Remote Utilization Review Nurse (RN)
$47.06k - $70.24kCare Options For Kids
A healthcare solutions provider is seeking a Utilization Review Nurse in Fort Worth, TX. This remote role involves analyzing medical bill appropriateness, documenting findings, and communicating with claims examiners. Candidates must have a current RN license and at least four years of clinical experience, particularly in medical bill auditing. Competitive salary range is between $47,061 and $70,236. Comprehensive benefits offered including health insurance and 401K options. #J-18808-Ljbffr
Vacancy posted 10 hours ago
Similar jobs that could be interesting for youBased on the Remote Utilization Review Nurse (RN) in Fort Worth, TX vacancy
$30 - $38 per hour
...A healthcare organization is seeking a part-time Utilization Review Nurse RN to conduct assessments and reviews for medical necessity of treatment requests. This role involves working 28 hours per week with responsibilities such as providing reviews for pre-certification...Remote workHourly payPart timeSanta Barbara Cottage Hospital
New York, NY3 days ago- ...POSITION SUMMARY: The Utilization Review Registered Nurse (UR RN) is a key contributor to the delivery of appropriate, efficient, and cost-effective... ...preferred. • Basic Life Support (BLS) certification as required for facility based staff; optional for remote staff.Remote workWork at office
Nexus Health Systems
Houston, TX4 days ago $35 - $45 per hour
...Position: RN / Utilization Review Nurse Location: Sacramento, CA (ON-SITE) Employment Type: Potential contract to hire Pay Range: $35.00... ...paced environment. Comfortable working independently in a remote or office-based setting. Working Conditions: May...Remote workWeekly payContract workWork at officeMonday to FridayCanon Recruiting Group
Sacramento, CA2 days ago- ...Providence Health Plan Group is seeking an RN for Utilization Review. This remote position requires strong clinical skills and knowledge in Utilization... ...candidates have at least an Associate's Degree in Nursing and a California RN License. Providence offers extensive...Remote workDaily paidPart timeShift work
Providence Health Plan Group
Irvine, CA2 days ago $30 - $38 per hour
...personifyhealth.com. Responsibilities Job Summary We are seeking Utilization Review Nurse RN to join our team on a part‑time basis, working a minimum... ...communication skills to successfully perform in a remote healthcare environment. Ability to perform the essential job...Remote workHourly payFull timePart timeWork at officeMonday to FridayWeekend workSanta Barbara Cottage Hospital
New York, NY3 days ago$32 - $48 per hour
...RN-Utilization Review/Case Manage Nurse - RFT Gibson City, IL 60936 Overview Salary Range $32.00 - $48.00 Hourly Position Type Full Time... ...Full time position. Hybrid (combination of in person and remote considered) GENERAL SUMMARY The Utilization Review...Remote workHourly payFull timeWork at officeRelocation packageShift workGibson Area Hospital
Gibson City, IL4 days ago$35 - $45 per hour
Position: RN / Utilization Review Nurse Location: Sacramento, CA (ON-SITE) Employment Type: Potential contract to hire Pay Range: $35.00 - $45.00/... ...paced environment. Comfortable working independently in a remote or office-based setting. Working Conditions May on occasion...Remote workWeekly payContract workWork at officeMonday to Friday$35.5 - $53.25 per hour
...Management Group: Charlotte - Utilization Management Status: Part... ...Performs admission and concurrent reviews. Applies clinical... ...from an accredited School of Nursing required. Bachelor's degree in... ...preferred. applicable state RN licensure required. Related experience...Remote workDaily paidFull timeContract workTemporary workPart timeWork at officeFlexible hoursShift workDay shiftIntelyCare
United States1 day ago- ...responsible for coordinating patient care and ensuring proper utilization of resources. The role involves managing medical... ...least two years of acute care experience and a Registered Nurse license. This is a remote position with a Tuesday to Saturday schedule and requires...Remote workLocal area
Santa Barbara Cottage Hospital
New York, NY3 days ago $40.12 - $62.19 per hour
...Utilization Review Nurse RN - Grace Medical Center ~ Baltimore, MD ~GRACE MEDICAL CENTER ~Part-time - Weekends - Day shift - 8:00am-4:30pm ~RN OTHER ~96385 ~$40.12-$62.19 Experience based ~ Posted: April 28, 2026 Apply Now Save Job Saved...Part timeShift workWeekend workDay shift$30 - $34 per hour
...A healthcare services company is seeking an experienced Utilization Review Nurse to work remotely. The ideal candidate must hold an active LVN license in California and have experience in outpatient utilization management. Responsibilities include approving or denying...Remote workHourly payAstrana Health
California, MO1 day ago$75k
...HealthHelp is looking for a Registered Nurse to perform inpatient utilization reviews, ensure compliance with medical... ...outcomes. This role requires a current RN license, two years of acute care... ...schedule and the possibility of remote work, with a base salary starting at...Remote workFlexible hoursHealthHelp
New York, NY3 days ago$38 - $40 per hour
...REMOTE - Candidates must be based in Texas: Austin area... .../Collin Counties RN working in the insurance... ...performing initial, concurrent review activities; discharge... ...information regarding utilization management requirements... ...) ~ Registered Nurse (RN) with a valid, current...Remote workHourly payContract workWork at officeMadea Home Care Services
Plano, TX2 days ago$65k - $78k
...and career development. Summary We are seeking a skilled Utilization Review Nurse to conduct prior authorization, prospective, concurrent, and... ..., and stay updated on clinical guidelines. Maintain RN license and meet continuing education requirements. What...Remote workFull timeContract workWork at officeWork from homeFlexible hoursGainwell Technologies
