Remote Utilization Review RN - Hospital Admissions
BJC HealthCare
About the role: BJC HealthCare is hiring a Remote Utilization Review RN - Hospital Admissions in Remote. This Full-Time position offers competitive pay and benefits. Read the full description below to learn more about responsibilities and qualifications. Posted: Oct 21, 2026. BJC HealthCare is seeking a registered nurse to join a remote Utilization Review team. The role supports multiple hospital units with no patient communication, and it is designed for local remote work with weekend rotation. Responsibilities include applying Interqual criteria, reviewing admissions for medical necessity, and educating providers on resource use. Two to five years of inpatient nursing experience and UR experience are required; EPIC experience preferred. #J-18808-Ljbffr
- ...HealthCare is seeking a registered nurse to join a remote Utilization Review team. The role supports multiple hospital units with no patient communication, and it is... ...include applying Interqual criteria, reviewing admissions for medical necessity, and educating providers...Remote workLocal areaWeekend work
- ...Cleveland Clinic is seeking an Utilization Management RN Reviewer to support remote operations from home. The role covers admission and concurrent reviews, and ensures medical necessity criteria are applied to hospital stays and discharges. Qualifications include RN...Remote work
- ...RN Utilization Review Review patient medical records to assess the appropriateness and medical necessity of hospital admissions, continued stays, and services, while coordinating with providers... ...based) ~ Skilled experience with remote work Length of assignment:...Remote workShift workWeekend work
$63.1k - $94.65k
.... Our partner is looking for a Utilization Review RN based in the United States.... ...supporting the financial integrity of hospital operations. In this part-time, remote role, you will apply your... ...medical necessity, review patient admissions, and ensure care aligns with established...Remote workTemporary workPart timeWork at officeWork from homeFlexible hoursShift workAfternoon shift$63k - $94k
...Remote Utilization Review Registered Nurse (UR RN) Are you an experienced RN looking to transition away from the... ...bridge between clinical care and hospital operations, ensuring patients receive... ...the medical necessity of all admissions, ensuring appropriate patient status...Remote workWork at office10 hours per weekFlexible hoursShift workWeekend workAfternoon shift3 days per week- ...and Responsibilities As our Utilization Review RN, you will meticulously review medical... ...records to confirm appropriate admission status and continued hospitalization, utilizing established criteria... .... This position is open to remote/out of state candidates residing...Remote work
- ...Details POSITION SUMMARY - RN Utilization Review POSITION DUTIES - Review... ...appropriateness and medical necessity of hospital admissions, continued stays, and services,... ...-based) ~ Skilled experience with remote work LENGTH OF ASSIGNMENT...Remote workTemporary workShift workWeekend work
$63.1k - $94.65k
...health systems, including hospitals and affiliated... ...have current compact RN license, or be willing... ...Schedule Information: Our Utilization Review team provides coverage... ...review of all admissions. Utilizes approved clinical... ...Required: This is a remote role which requires access...Remote workTemporary workPart timeWork at officeLocal areaFlexible hoursShift work$63.1k - $94.65k
...Registered Nurse to perform hospital utilization reviews, assess medical necessity,... ...appropriate levels of care. This remote role partners with... ...of-care reviews (including admission, continued stay, and observation... ...: Current unrestricted RN license required; RN...Remote workTemporary workWork at officeLocal areaShift workAfternoon shift- ...sites. Job Title: Utilization Review RN Job Summary... ...collaborates closely with hospital UR/Case Management, facility... ...Authorizations Performs admission, continued stay, and discharge... ...Environment Work Conditions ~ Remote role with reliable high-...Remote workFull timePart timeWork at officeLocal areaWeekend workAfternoon shift
$44.7 per hour
...The Utilization Review (UR) RN evaluates the medical necessity appropriateness and... ...denials inappropriate admission order status avoidable revenue... ...care guidelines from MCG Hospital case management experience... ...union covered position Remote Work : No Employment...Remote workHourly payPart timeShift workNight shiftWeekend workAfternoon shift- ...casual position supporting Utilization Review at Catherine Gratz Griffin Lake Forest Hospital. This position is to... ...** The Case Manager RN (PT) reflects the... ...physician in assigning admission status. Performs medical... ...be eligible. Remote Work : No Employment...Remote workPart timeCasual workLocal areaRelocation packageRotating shiftWeekend workWeekday work
- ...experienced nursing professionals to review medical records and ensure appropriate admission status. The role involves... ...Candidates must have a valid California RN license and at least two years of... ...related field. The position offers remote work with emphasis on critical thinking...Remote work
$1,813 - $1,908 per week
