Contract workRemote workDaily paidMonday to FridayShift workWeekend work- ...Job Description: Ascension Texas Utilization Management Department (Fully Remote)Job Summary: Provides health care services regarding admissions case management discharge planning andutilization : Reviews admissions and service requests within assigned unit for prospective...Contract workRemote work
- ...Utilization Management RN - Prior Authorization Immediate need for a talented Utilization Management... ...Authorization. This is a 12+ Months Contract opportunity with long-term potential and is located in US (Remote). Please review the job description below and contact...Contract workRemote workWork at officeImmediate start
- RN / Medical Reviewer / Remote Job Details Professional Discipline : Registered Nurse Specialty : Utilization Review Employment Type : Full Time City :... ...knowledge. This is a REMOTE opportunity for candidates living... ...criteria and contract benefits. Utilize allocated...Contract workRemote jobFull timeLocal areaShift work
- ...applicants Job Title:Clinical Review Nurse (RN) - Utilization Management Location:Oregon... ...type Employment type Contract Job function Job function... ...Management Nurse (Future Opportunities) Oregon, United States $34... ...Clinical Program Coordinator RN *Remote* Clinical Program...Contract workRemote work
- ...Behavioral Health Utilization Manager will perform concurrent... ...and discharge reviews on assigned patients.... ...coverage and facility contract status prior to processing... ...systems Work Schedule: Remote Other Requirements:... ...Community is an Equal Opportunity Employer. Harris...Contract workRemote workWork experience placement
$35 - $40 per hour
....00/hr - $40.00/hr Location Fully Remote Position Summary The Utilization Review Nurse serves as a key liaison in coordinating... ...Current, active nursing license (RN, LPN, or LVN) in good standing with... ...Mid‑Senior level Employment Type Contract Job Function Quality Assurance...Contract workRemote workFlexible hoursWeekend work- ...Flexible Independent Contractor (1099) Remote Opportunity Required State Medical License in one... ...ABOUT MRIoA Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally... ...) specializing in technology-driven utilization management and clinical medical review...Contract workRemote jobFor contractorsFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Utilization Review RN — Contract Opportunity. Be the first to apply!



