Remote RN Utilization Review Nurse
SSM Health
- Remote job
SSM Health seeks an Utilization Management Nurse to evaluate medical necessity of hospital admissions and surgical procedures, ensuring payors receive required clinical information and obtaining proper authorization. You will document outcomes in the EHR and collaborate with the team on improvements to standard work. Requirements include two years of RN experience, graduation from an accredited nursing program, and an active RN license in IL/MO/OK/WI or eligibility via compact. #J-18808-Ljbffr SSM Health
- ...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
$35 - $45 per hour
...Position: RN / Utilization Review Nurse Location: Sacramento, CA (ON-SITE) Employment Type: Potential contract to hire Pay Range: $35.00 – $45.00... ...paced environment. Comfortable working independently in a remote or office-based setting. Working Conditions May be exposed...Remote workWeekly payContract workWork at officeMonday to Friday$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- ...TurningPoint Healthcare Solutions is seeking a Utilization Review Nurse to join their team in a fully remote role. The ideal candidate must be a Licensed Nurse Practitioner (LPN) or Registered Nurse (RN) with strong critical thinking skills and attention to detail. The...Remote work
$32 - $48 per hour
...RN-Utilization Review/Case Manage Nurse - RFT Hot Job Gibson City, IL 60936 Overview Salary Range $32.00 - $48.00 Hourly Position Type Full... ...time position. Hybrid (combination of in person and remote considered) GENERAL SUMMARY The Utilization Review...Remote workHourly payFull timeWork at officeRelocation packageShift work$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- ...Comagine Health is seeking a Clinical Utilization Review Nurse (RN) to work remotely. This role involves assessing the necessity and quality of healthcare services through various review methods, ensuring compliance with clinical criteria. The ideal candidate must hold...Remote work
- ...Comagine Health is looking for a Clinical Utilization Review Nurse (RN) to perform remote assessments on the medical necessity of healthcare services. This full‑time position involves managing utilization reviews and ensuring compliance with clinical policies for quality...Remote workFull time
- ...COMAGINE HEALTH is seeking a Clinical Utilization Review Nurse (RN) to conduct utilization management reviews. This full-time role supports high... ...at least 3 years of relevant experience. The position is remote, allowing work from any location in the U.S., and offers competitive...Remote workFull time
$40.12 - $62.19 per hour
...Utilization Review Nurse RN - NE ~Randallstown, MD ~NORTHWEST HOSPITAL ~NW CARE MANAGEMENT ~Part-time - Weekends - Weekend shifts - 8:00am-4:30pm ~RN OTHER ~95496 ~$40.12-$62.19 Experience based ~Posted: Yesterday Apply Now Save...Part timeShift workWeekend work$40.12 - $62.19 per hour
Utilization Review Nurse RN Baltimore, MD SINAI HOSPITAL UTILIZATION REVIEW Full-time w/Weekend Commitment - Day shift - 8:00am-4:30pm RN OTHER 96812 $40.12-$62.19 Experience based Posted: July 2, 2026 Apply Now // Setting the Saved Jobs link...Full timeShift workWeekend workDay shift$40.12 - $62.19 per hour
...Utilization Review Nurse RN ~Baltimore, MD ~SINAI HOSPITAL ~UTILIZATION REVIEW ~Full-time w/Weekend Commitment - Day shift - 8:00am-4:30pm ~RN OTHER ~96812 ~$40.12-$62.19 Experience based ~Posted: July 2, 2026 Apply Now Save Job...Full timeShift workWeekend workDay shift$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 workHourly pay- ...insurance group in Omaha seeks a full-time Utilization Review Nurse to oversee treatment requests and... ...guidelines. Candidates should have a BSN or RN degree and at least 5 years of clinical... .... The position offers options for remote work, health insurance, and other competitive...Remote workFull time
$85.99k - $105.34k
...focused healthcare organization in Oregon is seeking a Utilization Review Nurse for a full-time remote position. The role involves evaluating clinical... ...interdisciplinary teams. Applicants should have an active RN license and at least five years of direct patient care...Remote workFull time$78k - $88k
...Gainwell Technologies is seeking a skilled Utilization Review Nurse to perform prior authorization across prospective, concurrent, and retrospective... ..., requires 3+ years inpatient experience and an active RN license in the U.S. Core hours 8:00 AM–6:00 PM ET; occasional...Remote work$78k - $88k