...Registered Nurse:Utilization Review,16:00:00-04:30:00 Location: Torrance... ...Apply Now Acute Hospital Experience by Specialty Pediatrics... ...* Retrospective Review* Admission Criteria Care... ...Goals Additional Skills remote UR work CA and Medi-Cal experience...Remote work$1,908 per month
...Nurse Specialty Utilization Review Job ID 17789408... ...Job Description Acute Hospital Experience by Specialty Pediatrics... ...Retrospective Review* Admission Criteria Care... ...Goals Additional Skills remote UR work CA and Medi-Cal experience...Remote workWeekly payShift workNight shift$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... ...Guaranteed Hours: 72 hours per 2 week period Hospital Highlights Type of Facility: Level II Trauma Center...Remote workLocal areaImmediate startMonday to FridayShift workWeekend work$1,946.5 per month
...Nurse Specialty Utilization Review Job ID 38457888... ...from 08:00 - 16:30 PST - Remote position - flexibility to support... ...experience in an acute hospital setting. - Proficiency with... ...based guidelines. - Oversee admission criteria and ensure...Remote workWeekly payContract workShift workWeekend workDay shift- ...Currently seeking a Utilization Management RN . Please see details... ...below: Position is remote - candidate must... ...** Previous Acute Hospital Utilization Management... ...through medical record review to determine medical... ...necessity for inpatient admissions, continued stays, procedures...Remote workImmediate startDay shift
- ...Responsible for utilization review work for emergency admissions and continued stay reviews Responsibilities... ...Current and unrestricted RN license At least 3... ...experience within the hospital setting Bachelor's of... ...Comfortable with remote work arrangements and virtual...Remote workFull timeFor contractorsWork at officeShift workWeekend workWeekday work
- ...Description: This is a remote position but will... ...Conduct clinical reviews of patient records... ...of admission, treatment, and length... ...appropriate resource utilization and care planning... ...Registered Nurse (RN) program; Bachelor... ...treatment modalities, and hospital operations...Remote workFull timePart timeWork at officeLocal areaShift workRotating shiftDay shift
- ...a great opportunity for a local remote position. There is no communication... .... Requirements ~2 years of RN experience performing care for hospitalized patients ~2 years of Utilization Review (UR) experience reviewing hospital admissions for medical necessity ~ Must...Remote workFull timeReliefLocal areaMonday to FridayFlexible hoursShift work
- ...Utilization Review Nurse Location: [City, State / Remote] Employment Type: Full-Time Experience... ...Registered Nurse (RN) with experience in... ...healthcare services.Evaluate admissions, continued stays,... ...Experience working for hospitals, health plans, insurance...Remote workFull timeSecond jobWork at office
- ...The Registered Nurse in Utilization Review is responsible for... ...patient care within acute hospital and ambulatory... ...role involves conducting admission criteria assessments,... ...based guidelines. The RN collaborates with interdisciplinary... ...reviews. Perform remote utilization review...Remote workDay shiftWeekday work
$77.08k - $119.47k
...66.00 Responsible for Utilization Management, Quality Screening... ...volume, acute care hospital preferred. PRI and... ...applicable to utilization review process. Excellent... ...monitor appropriateness of admissions and continued stays,... ...cannot be done from a remote location. Other...Remote workShift work- ...Utilization Review Nurse This position has a remote option for those living close and will be able to come into the hospital as needed. The Utilization Review Nurse... ...performing a variety of pre-admission, concurrent, and... ...compact required RN license in state of...Remote workFull time
- ...Position Summary: The RN Integrated Care Coordinator (UM)... ...hours are required to address utilization review cases. Roles and Responsibilities... ...of clinical experience in a hospital or ambulatory setting... ...Telecommuting Requirements This is a remote position. Our whole company...Remote workLive inFlexible hoursWeekday work
- ...casual position supporting Utilization Review at Catherine Gratz Griffin Lake Forest Hospital. This position is to... ...** The Case Manager RN (PT) reflects the... ...physician in assigning admission status. Performs medical... ...be eligible. Remote Work : No Employment...Remote workPart timeCasual workLocal areaRelocation packageRotating shiftWeekend workWeekday work
- ...Registered Nurse – Utilization Review (Remote) Position Overview: This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient, and Observation (OBS). Required Qualifications...Remote work
- ...Cleveland Clinic Health System is seeking an experienced Utilization Management RN Reviewer to work remotely with a focus on admission, concurrent and retrospective reviews. The role supports payer communications, data collection, and clinical decision-making to ensure...Remote workWork at office
- ...Utilization Management RN (Part-Time, Remote) Position Overview Under the direction of a designated manager, the Utilization Management RN performs telephonic review of hospital admissions and recommends alternative levels of care when appropriate. This role...Remote workPart timeMonday to Friday
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