United States2 days ago$85.99k - $105.34k
...focused healthcare organization in Oregon is seeking a Utilization Review Nurse for a full-time remote position. The role involves evaluating clinical... ...interdisciplinary teams. Applicants should have an active RN license and at least five years of direct patient care...Remote workFull timeUmpqua Health
Roseburg, OR10 hours ago- ...Utilization Review Nurse (RN) Neuropsychiatric Hospitals is looking for a Utilization Review Nurse (RN) to coordinate patients' services across... ...teams. This position will support multiple hospitals both remotely and traveling onsite to the hospitals. Location: REMOTE...Remote workWork at office
NeuroPsychiatric Hospitals
United States2 days ago - ...Utilization Review Nurse Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage... ...Experience: ~3+ years of clinical nursing experience as an RN, preferably in a hospital setting ~2+ years of utilization...Remote workWork at office
Martins Point Health Care
Portland, ME5 days ago - ...Pacemakers etc. Registered Nurse must have 1+ years of bedside... ...preferred. The Registered Nursing (RN) is responsible for performing... ...quality, evaluation, resource utilization, and environmental health)... ...that are available as remote work, Sentara Health employs...Remote workTemporary workShift workDay shift
Sentara Health
Norfolk, VA11 hours ago $70 per hour
...General Hospital is seeking a Travel Registered Nurse for the Cardiac Procedural & Surgical... ...Care Unit! Travel Registered Nurse (RN) - Cardiac Procedural & Surgical Intermediate... .... For positions that are available as remote work, Sentara Health employs associates...Remote workPermanent employmentFull timeContract workTemporary workShift workNight shiftSentara Health
Norfolk, VA11 hours ago- ...insurance group in Omaha seeks a full-time Utilization Review Nurse to oversee treatment requests and... ...guidelines. Candidates should have a BSN or RN degree and at least 5 years of clinical... .... The position offers options for remote work, health insurance, and other competitive...Remote jobFull time
$35 - $45.94 per hour
...Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review team. About The... ...Utilization Review. Work Location This is a remote position, open to candidates who reside... ...Requirements Active, unrestricted RN licensure from the United States in [state...Remote workHourly payFull timeWork from homeHome officeOscar Health
New York, NY3 days ago- ...center, is seeking a Registered Nurse for our Surgical Trauma... ...Overview: The Registered Nursing (RN) is responsible to perform a competent... ...quality, evaluation, resource utilization, and environmental health)... ...that are available as remote work, Sentara Health employs associates...Remote workTemporary workImmediate startRelocation packageShift workNight shift
Sentara Health
Norfolk, VA11 hours ago - ...applicants This is full-time remote, but candidates must reside in... ...Contract: 12/22/2025 to 03/31/2026 RN working in the insurance or... ...accurate and timely medical review of claims suspended for medical... ...prioritization skills. Registered Nurse (RN) with unrestricted license...Remote workFull timeContract work
Innovative Systems Group
Richardson, TX10 hours ago $35 - $40 per hour
...Range $35.00/hr - $40.00/hr Location Fully Remote Position Summary The Utilization Review Nurse serves as a key liaison in coordinating resources and... ...vocational nursing. Current, active nursing license (RN, LPN, or LVN) in good standing with the Arizona...Remote workContract workFlexible hoursWeekend workIntePros
Phoenix, AZ5 days ago$35 - $43 per hour
...0/hr - $43.00/hr Job Title Clinical Review Nurse – Concurrent Review Location: Remote (California only – must reside in CA or hold an active CA RN license) Duration: 12 months (with potential... ...– Concurrent Review will perform utilization management functions to ensure...Remote workIMCS Group
New York, NY3 days ago$2,284 per week
...Registered Nurse (RN) | Neonatal Intensive Care Unit Location: San Francisco, CA... ...of those recognitions are fueled by real reviews by real travel nurses and allied healthcare... ...since a lot of our team has been working remote since the pandemic), but you are part of...Remote workHourly payFull timeContract workWork at officeShift workWeekend workTravelNurseSource
San Francisco, CA3 hours ago- ...OverviewTitle: Clinical Review Nurse – Prior Authorization ReviewLocation: Fully Remote (PST Time Zone - WA/OR Resident)Duration... ...Review to join our Utilization Management team. In this role,... ...as assignedQualificationsActive RN license (WA; must be in good standing...Remote work
SPECTRAFORCE
Washington DC3 days ago - ...Description Description: Nurses – are you looking for a... ...Work-life balance. ~ Remote/hybrid setting (once... ...This individual will utilize clinical knowledge and... ...decision to a second level reviewer. This individual... ...but is not limited to RN, LMSW, LMHC. # Must have...Remote workTemporary workWork at officeWork from homeMonday to FridayFlexible hours
Hines & Associates Inc
Rockford, IL2 days ago $2,183 per week
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Oklahoma City, OK1 day ago- ...great opportunity for a local remote position. There is no... ...0pm. Requirements 2 years of RN experience performing care for... ...hospitalized patients 2 years of Utilization Review (UR) experience reviewing hospital... ...Requirements Education Nursing Diploma/Associate's Experience...Remote workFull timeReliefLocal areaWork from homeMonday to FridayFlexible hoursShift work
BJC HealthCare
Kansas City, MO1 day ago
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