Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

RN - Utilization Review

TALENT

RN - Utilization Review

Shift: 5 Day Shifts X 8 Hrs

Start Date: 09/14/2026

End Date: 11/07/2026

Duration: 8 Week(s)

City: East Elmhurst

State: NY

TALENT
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the RN - Utilization Review in East Elmhurst, NY vacancy
  •  ...RN - Utilization ReviewNumber of Positions: 1Remaining 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 this position... 
    Suggested

    Compu-Vision Consulting

    East Elmhurst, NY
    1 day ago
  •  ...Skills: ~1 year of non-acute utilization review experience - required ~ RN experience - preferred Certification: New York State RN License Primary Source Verification AHA BLS Shift: ~8:30 AM-5:00 PM ~42.50 houris/week... 
    Suggested
    Shift work

    ATD Technology LLC

    East Elmhurst, NY
    2 days ago
  • $2,940.02 per month

     ...HHC Correctional Health Services Job Type Travel Offering Nursing Profession RN Specialty Utilization Review Job ID 19018147 Job Title RN - Utilization Review (000298) Weekly Pay $2940.02... 
    Suggested
    Weekly pay
    Shift work
    Day shift

    Talent4Health

    East Elmhurst, NY
    3 days ago
  • $55 - $65 per hour

     ...Registered Nurse With Utilization Review Experience A healthcare organization is seeking a Registered Nurse with utilization review experience...  ...in the Queens, NY area and requires an active New York State RN license. The ideal candidate will have experience reviewing... 
    Suggested
    Hourly pay
    Contract work

    ATRIA Consulting

    East Elmhurst, NY
    12 hours ago
  •  ...BlueCross BlueShield South Carolina subsidiary, seeks a Medical Reviewer II (RN) to perform medical claim reviews and determine medical...  ...established guidelines. The role documents decisions and supports utilization review across multiple services. The position is remote,... 
    Suggested
    Remote job
    Full time

    Southcarolinablues

    Brooklyn, NY
    2 days ago
  • $110k

     ...outcomes in the expected time frame and with the most efficient utilization of resources. Carries out activities related to utilization...  ...physician regarding appropriate documentation for justification. Reviews the patient’s plan of care in conjunction with the clinical... 
    Daily paid
    Full time
    Part time
    Flexible hours
    Shift work

    Montefiore Nyack

    Brooklyn, NY
    4 days ago
  • $2,786 per month

     ...Client Name Jacobi Hospital Job Type Travel Offering Nursing Profession RN Specialty Utilization Review Job ID 37930258 Job Title RN - Utilization Review Weekly Pay $2786.0 Shift... 
    Weekly pay
    Shift work

    NYC Health + Hospitals

    Bronx, NY
    2 days ago
  • $2,760 per month

     ...Name Jacobi Medical Center Job Type Travel Offering Nursing Profession RN Specialty Utilization Review Job ID 20525752 Weekly Pay $2760.0 Shift Details Shift 08:00 AM - 05:00 PM... 
    Hourly pay
    Weekly pay
    Permanent employment
    Shift work

    Talent4Health

    Bronx, NY
    5 days ago
  •  ...Summary: Seeking an experienced Registered Nurse specializing in utilization review to assess non-acute cases. This role involves evaluating...  ...utilization. Qualifications: Possess a valid New York State RN license. Have at least 1 year of non-acute utilization... 

    TactStaff

    East Elmhurst, NY
    12 hours ago
  • $77.02k - $117.58k

     ...named one of the Tampa Bay Times’ Top Workplaces. Summary The Utilization Review Nurse is responsible for performing initial, concurrent, and retrospective...  ...Needed: Yes Minimum Licensure: Registered Nurse (RN) Minimum Licensure (Other): Knowledge of utilization management... 
    Full time
    Work at office

    SPEROS

    Brooklyn, NY
    3 days ago
  • MarinHealth is seeking a Utilization Review Nurse II to perform admission, concurrent and retrospective reviews for designated health plans in a 40-hour week on days at Greenbrae, CA. The role requires a BSN preferred, 3+ years of acute care experience, and experience... 

    Marin General Hospital

    Brooklyn, NY
    5 days ago
  • $60.2k - $107.4k

    Optum is a global healthcare organization empowering care through technology. The Utilization Management Nurse role involves reviewing medical records, extracting case details, and crafting defensible appeal letters according to process instructions and guidelines. The... 
    Remote job
    Full time
    Monday to Friday

    Texas Health Institute

    Brooklyn, NY
    1 day ago
  •  ...Job Description Join our team as a day shift/variable, full time, RN Case Manager - Utilization Review, at INTEGRIS Baptist Medical Center, Oklahoma City, OK. Join our team as a day shift/variable, full time, RN Case Manager - Utilization Review, at INTEGRIS Baptist Medical... 
    Full time
    Work at office
    Day shift

    INTEGRIS Health

    Brooklyn, NY
    3 days ago
  • $66.83k - $111.38k

     ...state), West Virginia, Wisconsin, Wyoming. Job Responsibilities Utilization Review Nurse is responsible for utilizing management services within...  ...Nursing preferred. Certification/Licensure: Registered Nurse (RN) License (Compact or Virginia) REQUIRED. Preferred... 
    Remote job
    Permanent employment
    Full time
    Temporary work
    Shift work
    Day shift

