Remote RN Care Coordinator: Utilization Review
Parkland Health and Hospital System (PHHS)
- Remote job
Parkland Health and Hospital System (PHHS) is seeking a Care Coordinator to establish efficient care management processes. The role involves assessing patient needs and developing plans of care in collaboration with healthcare teams. This position will be remote, offering flexibility. Ideal candidates must have a nursing degree, two years of relevant care experience, and a valid RN license in Texas. Applicants should demonstrate effective communication skills and knowledge of Medicare regulations. #J-18808-Ljbffr Parkland Health and Hospital System (PHHS)
- ...Needed *This position will be remote only** Employment Type... ...efficient, cost effective care management process by... ...knowledge and skill set related to utilization review, care coordination, performance improvement... ...Must have current, valid RN license or temporary RN license...Remote workTemporary workReliefShift work
- Oregon Health & Science University is seeking a part-time Utilization Review RN to work remotely. This role involves assessing the medical necessity of... ...will collaborate with various teams to enhance patient care and reduce readmission rates. Required qualifications include...Remote jobPart time
- ...provider in Chicago is hiring a Clinical Care Manager to oversee high-quality, patient-centered care through Utilization Review. The role requires an active RN license in Illinois and significant... ...position offers the flexibility of remote work while supporting professional...Remote work
- ...Industrial Asset Management Council, Inc is looking for a Remote RN to join their team. The role requires 2 years of RN experience and Utilization Review expertise, supporting various units in a clinical review capacity. This work-from-home position offers flexible scheduling...Remote workWork from homeFlexible hours
$69.38k - $92.28k
...MVP Health Care seeks a Professional Concurrent Review RN to ensure members receive appropriate care while navigating the healthcare continuum. This hybrid... ...are experienced RNs looking to transition into utilization management, requiring strong clinical judgment and excellent...Remote work- ...Concierge Home Care in Jacksonville, FL is seeking an experienced Utilization Review Specialist (RN) to join its remote home health team. The ideal candidate should have strong expertise in OASIS, coding, QA, and home health documentation review. This role offers flexibility...Remote work
- ...Humana is offering a remote internship opportunity for a Utilization Management Behavioral Health Registered Nurse (RN). This role is part of the DOW SkillBridge Internship and is... ...military spouses. Interns will conduct clinical reviews, communicate with providers, and document...Remote workInternship
- ...Brigham is seeking a Peer-to-Peer Utilization Review Nurse to join the Central... ...with Physician Advisors and Care Management teams. The ideal candidate... ...'s of Science in Nursing, an RN license, and extensive... .... The position offers a remote work model with a flexible schedule...Remote workFlexible hours
$23.76 - $51.49 per hour
...Healthcare is seeking a Registered Nurse (RN) to support clinical member services review and assessment processes. This... ...with teams to promote effective care. Qualified candidates should... ...$51.49 and requires adherence to utilization management policies. #J-18808-LjbffrRemote workHourly pay- ...and e-referral case review and authorization of services utilizing established mental... ...to provide quality care appropriate to clinical... ...resources to coordinate transport for face-... ...is full-time, fully remote (work from home) and... ...clinical license (RN, LMSW, LP, LPC, or...Remote workFull timeWork from homeShift workWeekend workAfternoon shift
$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 time- The Council of State and Territorial Epidemiologists is seeking a Clinical Utilization Review Nurse (RN) to conduct utilization management reviews remotely. Candidates must hold a BA/BS in Nursing, possess a current RN license, and have a minimum of 3 years of clinical...Remote jobFull time
- Medix™ is seeking an experienced RN for a Utilization Review role, allowing you to work from the comfort of home. In this contract-to-hire position... ...and communicate with medical teams to ensure appropriate care levels. Ideal candidates will have at least one year of utilization...Remote jobContract workWork from home
- ...RN Utilization Review City: Apple Valley State: CA Job Type: Travel Discipline: RN Speciality: Utilization... ...Facility Setting: Short Term Acute Care (STAC) Accepting Locals per Radius Rule... .../License: Mandatory Experience: ~ Remote UR RN ~2 year experience ~ Day 5x8-...Remote workContract workTemporary workLocal areaShift workWeekend workDay shift
$2,210 per week
...personalized managed health care, focused on what's... ...Holidays Work-life balance. Remote/hybrid setting (once... ...: This individual will utilize clinical knowledge and... ...to a second level reviewer. This individual interfaces... ...but is not limited to RN, LMSW, LMHC. Successful...Remote workFull timeTemporary workPart timeCasual workWork at officeWork from homeAll shiftsMonday to FridayFlexible hours$65 per hour
