Remote Utilization Review RN (InterQual) - PA Licensed
The Judge Group, LLC
A healthcare staffing agency is seeking a Utilization Management RN to work remotely from PA, DE, or NJ. The role involves assessing clinical information, determining medical necessity for services, and collaborating with providers. Candidates should have at least three years of Medical/Surgical experience and proficiency with InterQual criteria. This position offers a day shift workload with flexible weekends and requires an active PA RN license. #J-18808-Ljbffr
$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 pay- ...Location: Fully remote (PA RN License or Compact including PA Required), Must Reside in PA, NJ... ...seeking a skilled and detail-oriented Utilization Review RN with a valid PA license (or... ...electronic health records Familiarity with InterQual or Milliman criteria. #J-18808-...Remote workFull timeContract work
- ...Currently seeking a Utilization Management RN . Please see... ...: Position is remote - candidate must... ...tri-state area (PA, DE, NJ) M-F, day... ...have an active PA license or a Nurse... ...Utilization Management and InterQual experience... ...through medical record review to determine...Remote workImmediate startDay shift
- ...Utilization Management – Care ManagementScheduleShift:... ...Assignment Details100% remote position supporting a... ...RequirementsValid California state license required.3 years acute... ...with utilization review, prior authorization,... ....Experience using InterQual criteria.Knowledge of...Remote workWeekend work
- ...A healthcare staffing firm is seeking a skilled Utilization Review RN to join their team. This fully remote position requires a valid PA RN license and prior experience in insurance utilization review. Responsibilities include conducting clinical reviews, applying evidence...Remote work
$78k - $88k
...Gainwell Technologies is seeking a skilled Utilization Review Nurse to perform prior authorization... ...home-based role supports providers, uses InterQual/MCG criteria, requires 3+ years inpatient experience and an active RN license in the U.S. Core hours 8:00 AM–6:00 PM ET...Remote work$78k - $88k
...Summary We are seeking a skilled Utilization Review Nurse to conduct prior authorization, prospective... ...on clinical guidelines. Maintain RN license and meet continuing education... ...in prior authorization reviews using InterQual or MCG. Strong written communication skills...Remote workFull timeContract workWork at officeWork from homeFlexible hours$41 - $45.5 per hour
...Senior Analyst Location: Remote (within plan states:... ...NM, OK, MT, and TN. License Required: Active, unrestricted RN License Must have MCG/InterQual experience. Job... ...health education, and utilization management. Key Responsibilities... ..., and retrospective reviews for inpatient, rehab,...Remote work- ...Fully Remote Utilization Review Position Setting: Fully Remote – Utilization Review Schedule:... ...Hours Job Requirements: Active RN license with Multi-State/Compact License... ...documentation improvement Experience applying InterQual and/or MCG criteria preferred...Remote workFull timeMonday to Friday
- ...TurningPoint Healthcare Solutions is hiring a Utilization Review Nurse to work remotely. The ideal candidate must hold a valid LPN or RN license and possess strong critical thinking and clinical expertise. Responsibilities include performing initial clinical reviews,...Remote work
- ...Bonus Program Job Summary The Utilization Review Nurse is to assess the... ...based UM department with use of Interqual or MCG Prefer clinical experience... ...and make solid decisions License/Certification: Current... ...unrestricted Registered Nurse (RN) license EQUAL OPPORTUNITY EMPLOYER...Remote workFull timeTemporary workLocal area
$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... ...with hospital staff. Candidates must have a current RN license and at least 1 year of clinical experience. Competitive hourly...Remote workHourly payPart time$35 - $43 per hour
.../hr Job Title Clinical Review Nurse – Concurrent Review Location: Remote (California only – must... ...CA or hold an active CA RN license) Duration: 12 months (... ...Concurrent Review will perform utilization management functions to... ...in alignment with InterQual and organizational...Remote work$40.12 - $62.19 per hour
...Utilization Review RNSinai Hospital's Utilization Review operates as a distinct... ...information.This is a Full-time remote position.Responsibilities:The Utilization Review RN reviews the medical record by... ...: Registered Nurse License - Current Maryland license or...Remote workFull time$35 - $45 per hour