...Summary We are seeking a skilled Utilization Review Nurse to conduct prior authorization, prospective, concurrent, and retrospective reviews for... ...feedback, and stay updated on clinical guidelines. Maintain RN license and meet continuing education requirements. What we'...Remote workFull timeContract workWork at officeWork from homeFlexible hours- ...Cross and Blue Shield of Kansas City is looking for a Clinical Review Nurse to utilize clinical expertise in managing healthcare services... ...care experience and an Associate degree in nursing, along with RN licenses in Missouri and Kansas. This role involves conducting...Remote work
$41 - $45.5 per hour
...Government Clients Role: Nurse Case Management Senior Analyst Location: Remote (within plan states: IL,... ...: Active, unrestricted RN License Must have MCG/InterQual... ..., health education, and utilization management. Key... ...concurrent, and retrospective reviews for inpatient, rehab,...Remote work- The Elevance Health Companies, Inc. is seeking a Medical Management Clinician to review clinical information and assess medical necessity under guidelines. This role focuses on moderately complex cases and may collaborate with healthcare providers and senior staff. The...Remote jobFull timeMonday to FridayShift work
$42 - $65 per hour
...Job Description Job Description Utilization Review Nurse Location: Las Vegas, NV Job Type: Full-Time Pay: $42–$65/hr + Sign-On Bonus... ...~ Graduate of an accredited School of Nursing. ~ Current RN license in the applicable state. ~5+ years of acute care...Full timeRelocation package$43 - $63 per hour
...Job Description Job Description The Utilization Review Nurse plays a key role in evaluating patient admissions to ensure appropriate levels... ...Management, or Clinical Documentation Improvement Active Nevada RN license required Minimum 3 years of Utilization...Relocation package- ...applicants This is full-time remote, but candidates must reside in... ...: 12/22/2025 to 03/31/2026 RN working in the insurance or... ...performing accurate and timely medical review of claims suspended for... ...skills. ~ Registered Nurse (RN) with unrestricted license...Remote workFull timeContract work
- ...Management Location: 100% Remote Schedule: M-F 9:00... ...have an Illinois state RN license Assess and... ...Works with the Utilization Management team primarily... ...necessity/utilization review and other utilization management... ...IL State Registered Nursing (RN) license in good...Remote workContract work
- ...Overview Title: Clinical Review Nurse – Prior Authorization Review Location: Fully Remote (PST Time Zone - WA/OR Resident... ...Authorization Review to join our Utilization Management team. In this role,... ...Qualifications ~ Active RN license (WA; must be in good standing...Remote workContract work
$1,966 per week
...the first 25 applicants Nurses – are you looking for a... ...Work-life balance. Remote/hybrid setting (once trained... ...: This individual will utilize clinical knowledge and... ...to a second level reviewer. This individual interfaces... ...but is not limited to RN, LMSW, LMHC. Successful...Remote workFull timeTemporary workPart timeWork at officeWork from homeMonday to FridayFlexible hours$2,444 per week
...Registered Nurse (RN) | Cardiovascular Operating Room Location: Dallas, TX Agency... ...of those recognitions are fueled by real reviews by real travel nurses and allied healthcare... ...a lot of our team has been working remote since the pandemic), but you are part of...Remote workHourly payFull timeContract workWork at officeShift workWeekend work$2,001 per week
...Registered Nurse (RN) | Dialysis Location: Des Moines, IA Agency: Cynet Health Pay: $2,001 per week Shift Information... ...a specialty in dialysis. This position involves working with remote tele, ICU patients requiring dialysis, including those with Acute...Remote workFull timeContract workMonday to FridayShift work$35 - $40 per hour
...Range $35.00/hr - $40.00/hr Location Fully Remote Position Summary The Utilization Review Nurse serves as a key liaison in coordinating resources and... ...vocational nursing. Current, active nursing license (RN, LPN, or LVN) in good standing with the Arizona...Remote workContract workFlexible hoursWeekend work- ...primary care operations team, the Primary Care Nurse works directly with Mercy Primary Care... .... Position Details: ~ Full Time RN/LPN Position @ Mercy Family Medicine Scenic... ...in Springfield ~ Hours: 8a-5p ~ Hybrid/Remote Position ~90 days of onsite training then...Remote workFull time
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