    Sentara Health Plans

    Brooklyn, NY
    2 days ago
  • $25 - $31 per hour

     ..., every appeal that lands on your desk is a moment where your review decides what happens next for a real person's care. This role...  ...shouldn't be. Your accuracy and pace are what keep the entire utilization review process trustworthy. Schedule: Monday-Friday, 8:00 AM-5... 
    Hourly pay
    Monday to Friday

    Personify Health

    Brooklyn, NY
    1 day ago
  • INTEGRIS Baptist Medical Center in Oklahoma City, OK is seeking a day shift/variable, full-time RN Case Manager - Utilization Review. You will assess patients, coordinate transfers, and develop discharge plans to optimize resources and patient outcomes. Qualifications... 
    Full time
    Day shift

    INTEGRIS Health

    Brooklyn, NY
    3 days ago
  • Personify Health is seeking a qualified RN to perform medical-necessity reviews, ensuring appropriate care levels and strict adherence to policy language and regulatory requirements. You will evaluate documentation, escalate non-certifications, and coordinate with Medical... 

    Personify Health

    Brooklyn, NY
    1 day ago
  • $23.76 - $51.49 per hour

     ...Provides support for clinical member services review assessment processes. Responsible for...  ...the Molina care model. Adheres to utilization management (UM) policies and procedures....  ...education and experience. Registered Nurse (RN). License must be active and unrestricted... 
    Hourly pay
    Work experience placement
    Work at office

    Molina Healthcare

    Brooklyn, NY
    1 day ago
  • UnitedHealthcare is seeking a Preservice Review RN to review provider requests for medical necessity and benefit level. The role supports self-funded lines and may precept new staff. Availability is required Monday-Friday 8:00 am-5:00 pm PST, with the option to work remotely... 
    Remote job
    Monday to Friday

    Anacalifornia

    Brooklyn, NY
    2 days ago
  • $77.08k - $119.47k

    ## Utilization Review NurseApplylocations: 43 New Scotland Avenue Albany, NY 12208time type: Full timeposted on: Posted Todayjob requisition id: 71163Department/Unit:Care Management/Social WorkWork Shift:Day (United States of America)Salary Range:$77,075.00 - $119,466.... 
    Shift work

    Albany Medical College

    Brooklyn, NY
    2 days ago
  • Work Shift The Utilization Reviewer performs concurrent, extended stay and retrospective reviews of admissions using established criteria to determine...  ...Certification/Registration/Licensure: Current US state RN license with authorization to practice in the state of GA.... 
    Work at office
    Shift work

    Houston Healthcare

    Brooklyn, NY
    2 days ago
  •  ...What you will be doing? The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced Revenue Solutions...  ...a related field required; advanced degree or licensure (e.g., RN, LCSW, LPC, LMHC, or CADC) preferred. Excellent organizational... 
    Work at office
    Local area

    BriteLife Recovery

    Englewood Cliffs, NJ
    4 days ago
  •  ...Oak Street Health seeks a full-time Utilization Management Physician Reviewer to determine coverage for inpatient and outpatient services using UM criteria and clinical judgment. The role emphasizes coordinating with care teams to ensure medically appropriate care and... 
    Full time
    Remote work

    Chicago Derm

    Brooklyn, NY
    4 days ago
  • $230k

     ...helping to simplify health care one person, one family and one community at a time. Company: Oak Street Health Title: Utilization Management Physician Reviewer Location: Fully Remote Salary: $230k per year Role Description This full-time role is responsible for provisioning... 
    Hourly pay
    Full time
    Local area
    Remote work

    Chicago Derm

    Brooklyn, NY
    4 days ago
  • UnitedHealthcare is seeking a Preservice Review RN to review provider requests using Milliman Care Guidelines or Healthcare Operations Protocols. The RN approves those requests meeting medical necessity, benefit level, and provider/facility status for self-funded lines.... 
    Remote job
    Monday to Friday

    ISHE

    Brooklyn, NY
    1 day ago
  •  ...Compass Health Center is seeking a Remote Utilization Review Specialist to obtain insurance authorization for patients receiving Behavioral Health treatment at high levels of care. The UR Specialist serves as a liaison between the clinical team and insurers, helping patients... 
    Remote work

    COMPASS HEALTH CENTER, LLC.

    Brooklyn, NY
    2 days ago
  • $45k - $55k

     ...section below to learn more. If you are a current employee wanting to apply for a different position, clickhere . Back to jobs Utilization Review Specialist Remote Weekly outpatient therapy isn't always enough, and a trip to the ER isn't the only answer. Patients and... 
    Work at office
    Remote work

    COMPASS HEALTH CENTER, LLC.

    Brooklyn, NY
    2 days ago
  • Personify Health is hiring an LVN-licensed reviewer to assess outpatient, inpatient, and mental health pre-certifications for medical appropriateness and necessity. You will also drive post-service reviews to verify medical necessity, escalate complex cases, and coordinate... 

    Personify Health

    Brooklyn, NY
    1 day ago
  •  ...coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Utilization Review Specialist joining our team, you're embracing a vital mission dedicated to making communities healthier. Join us on this... 
    Temporary work
    Part time
    Relief

    Memorial Physician Practices

    Brooklyn, NY
    3 days ago
  • Mesa Springs in Fort Worth, TX is seeking a dedicated Utilization Review Specialist to ensure appropriate inpatient and outpatient authorizations, accuracy in denials and certifications, and effective communication with physicians and care teams. You will apply clinical... 

    Memorial Physician Practices

    Brooklyn, NY
    3 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to RN - Utilization Review. Be the first to apply!