Remote Utilization Review RN - Flexible Hours
Children's Hospital Colorado
- Remote job
Children's Hospital Colorado is seeking a Utilization Review RN to support medical necessity reviews and denial mitigation within a multidisciplinary team. The role is primarily remote with occasional onsite requirements; shifts are variable and may include days/evenings/weekends depending on staffing needs. Licensure as RN and BSN required, with UR experience and BLS/CPR certification. The position emphasizes collaboration with payors, adherence to regulatory standards, and participation in the #J-18808-Ljbffr Children's Hospital Colorado
- ...Technologies LLC is looking for a Utilization Review Nurse to work remotely in Maine. You will conduct reviews... ...candidates should have an active Maine RN license and at least 3 years of... .... Additional benefits include flexible work hours and opportunities for career growth...Remote jobFlexible hours
$65k - $85k
Concierge Home Care is seeking an experienced Utilization Review Specialist (RN) for a fully remote home health role in the US. Salary ranges from $65,000 to... ...while supporting QA and regulatory initiatives. Flexible schedule options and full benefits are included. #J...Remote jobFlexible hours$2,210 per week
...accident insurance and flexible spending also... ...Work-life balance. Remote/hybrid setting (once... ...This individual will utilize clinical knowledge... ...to a second level reviewer. This individual interfaces... ...is not limited to RN, LMSW, LMHC.... ...99.00-$2,399.00 12 hours ago Travel ICU Registered...Remote workFlexible hoursFull timeTemporary workPart timeCasual workWork at officeWork from homeAll shiftsMonday to Friday- Registered Nurse (RN) - Utilization Review Job Description Job Shift:Days Job Type:Full Time The individual... ...accounts, healthcare & dependent flexible spending accounts Employee Assistance... ...Locations Thop Transmountain Campus (Remote) #J-18808-Ljbffr Oracle CorporationRemote workFlexible hoursFull timeWork at officeShift work
- ...Manager of Clinical Utilization Management - Denial... ...CAPosition Type: Hybrid (85% remote, 15% onsite in... ...daily tasks, performance reviews, and any necessary... ...Registered Nursing Program; RN preferred.2. Minimum... ...and be adaptable to flexible work hours.Benefits:...Remote workFlexible hoursPermanent employmentFull timeTemporary work
$77.96k - $120.37k
...Description Job Description The Utilization Review Supervisor RN is responsible for directing the operations... ...sales management. This is a remote position. ESSENTIAL FUNCTIONS &... ...Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance...Remote workFlexible hoursMinimum wageFull timeWork at officeLocal areaNight shift- A healthcare staffing agency is seeking a Utilization Management RN to work remotely from PA, DE, or NJ. The role involves assessing clinical information... .... This position offers a day shift workload with flexible weekends and requires an active PA RN license. #J-1880...Remote jobFlexible hoursWeekend workDay shift
- Spectrum Healthcare Resources seeks a Utilization Manager Registered Nurse (UMRN)... ...entirely from home in a fully remote role. The nurse will review cases, educate patients on... ...with a Monday-Friday schedule of 8 hours per day, requiring an RN with a Bachelor's degree, state...Remote jobWork from homeMonday to Friday
$2,213 per month
...Job Description Job Description RN - Utilization Review - Travel Gross Pay (weekly): $2213.0 Taxable Pay (weekly): 680.0 Non-taxable... ...schedule available Location: Fort Myers, FL Scheduled Hours : 40 \nCompany Description Protouch Staffing is a trusted...Remote jobWeekly payShift work$78k - $88k
Summary We are seeking a skilled Utilization Review Nurse to conduct prior... ...clinical guidelines. Maintain RN license and meet continuing... ...free workspace required. Core hours: 8:00 AM - 6:00 PM ET, with... ...a company that values work flexibility, learning, and career development...Remote jobFlexible hoursFull timeContract workWork at officeWork from home- ...WNS, part of Capgemini, is seeking a remote RN/LPN for utilization review in the United States. The role involves assessing medical necessity, resolving... .... Starting training is 08/03/2026 with a 6-week schedule; regular hours after training run CST. #J-18808-Ljbffr...Remote workWork at office
$35 - $40 per hour
...40.00/hr Location Fully Remote Position Summary The Utilization Review Nurse serves as a key liaison... ...available for after‑hours support as needed. Review... ...active nursing license (RN, LPN, or LVN) in good standing... .... Self‑directed, flexible, and able to work independently...Remote workFlexible hoursContract workWeekend work- Concierge Home Care is seeking an experienced Utilization Review Specialist (RN) to join our remote home health team. This role emphasizes OASIS review, coding accuracy, QA, and remote documentation audits. The ideal candidate holds an active Florida RN license, OASIS certification...Remote job
- Netsmart is seeking a Registered Nurse with solid utilization management experience to perform ED utilization reviews and admissions screening using established criteria. The role requires adept EMR review, strong clinical judgment, and collaboration with ED physicians...Remote job