...Fully Remote Position Job Title : RN - UTILIZATION REVIEW Location: Everett, WA 98201 Start Date: 05/04/2026 Duration: 13 weeks Schedule Shift: Day 5x8-Hour (08:00 - 16:30) Shift Notes: Days (5×8) | 08:00 - 16:30PAY DETAILS (72 HOURS / 2 WEEKS)...Remote workLocal areaImmediate startMonday to FridayShift workWeekend work$1,949.74 per month
...Nurse Specialty Utilization Review Job ID 17979666... ...Title Utilization Review RN Weekly Pay $1949.7... ...Job Description Remote Utilization Review RN responsible... ...hospital guidelines in an acute care setting. Client Details...Remote workWeekly payShift work- ...Overview Department: Utilization Management Schedule... ...Work Location: Remote Benefits for eligible... ...Do Provide health care services regarding admissions... ...and utilization review. Review admissions... .... Assess and coordinate discharge planning needs...Remote work
- ...in Nevada seeks a Supervisor, Clinical Review to supervise clinical staff conducting utilization reviews. Ideal candidates will have an active RN licensure in Alabama, with 3+ years of... ...skills are crucial. The position offers a remote work option along with comprehensive...Remote work
$75k
...seeking a dedicated Registered Nurse for inpatient utilization review responsibilities. This role requires performing medical... ...informed decisions. Candidates must hold an active RN license and have experience in acute care settings. The starting salary for this position is...Remote work$2,220 per week
...Care Career is seeking a travel nurse RN Utilization Review for a travel nursing job in Hanover, Maryland. Job Description... ...Utilization Review Nurse (Remote) Location: 100% Remote Schedule... ...determine authorization of services • Coordinate with Medical Directors regarding...Remote workWeekly payContract workMonday to FridayShift work$35 - $45 per hour
...Position: RN / Utilization Review Nurse Location: Sacramento, CA (ON-SITE) Employment... ..., accurate, and compliant care decisions in accordance... ...processes. Assist with coordination of peer reviews and communication... ...working independently in a remote or office-based setting....Remote workWeekly payContract workWork at officeMonday to Friday- ...Epidemiologists is seeking a Clinical Review Supervisor to provide operational... ...of clinical staff conducting utilization review activities. This fully remote position requires an RN license and relevant experience in patient care and medical management. The role focuses...Remote work
$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 medical...Remote workHourly pay$34 - $52.7 per hour
...0 facility. This job is REMOTE. FTE: 0.500000 Standard... ...status type and level of care. Refers cases to the physician... ...moonlighter, for a second level review as needed. Facilitates... ...experience is required; Prior utilization management or case management...Remote workHourly payTemporary workShift work- ...Office for 3 months, then remote/hybrid Must have 3-... ...setting doing utilization management. Promotes... ...likely to benefit from care coordination services to include assessing... ...for Physician Advisor review o Care coordination... ...a current Florida RN license. • Handle...Remote workWork at officeLocal area
- CVS Health is looking for a highly skilled Utilization Management Nurse (RN) for a remote position. In this role, you will ensure patients receive appropriate healthcare services through reviews of clinical cases and collaboration with providers. The ideal candidate will...Remote job
$47.69 - $94.06 per hour
...Job Summary The Utilization Review (UR) Nurse supports the Utilization Management (UM) program by... ...years of experience in utilization review, care management, quality management, or... ...Providence St. Peter Hospital Location: Remote, Olympia, WA (work site Providence St Peter...Remote workHourly payFull timeLocal areaShift workDay shift- ...YEAR COMMITMENT**JOB TITLE: UTILIZATION REVIEW/CASE MANAGEMENT – NurseDEPARTMENT... ...of in person and remote considered)GENERAL SUMMARYThe... ...ensures safe transitions of care.GIBSON AREA HOSPITAL & HEALTH... ...DUTIES AND RESPONSIBILITIES1. Coordinate and facilitate patient progression...Remote workFull timeSecond jobWork at officeRelocation packageShift work
$75k
WNS is seeking a Registered Nurse for the role of Utilization Review Specialist. The position involves conducting... ...standards. Successful candidates must possess an active RN license and have at least two years of acute care experience. The position offers a salary of $75,0...Remote job
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote RN Care Coordinator: Utilization Review. Be the first to apply!
- rn per diem nurse Dallas, TX
- temporary rn Dallas, TX
- registered nurse work from home Dallas, TX
- ob gyn rn Dallas, TX
- wound care rn registered nurse Dallas, TX
- operating room travel rn Dallas, TX
- neuro icu registered nurse Dallas, TX
- endoscopy rn Dallas, TX
- public health registered nurse Dallas, TX
- registered nurse residency program Dallas, TX

