Remote RN Utilization Review Clinician
Providence Health & Services
- Remote job
Providence Health & Services is seeking an RN Utilization Review professional to work remotely for per diem shifts in Mission Hills, California. This role will conduct utilization reviews for Southern CA ministries, requiring a strong clinical background and knowledge in utilization management. Applicants should hold an Associate's Degree in Nursing, a California Registered Nurse License, and have 2 years of experience in a remote UR environment. Comprehensive benefits are offered, including a retirement plan and health insurance. #J-18808-Ljbffr Providence Health & Services
$23.76 - $51.49 per hour
...Provides support for clinical member services review assessment processes. Responsible for... ...the Molina care model. Adheres to utilization management (UM) policies and procedures.... ...education and experience. Registered Nurse (RN). License must be active and unrestricted...Remote workHourly payWork experience placementWork at office$23.76 - $51.49 per hour
...SummaryProvides support for clinical member services review assessment processes. Responsible for... ...the Molina care model. • Adheres to utilization management (UM) policies and procedures.... ...and experience. • Registered Nurse (RN). License must be active and unrestricted...Remote workHourly payWork experience placementWork at office- ...Santa Barbara Cottage Hospital is seeking a qualified RN or LPN to perform remote utilization reviews. The ideal candidate will ensure compliance with policies and collaborate effectively with client personnel for resolution of escalated cases. This position requires at...Remote workWork at office
$2,109 per week
...Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Santa Rosa... ...patient care begins with clinicians who feel supported, respected, and empowered... ...smarter. **Exciting Opportunity for a Remote Utilization Review Registered Nurse!...Remote workZero hours contractFlexible hoursShift workWeekend workDay 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$47.06k - $70.24k
...A healthcare solutions provider is seeking a Utilization Review Nurse in Fort Worth, TX. This remote role involves analyzing medical bill appropriateness, documenting... ...claims examiners. Candidates must have a current RN license and at least four years of clinical...Remote work- ...Providence Health Plan Group is seeking an RN for Utilization Review. This remote position requires strong clinical skills and knowledge in Utilization Management. Responsibilities include conducting reviews for Southern CA ministries and managing diverse workloads. Ideal...Remote workDaily paidPart timeShift work
- ...Vaya Health is seeking an IDD UM Clinician for a remote position based in North Carolina. The role involves conducting utilization review tasks, collaborating with care coordinators, and... ...Master's degree in a relevant field or RN licensure is required, along with two years...Remote work
$35 - $45 per hour
...Position: RN / Utilization Review Nurse Location: Sacramento, CA (ON-SITE) Employment Type: Potential contract to hire Pay Range: $35... ...paced environment. Comfortable working independently in a remote or office-based setting. Working Conditions: May...Remote workWeekly payContract workWork at officeMonday to Friday$34 - $40 per hour
...pay range $34.00/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... ...guidelines . Provide feedback to clinicians on medical necessity, homebound...Remote workFull time$35 - $45 per hour
...poster from IntePros IntePros is seeking a Remote Utilization Review Nurse serves as a key clinical liaison... ...requirements. Provide feedback to clinicians on accurate assessments, homebound... ...accredited professional nursing program (RN, LPN, or LVN). Minimum of two years of...Remote workContract workWeekend work- ...oversee high-quality, patient-centered care through Utilization Review. The role requires an active RN license in Illinois and significant experience in healthcare... ...providers. This position offers the flexibility of remote work while supporting professional growth and a...Remote work
- ...POSITION SUMMARY: The Utilization Review Registered Nurse (UR RN) is a key contributor to the delivery of appropriate, efficient, and cost-effective... ...preferred. • Basic Life Support (BLS) certification as required for facility based staff; optional for remote staff.Remote workWork at office
$30 - $38 per hour
...personifyhealth.com. Responsibilities Job Summary We are seeking Utilization Review Nurse RN to join our team on a part‑time basis, working a minimum... ...communication skills to successfully perform in a remote healthcare environment. Ability to perform the essential job...Remote workHourly payFull timePart timeWork at officeMonday to FridayWeekend 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 jobHourly pay$32 - $48 per hour
...RN-Utilization Review/Case Manage Nurse - RFT Gibson City, IL 60936 Overview Salary Range $32.00 - $48.00 Hourly Position Type Full... ...REQUIREMENTS: Full time position. Hybrid (combination of in person and remote considered) GENERAL SUMMARY The Utilization Review/...Remote workHourly payFull timeWork at officeRelocation packageShift work- ...COMAGINE HEALTH is seeking Clinical Utilization Review Nurses (RN) for a full-time remote position focused on assessing the medical necessity of healthcare services in Alabama. Candidates must hold an active RN license and possess a BA/BS in nursing, alongside a minimum...Remote workFull time
$45k - $70k
...A leading healthcare company is looking for a Utilization Management Nurse Reviewer to ensure medical services are appropriately utilized. Responsibilities include conducting assessments, reviewing patient records, and collaborating with healthcare providers. A valid nursing...Remote work- ...outcomes, and love your Mondays as the Nurse Director Utilization Review and Case Management at an award winning hospital... ...-assisted decision support, virtual nursing, and remote monitoring; clear investment in clinician well-being through staffing resources and burnout...Remote workWeekend work
$35 - $45 per hour
Position: RN / Utilization Review Nurse Location: Sacramento, CA (ON-SITE) Employment Type: Potential contract to hire Pay Range: $35.00 - $45... ...-paced environment. Comfortable working independently in a remote or office-based setting. Working Conditions May on occasion...Remote workWeekly payContract workWork at officeMonday to Friday$27.02 - $48.55 per hour
...Purpose Performs a clinical review and assesses care... ...quality and appropriate utilization of services Provides education... ...Health Professional or RN to join our team! The... ...for behavioral health clinicians required. Clinical... ...approach to work with remote, hybrid, field or office...Remote workHourly payFull timeContract workPart timeWork at officeFlexible hours$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- ...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 work
- ...health, access to care and appropriate utilization of resources, balanced with the patient’... ...oversee work delegated to Central Utilization Review LVN/LPN Case Manager and/or Central... ...Location DAYS: Tuesday thru Saturday schedule. Remote, but you must live locally in AZ. #J-188...Remote workWork at office
$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$45.9 - $71.4 per hour
...Utilization Review RN - Remote Providence Health Plan caregivers are not simply valued - they're invaluable. Join our team at Providence Health Plan Partners and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual...Remote workMinimum wageLocal areaShift work$45.9 - $71.4 per hour
...Description Utilization Review RN - Remote. The RN Care Coord‑Qual Med Mgmt will provide administration of medical management programs that include prior authorization, concurrent hospital and skilled nursing review, appeals and grievance, delegation, medical policy development...Remote workHourly payLocal area- ...Providence is seeking a Remote RN Utilization Review nurse to work Per Diem 8-hour day shifts. This role involves conducting utilization reviews, requiring a strong clinical background and knowledge in Utilization Management. Join Providence California Regional Services...Remote workDaily paidDay shift
$75k
...a Registered Nurse to perform inpatient utilization reviews, ensure compliance with medical necessity... ...outcomes. This role requires a current RN license, two years of acute care experience... ...schedule and the possibility of remote work, with a base salary starting at $75...Remote workFlexible hours$50 per hour
...an experienced Registered Nurse Clinical Reviewer for a fully remote position with an hourly rate of $50. This role involves conducting utilization reviews and ensuring healthcare... ...Candidates should have an active New York State RN license and 1-3 years of experience in acute...Remote jobHourly pay
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