$30.64 - $45.8 per hour
...Job Description The Utilization Review Nurse gathers demographic... ...CorVel. This is a remote position. ESSENTIAL... ...during work hours in conjunction with the... ...of operation required; RN is required unless local... ...Health Savings Account, Flexible Spending Account Options...Remote workFlexible hoursHourly payMinimum wageFull timeWork at officeLocal area$30.64 - $45.8 per hour
...Utilization Review Nurse The Utilization Review Nurse gathers... ...of CorVel. This is a remote position. Essential... ...regulations during work hours in conjunction with... ...of operation required; RN is required unless local... ...Savings Account, Flexible Spending Account Options...Remote workFlexible hoursHourly payFull timeWork at officeLocal area$26.01 - $56.14 per hour
...EST Location: 100% Remote (U.S. only) About... ...1993. We provide flexible, cost-effective... ...medical journeys. As a Utilization Management (UM)... ...specializing in Medical Review, you’ll play a... ...during work hours, as continuous care... ...Active, unrestricted RN license in your state...Remote jobFlexible hoursHourly payFull timeTemporary workLocal areaMonday to FridayShift work- ...Healthcare seeks an experienced RN to support Arizona Plan... ...member services review processes. The role... ...license and experience with utilization management, prior... ...and outpatient settings. Remote position, must reside in Arizona, with core hours in Mountain Time. The incumbent...Remote job
- Johns Hopkins Health Plans (JHHP) is seeking a Utilization Review Registered Nurse to assess care appropriateness, authorize services, and coordinate discharge planning for plan members. This remote role prioritizes candidates in MD, DC, VA, PA, DE, and FL with strong clinical...Remote job
- Comagine Health is seeking Clinical Utilization Review Nurses (RN) based in Alabama to assess medical necessity and quality of care through prospective... ..., concurrent, and retrospective reviews. This full-time remote role supports compliant, cost-effective care under Alabama...Remote jobFull timeContract work
- Sentara Health Plans is seeking a Utilization Review Nurse/ RN for Medicaid with remote options. The role includes pre-certification, reviews, and care coordination to ensure compliant treatment settings. Weekend coverage is required and self-scheduling applies. Minimum...Remote jobWork at officeWeekend work
- HonorHealth in Arizona seeks an Utilization Review RN Specialist to review and monitor utilization for cost-effective, high-quality care. This... ...and a strong collaboration with physicians and care teams. Remote work is available after training. #J-18808-Ljbffr HonorHealthRemote job
- ...Description Job Description Quick Job Details: Setting: Fully Remote – Utilization Review Schedule: Full-Time, Monday–Friday Hours: Standard Business Hours Job Requirements: Active RN license with Multi-State/Compact License required Minimum 2...Remote workFull timeMonday to Friday
- ...Job Description Quick Job Details: Setting: Fully Remote – Utilization Review Schedule: Full-Time, Monday–Friday Hours: Standard business hours Patient Volume: N/A Job Requirements: Active RN license with Multi-State/Compact license required Minimum...Remote workFull timeMonday to Friday
- ...RN Utilization Review Review patient medical records to assess the appropriateness and medical necessity of... ...(hospital-based) ~ Skilled experience with remote work Length of assignment: 13 weeks Shift / hours per week: M-F 8A-4:30P, with every fifth weekend...Remote workShift workWeekend work
- CorVel Corporation is looking for a Utilization Review Supervisor RN to direct operations in Rancho Cucamonga. The role includes managing day-to-day... ...ensuring quality service, and handling HR matters. This remote position requires strong communication skills, clinical experience...Remote job
- ...Colorado in Aurora, CO, is seeking an Utilization Review RN to support medical necessity reviews and... ...multidisciplinary team. The role is primarily remote with potential onsite shifts, and... .... The position is part time (24 hours/week) within Utilization Management, with...Remote jobPart timeRelocation packageShift workWeekend workAfternoon shift
$65 per hour
...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 (58) | 08:00 16:30 PAY DETAILS (7... ...Pending License accepted: No Fully Remote Position RTO Restrictions: Please...Remote workHourly payLocal areaImmediate startMonday to FridayShift workWeekend work- ...opportunity for a local remote position. Schedule PRN... ...patients. 2 years of utilization review (UR) experience... ...Must live within one hour of the BJC Learning Institute... ...Missouri and Illinois RN licenses. If candidate... ...Care and Dependent Care Flexible Spending Accounts....Remote workFlexible hoursReliefLocal areaMonday to FridayShift work
- ...Responsibilities Responsible for the review of medical records for... ...and the Care Coordination staff utilizing evidence-based guidelines and... ...the market. Job Requirements Remote. Must reside within driving distance... ...1 year experience. California RN license. AHA BLS Ability to...Remote work
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