Remote RN Review Analyst - Utilization Review
Walker Healthforce, Inc.
- Remote job
Walker Healthforce, Inc. is seeking a Registered Nurse – Review Analyst for a remote contract role. The position requires at least 2 years of acute care nursing experience and an active RN license. Responsibilities include clinical documentation review, applying utilization management criteria, and supporting inpatient care determinations. Start ASAP with a 40-hour workweek. Equal opportunity employer. Experience with InterQual or MCG utilization review is preferred. #J-18808-Ljbffr Walker Healthforce, Inc.
- ...CVS Health Corporation is seeking an RN Concurrent Review Nurse to join a remote team delivering inpatient clinical expertise to ensure medically necessary... ...license, 5+ years inpatient nursing, and 2+ years in utilization management or discharge planning, with an Associate...Remote workWork from homeMonday to FridayWeekend work
- ...Lahey Health is seeking an experienced Utilization Analyst to validate the medical necessity of hospital... ...include initial and daily reviews, physician education on documentation,... ...to identify improvement opportunities. RN with CDIP/CCM desirable; 5+ years UR/CM...Suggested
- ...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
- ...Sedgwick is seeking a Telecommuter RN for Utilization Review in the United States. The role requires an active RN license, an associate degree... ...utilization review. Certification is a plus. The position offers remote work with a comprehensive benefits package and competitive...Remote work
$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- ...Ascension is seeking a Registered Nurse for Utilization Management in a remote-capable role. This position focuses on reviewing admissions and service requests for medical necessity... ...the organization. The role requires Texas RN licensure and a nursing diploma, with...Remote work
$69.39k - $88.61k
...Cincinnati Children’s is seeking an experienced Utilization Review professional for a remote role in the United States. The position supports case management... ...a Bachelor’s degree in a related field, an active RN/Social Work/Clinical Counselor license, and 2+ years of...Remote workFull time- ...Network has been asked to assist a top health plan partner of ours with a need for an experienced RN Case Manager with Utilization Review/UM experience. This position is remote based and requires an activeMA RN license. (Compact RN license may be possible for other plans)...Remote workContract workMonday to FridayFlexible hours
- ...Cincinnati Children e s Hospital Medical Center is seeking a Remote Utilization Review professional to perform admission and continued stay reviews using InterQual, ensuring medical necessity and appropriate level of care.The role collaborates with Admitting, Financial...Remote work
$1,949.74 per month
...Registered Nurse Specialty Utilization Review Job ID 17979666 Job Title Utilization Review RN Weekly Pay $1949.74 Shift... ...13 Week(s) Job Description Remote Utilization Review RN responsible for concurrent...Remote workWeekly payShift work- ...specific to the LTSS department. RN will be responsible for... ...authorization and concurrent review. Provides monthly telephonic outreach... ...of treatment setting by utilizing the applicable medical policy... ...Additional Info: *possible remote opportunity after training if...Remote workContract workMonday 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$63k - $94k
...Remote Utilization Review Registered Nurse (UR RN) Are you an experienced RN looking to transition away from the bedside while still making a massive impact on patient care? We are seeking a dedicated Utilization Review Nurse to join our remote team. In this role, you...Remote workWork at office10 hours per weekFlexible hoursShift workWeekend workAfternoon shift3 days per week$65k - $85k
...Concierge Home Care | Remote Opportunity | Growth Opportunities | Increased Earning Potential At Concierge Home Care, we are growing and looking for an experienced Utilization Review Specialist (RN) to join our remote home health team. This role is ideal for an RN with...Remote workMonday to FridayWeekend workWeekday work$63k - $65k
...Fortune Best Workplaces in Financial Services & Insurance RN Utilization Review As a nurse at Sedgwick, you can build a meaningful and... ...making an impact on the health and well-being of others in a remote work environment. Enjoy flexibility and autonomy in your...Remote workFull timeWork experience placementLocal areaFlexible hours$119.14k - $184.95k
