Utilization Review Nurse
Santa Barbara Cottage Hospital
Humana is seeking a Compliance Nurse 2 to review utilization management activities and documentation, ensuring adherence to policies, procedures, and regulations. The role involves analyzing data to assess outcomes and operational metrics and making independent judgments within guidelines. Schedule features a four-day workweek of ten hours, with Wednesday–Sunday or Thursday–Sunday layouts, and shifts between 8:00 a.m. and 8:00 p.m. EST. #J-18808-Ljbffr
- ...Molina Healthcare seeks a Registered Nurse with an Ohio or compact license to join the Care Review Clinician team. You will provide prior authorization for behavioral health services for the Ohio Medicaid population and bring strong behavioral health experience to a fast...Suggested
$34 - $40 per hour
.../hr - $40.00/hr Remote (Compact Licensure Required) - Open to LPN's & RN's About the Role Medix is seeking an experienced Utilization Review Nurse to support our mission of improving patient care through home-based health services. In this role, you will coordinate and...SuggestedFull timeRemote work- ...A leading healthcare solutions company is seeking an experienced Utilization Review Nurse to improve patient care through home-based services. Responsibilities include processing authorization requests, ensuring compliance with Medicare guidelines, and collaborating with...SuggestedRemote work
$18k
...healing ministry within the communities we serve. Our doctors, nurses, and allied health professionals are a regular self-contained... ..., performs criteria-based concurrent and retrospective utilization review to support and encourage the efficient and effective use of resources...SuggestedFull timePart timeLive out$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...SuggestedHourly payPart timeRemote work- 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...Remote workFlexible hoursWeekend workDay shift
$35 - $43 per hour
...Base pay range $35.00/hr - $43.00/hr Job Title Clinical Review Nurse – Concurrent Review Location: Remote (California only – must reside... ...The Clinical Review Nurse – Concurrent Review will perform utilization management functions to ensure members receive the right care...Remote work$35 - $45 per hour
...Base pay range $35.00/hr - $45.00/hr Direct message the job poster from IntePros IntePros is seeking a Remote Utilization Review Nurse serves as a key clinical liaison, coordinating resources and services to meet patients’ needs while ensuring compliance with federal,...Contract workRemote workWeekend work$30 - $38 per hour
...lives. Learn even more about the work that drives us at personifyhealth.com. Responsibilities Job Summary We are seeking Utilization Review Nurse RN to join our team on a part‑time basis, working a minimum of 28 hours per week. The Utilization Review Nurse will provide...Hourly payFull timePart timeWork at officeRemote workMonday to FridayWeekend work- ...A healthcare services provider is seeking a Remote Utilization Review Nurse to coordinate clinical resources, ensuring compliance with healthcare standards. Responsibilities include processing authorizations, reviewing documentation, and collaborating with teams to meet...Contract workRemote work
- ...Currently seeking a Utilization Management RN . Please see details and qualifications below... ...Must have an active PA license or a Nurse Licensure Compact to include PA. ** Minimum... ...conditions through medical record review to determine medical necessity for services...Immediate startRemote workDay shift
- ...Integra Partners is seeking a licensed Practical Nurse (LPN/LVN) experienced in managed care UM to perform pre-service and post-service utilization reviews and appeals for DMEPOS, working with our Medical Director in a NCQA-compliant UM program. You will review benefit...Remote work
- ...Current BLS Certification (AHA/ARC) Current ACLS Certification (AHA/ARC) Preferred Qualifications: Progressive Care Certified Nurse (PCCN) Certification NIHSS Certification Other certifications and licenses may be required for this position Summary: A...Temporary work
$2,014 - $2,117 per week
...Registered Nurse (RN) | Progressive Care Unit Location: New York, NY Agency: AMN Healthcare Pay: $2,014 to $2,117 per week Contract Duration: 13 Weeks Start Date: 8/26/2026 About the Position Job Description & Requirements Registered Nurse...Extra incomeFull timeContract workTemporary workShift work$1,703 - $2,639 per week
...Registered Nurse (RN) | Progressive Care Unit Location: New York, NY Agency: job.com Pay: $1,703 to $2,639 per week Shift Information: Days - 5 days x 8 hours Contract Duration: 13 Weeks Start Date: ASAP About the Position TravelNurseSource...Weekly payFull timeContract workImmediate startShift work$57 - $65 per hour