...Position: RN / Utilization Review Nurse Location: Sacramento, CA (ON-SITE) Employment Type: Potential... .... Required Qualifications Active Licensed Vocational Nurse (LVN) license. Minimum... ...Comfortable working independently in a remote or office-based setting. Working Conditions...Remote workWeekly payContract workWork at officeMonday to Friday- ...Overview Title: Clinical Review Nurse – Prior... ...Review Location: Fully Remote (PST Time Zone - WA/... ...Review to join our Utilization Management team. In this... ...~ Active RN license (WA; must be in good... ...Authorization review and InterQual experience required...Remote workContract work
$40 per hour
...Registered Nurse (RN) $40/hour - Contract... ...TX Full time remote Candidates must be... ..., concurrent review activities; discharge... ...information regarding utilization management... ...current, unrestricted license in the state of operations... ...experience * MCG or InterQual experience...Remote workFull timeContract workWork at office$35 - $40 per hour
...and analytics. Job Title RN Utilization Management Reviewer Responsibilities Conduct timely... ...criteria (e.g., InterQual) and employ clinical expertise... ...preferred. Valid, current license issued by the Massachusetts... ...weekends. Location: Fully remote work at home role. Secure,...Remote workHourly payTemporary workMonday to FridayFlexible hoursWeekend work- ...great opportunity for a local remote position. Schedule... ...hospitalized patients. ~2 years of utilization review (UR) experience reviewing... ...both Missouri and Illinois RN licenses. ~ If candidate only... ...'s level of care. Uses Interqual Criteria to determine level...Remote workReliefLocal areaMonday to FridayFlexible hoursShift work
- ...Utilization Management Registered NurseDuration: 6 Month... ...outpatient utilization review and prior... ...unrestricted Registered Nurse (RN) license.Associate Degree in Nursing... ..., Precertification, InterQual and/or MCG Guidelines.... ...work independently in a remote environment....Remote workContract work
- ...Utilization Review NurseThis position has a remote option for those living close and will be able to come into the hospital... ...approved screening criteria (InterQual/MCG/Centers for Medicare and... ...Registrations, or CertificationsLVN license in the state of employment or compact...Remote workFull time
- ...Position Summary: The RN Integrated Care Coordinator (UM) provides... ...are required to address utilization review cases. Roles and Responsibilities... ..., unrestricted Texas nursing license or Compact License. Please... ...Requirements This is a remote position. Our whole company works...Remote workLive inFlexible hoursWeekday work
- ...Utilization Review NurseWe are seeking a detail-oriented and experienced... ...The ideal candidate is a licensed Registered Nurse (RN) with experience in... ...clinical guidelines such as InterQual, MCG (Milliman Care Guidelines... ...management department. Remote, hybrid, or on-site...Remote workWork at office
- ...Registered Nurse – Utilization Review (Remote) This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient... ...or medical groups is not applicable). InterQual experience is mandatory; candidates without this...Remote work
$45 - $50 per hour
...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 to... ...graduates of accredited nursing programs with an active New York RN license. #J-18808-LjbffrRemote workHourly pay- ...Comagine Health seeks Clinical Utilization Review Nurses (RN) to assess medical necessity and quality of... ...retrospective reviews. This full-time, remote position requires Alabama licensure and... ...long-term care, provider relations, and PA reviews is valued. #J-18808-Ljbffr...Remote workFull timeContract work
$2,210 per week
...Holidays Work-life balance. Remote/hybrid setting (once... ...: This individual will utilize clinical knowledge and... ...to a second level reviewer. This individual interfaces... ...unrestricted, current nursing license in the state or... ...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
...RN – Utilization Review Location: Everett, WA 98201 Start Date: 05/04/2026 Duration: 13 weeks Schedule... ...: No Certs Required: BLS, WA RN License Will this traveler need to float between... .... Pending License accepted: No Fully Remote Position RTO Restrictions: Please include...Remote workHourly payLocal areaImmediate startMonday to FridayShift workWeekend work- ...Fully Remote Utilization Review Position Setting: Fully Remote – Utilization Review Schedule: Full-Time, Monday–Friday Hours: Standard... ...Patient Volume: N/A Job Requirements: Active RN license with Multi-State/Compact license required Minimum 2 years...Remote workFull timeMonday to Friday
- ...Utilization Management Nurse 2Become a part of our caring... ...QualificationsLicensed Registered Nurse (RN) in an Enhanced Nurse... ...Registered Nurse (RN) licenses.3+ years of experience... ...authorization, claims review, utilization management... ...: While this is a remote position, occasional...Remote workTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday
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