...Utilization Review RN - REMOTE position. This position is Per Diem and will work 8- hour, Day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA ministries. Conduct clinical reviews and review medical records daily during...Remote workDaily paidMinimum wageLocal areaShift workDay shift- TRISTAR Company is seeking an experienced Utilization Review Nurse for a fully remote role across all states. The job focuses on workers’ compensation utilization... .... The position requires a nursing degree and an active RN/LPN license, with CCM/CMCN/CPHUR/CPDM/CDMS...Remote job
- HonorHealth is seeking a Utilization Review RN Specialist to review and monitor health care utilization, ensuring medical necessity across inpatient and outpatient settings. You will coordinate reviews for Medicare, AHCCCS, and other payers, working with the Care Management...Remote jobDaily paid
- Optum is seeking a Per Diem Utilization Management Nurse to review medical records and craft defensible appeal letters. You will extract pertinent case details, adhere to HIPAA, and follow OPAS/Optum guidelines while meeting time expectations. The role offers telecommuting...Remote jobDaily paidLocal area
$42 per hour
...Ascension Texas Utilization Management Department (Fully Remote) Provides health care services regarding admissions, case management, discharge planning and utilization review. Reviews admissions and service requests within assigned unit for prospective, concurrent...Remote job$38 - $40 per hour
...Title: RN -- Review Analyst Location: Remote Duration: 12 months with possible extension Pay Range: $38.00 - $40.00 (Hourly) Shift: Monday... ...- Perform prospective, concurrent, and retrospective utilization reviews for inpatient, outpatient, ambulatory, and ancillary...Remote workHourly payWork at officeMonday to FridayShift work- ...Job Description Job Description The utilization review and management (UM) component program ensures that external healthcare services provided... ...– 5 pm with one hour for lunch This is an in-office, no remote work capability position Travel ~ Some travel may be...Remote workFull timeWork at office
- Back Registered Nurse - Review Analyst | Remote | Contract Business & Care Management Detroit , Michigan... ...clinical documentation review, apply utilization management criteria, and support... ...Current, unrestricted Registered Nurse (RN) license. Experience with InterQual, MCG...Remote jobWeekly payContract workWork at officeImmediate startWork from homeMonday to Friday
- HealthEdge Software, Inc. is seeking a motivated Utilization Review RN to perform prospective, concurrent, and retrospective review of inpatient and outpatient services to ensure medical necessity and appropriate level of care. This role involves coordinating discharge...Remote jobContract work
$63k - $73k
...balance. Here, there’s no limit to what you can achieve. Utilization Review Nurse (RN) As a nurse at Sedgwick, you can build a meaningful and rewarding... ...an impact on the health and well-being of others in a remote work environment. Enjoy flexibility and autonomy in your...Remote workWork experience placementLocal areaFlexible hours- HonorHealth is seeking an RN Utilization Review Specialist to review and monitor health care service utilization, ensuring appropriate levels of care and medical necessity across admissions and payer types. You will coordinate medical necessity reviews for Medicare, AHCCCS...Remote jobDaily paid
- Ensemble Health Partners is seeking a Lead Utilization Review RN to drive medical necessity reviews, discharge planning, and appeals coordination... ...revenue cycle integrity and patient care quality in a remote US-based environment. You will evaluate admissions, coordinate...Remote job
$63.1k - $94.65k
...qualifications. *Must have current compact RN license, or be willing to obtain*... ...weekend coverage We are seeking Virtual Utilization Review Specialist with at least 1 year Denials... ..., and Abilities Required: ~ This is a remote role which requires access to high speed...Remote workFull timeTemporary workWork at officeLocal areaMonday to FridayShift work$35 - $40 per hour
Sagility is hiring an RN Utilization Management Reviewer to perform day-to-day clinical and service authorization reviews for medical necessity, ensuring... ...2+ years in a clinical setting; CCM a plus. This fully remote US-based role offers competitive benefits, M-F 9:00-5:30...Remote jobHourly payShift workWeekend work$2,347 per week
...Travel RN - Case Management/Utilization Review - Case Management American Traveler Fort Myers, Florida, United States Position ID: P-780116... ...area for in-person badge/ID processing after completing remote orientation Hard document deadline is the Monday prior...Remote workWeekly payShift workDay shift
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