...Registered Nurse (RN) | Neuro Location: New York, NY Agency: MD Nurse Staffing, LLC. Pay: $57 to $65 per hour Shift Information: Nights - 3 days x 12 hours Start Date: 8/31/2026 About the Position TravelNurseSource is working with MD Nurse...Hourly payWeekly payDaily paidPermanent employmentFull timeContract workLocal areaShift workNight shift$2,146 - $3,059 per week
...Registered Nurse (RN) | Progressive Care Unit Location: New York, NY Agency: job.com Pay: $2,146 to $3,059 per week Shift Information: Days - 3 days x 12 hours Contract Duration: 13 Weeks Start Date: ASAP About the Position Registered...Weekly payFull timeContract workImmediate startShift work$2,828 per week
...Registered Nurse (RN) | Wound/Ostomy Location: New York City, NY Agency: Cynet Health Pay: $2,828 per week Shift Information: Days - 5 days x 8 hours Contract Duration: 13 Weeks Start Date: 8/31/2026 About the Position TravelNurseSource...Full timeContract workFlexible hoursShift work$1,889 per week
...Registered Nurse (RN) | Neuro Location: New York, NY Agency: Medical Solutions Pay: $1,889 per week Shift Information: Nights Start Date: 8/31/2026 About the Position A facility in New York, NY is looking for an exceptional RN (Registered...Full timeContract workReliefLocal areaShift workNight shift$1,900 - $2,053 per week
...Registered Nurse (RN) | Neuro Location: New York, NY Agency: Host Healthcare Pay: $1,900 to $2,053 per week Shift Information... ...was rated #1 in Nursing Satisfaction by MIT Sloan Management Review. No matter if you want to explore the other side of the...Full timeContract workLocal areaImmediate startShift workNight shift$2,053 per week
...Registered Nurse (RN) | Neuro Location: New York City, NY Agency: Cynet Health... ...and informal peer and institutional review processes. Contributes to quality and safety... ...management to ensure appropriate utilization of supplies. Escalates material or staffing...Full timeContract workShift work$2,578 - $2,757 per week
...Registered Nurse (RN) | Wound/Ostomy Location: New York, NY Agency: Host Healthcare Pay: $2,578 to $2,757 per week Shift Information: Days Contract Duration: 13 Weeks Start Date: 8/17/2026 About the Position Host Healthcare is an award...Full timeContract workImmediate startShift work$3,100 per week
...Registered Nurse (RN) | Wound/Ostomy Location: New York City, NY Agency: talent4health Pay: $3,100 per week Shift Information: Days - 4 days x 9 hours Contract Duration: 14 Weeks Start Date: 8/17/2026 About the Position Specializes in...Full timeContract workShift work$2,000 per week
...Registered Nurse (RN) | Neuro Location: New York, NY Agency: Medical Solutions Pay: $2,000 per week Shift Information: Nights Start Date: 8/31/2026 About the Position A facility in New York, NY is seeking its next amazing RN (Registered Nurse...Full timeShift workNight shift$3,100 per week
...Registered Nurse (RN) | Wound/Ostomy Location: New York City, NY Agency: talent4health Pay: $3,100 per week Shift Information: Days - 4 days x 9 hours Contract Duration: 14 Weeks Start Date: 8/17/2026 About the Position TravelNurseSource...Full timeContract workTemporary workShift work$1,860 per week
...Registered Nurse (RN) | Neuro Location: New York, NY Agency: Advantis Medical Staffing Pay: $1,860 per week Shift Information: Nights - 3 days x 11 hours Contract Duration: 13 Weeks Start Date: 8/31/2026 About the Position TravelNurseSource...Full timeContract workImmediate startShift workNight shift$1,860 per week
...Registered Nurse (RN) | Neuro Location: New York, NY Agency: Advantis Medical Staffing Pay: $1,860 per week Shift Information: Nights - 3 days x 11 hours Contract Duration: 13 Weeks Start Date: 8/31/2026 About the Position Advantis Medical...Full timeContract workImmediate startShift workNight shift$1,889 per week
...Registered Nurse (RN) | Neuro Location: New York, NY Agency: Medical Solutions Pay: $1,889 per week Shift Information: Nights Start Date: 8/31/2026 About the Position TravelNurseSource is working with Medical Solutions to find a qualified...Full timeContract workTemporary workReliefLocal areaShift workNight shift$2,000 per week
...Registered Nurse (RN) | Neuro Location: New York, NY Agency: Medical Solutions Pay: $2,000 per week Shift Information: Nights Start Date: 8/31/2026 About the Position TravelNurseSource is working with Medical Solutions to find a qualified...Full timeTemporary workShift workNight shift$2,083 - $2,914 per week
...Registered Nurse (RN) | Progressive Care Unit Location: New York, NY Agency: job.com Pay: $2,083 to $2,914 per week Shift Information: Days - 3 days x 12 hours Contract Duration: 13 Weeks Start Date: ASAP About the Position Registered...Weekly payFull timeContract workImmediate startShift work
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