Remote Utilization Review RN - Workers’ Comp
USI Insurance Services
- Remote job
USI Insurance Services seeks a licensed RN to assess and approve medical treatments for workers’ compensation claims. Remote opportunities exist on the East Coast; MA RN license required. The role requires applying evidence‑based guidelines, researching medical records, and coordinating with providers and claims teams to ensure appropriate, medically necessary care. You will review requests, advocate for injured workers, maintain clear documentation, and support the claims department with #J-18808-Ljbffr USI Insurance Services
$69.38k - $92.28k
...MVP Health Care seeks a Professional Concurrent Review RN to ensure members receive appropriate care while navigating the healthcare... ...Ideal candidates are experienced RNs looking to transition into utilization management, requiring strong clinical judgment and excellent communication...Remote work- USI Insurance Services seeks an experienced RN Utilization Review Nurse to assess workers' compensation care for MA licensure holders. Remote opportunities exist for East Coast candidates with MA licensure. The role evaluates medical necessity, ensures guideline adherence...Remote job
$23.76 - $51.49 per hour
...Molina Healthcare is seeking a Registered Nurse (RN) to support clinical member services review and assessment processes. This role involves analyzing... ...hourly pay range between $23.76 and $51.49 and requires adherence to utilization management policies. #J-18808-LjbffrRemote workHourly pay- ...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
- ...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
- ...Boston is looking for an Inpatient Utilization Management Clinician to... ...discharge planning. This fully remote role offers a competitive salary... ...candidate will have an active RN license, a bachelor's degree... ...least 2 years of utilization review experience. Join WellSense in...Remote work
- ...providing telephonic and e-referral case review and authorization of services utilizing established mental health and... ...This position is full-time, fully remote (work from home) and requires some... ...State of Michigan clinical license (RN, LMSW, LP, LPC, or LLP) required....Remote workFull timeWork from homeShift workWeekend workAfternoon shift
- ...RN Utilization Review Review patient medical records to assess the appropriateness and medical necessity of hospital admissions, continued... ...management experience (hospital-based) ~ Skilled experience with remote work Length of Assignment: 13 weeks Shift / Hours...Remote workShift workWeekend 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$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- ...active licensure and minimum 3 years of clinical experience for a remote position. Candidates must have strong clinical documentation... ...be eligible for DoD background clearance. This role involves reviewing medical records, identifying quality issues, and supporting...Remote work
$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- ...A leading insurance provider in Omaha, Nebraska is seeking a full-time Utilization Review Nurse to ensure effective management of injured workers' treatments. This role does not require prior utilization review experience and is perfect for skilled nurses looking to transition...Remote workFull timeWork at officeWork from home
$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$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$75k
...Hospital is seeking a dedicated Registered Nurse for inpatient utilization review responsibilities. This role requires performing medical... ...teams to make informed decisions. Candidates must hold an active RN license and have experience in acute care settings. The starting...Remote work- ...spent in a supportive, team environment with resources to help you flourish and leaders who care about your success. The Utilization Review RN is responsible for the review of medical records for appropriate admission status and continued hospitalization. Works in collaboration...Remote work
$35.58 - $51.44 per hour
...Prior Authorization Clinician to join their team. This role involves reviewing hospitalization and care services for medical necessity to ensure members get the necessary care. The position is fully remote, providing you with a robust compensation ranging from $35.58 to $...Remote workHourly pay$2,210 per week
...Holidays Work-life balance. Remote/hybrid setting (once... ...: This individual will utilize clinical knowledge and... ...plan, disability, workers compensation regulations... ...decision to a second level reviewer. This individual... ...but is not limited to RN, LMSW, LMHC. Successful...Remote workFull timeTemporary workPart timeCasual workWork at officeWork from homeAll shiftsMonday to FridayFlexible hours- ...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
- ...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
- ...Humana in Maryland seeks a Registered Nurse (RN) Intern to join their National Medicaid team. This remote role involves conducting clinical reviews for behavioral health services, communicating with healthcare providers, and documenting findings. Candidates must be transitioning...Remote workInternshipFlexible hours
- ...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...Remote workContract 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
- ...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
- ...Brighton Health Plan Solutions, LLC is seeking an Utilization Management Nurse to perform medical necessity reviews remotely. Licensed LPN with strong MS Office skills will review clinical criteria, coordinate with care partners, and document determinations in compliance...Remote work
- ...group in Omaha seeks a full-time Utilization Review Nurse to oversee treatment... ...should have a BSN or RN degree and at least 5 years of... ...requests, advocating for injured workers, and maintaining accurate documentation... ...position offers options for remote work, health insurance, and...Remote workFull time
- A leading healthcare solutions provider is seeking a Nurse Reviewer (Registered Nurse) for a remote role in the US. The ideal candidate will have over 5 years of clinical experience and must hold an active RN license. Responsibilities include reviewing medical records,...Remote workFull time
- ...seeking a dedicated Registered Nurse for a clinical review role. You will evaluate patient data to determine... ...Monday through Friday, 9:30 AM to 6:00 PM, with a remote setting. Qualified candidates will have a current RN license, 3–5 years of acute care experience, and...Remote workMonday to Friday
- ...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
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