RN Utilization Review
AMN HEALTHCARE
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 and payers to ensure compliance with clinical guidelines, regulatory requirements, and efficient use of healthcare resources.
Minimum Required Qualifications:
- FL/compact RN license
- BLS
- CCM/CMCN
- 2-5 years utilization management experience (hospital-based)
- Skilled experience with remote work
Length of Assignment: 13 weeks
Shift / Hours Per Week: M-F 8A-4:30P, with every fifth weekend rotation
Systems: Epic, Dragonfly
Start Date: 7/27/2026
$50.14 - $77.83 per hour
...Description Utilization Review RN at Providence Health Plaza. Utilization Management covers 7 days/week, including holidays. This posting is not for a specific job vacancy. It serves to establish a place for current or future interested applicants to apply for...SuggestedMinimum wageFull timePart timeLocal areaShift 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...SuggestedHourly payRemote work$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...SuggestedPart timeShift workWeekend work- A healthcare staffing firm is seeking an experienced Registered Nurse (RN) for the role of Utilization Review / Case Manager. Responsibilities include conducting utilization reviews, collaborating with interdisciplinary teams, and ensuring compliance with care plans. The...Suggested
- ...for Care Management/Social Work in Albany. The role involves Utilization Management and Quality Screening for assigned patients, requiring... ...experience, preferably in case management or utilization review. Strong analytical and communication skills are essential for...Suggested
- Health Business Solutions LLC is looking for a highly motivated Utilization Review Nurse to enhance our healthcare team. This role combines... ...to healthcare regulations. Candidates should possess a valid RN license, at least 3 years of clinical nursing experience, and...
- ...healthcare services company is seeking a Clinical Care Reviewer based in Doral, FL. The role requires a current FL RN licensure and a minimum of 3 years of nursing... ...or ICU. Candidates should have experience with Utilization Review, familiarity with Interqual Criterion,...
$57.28 - $88.92 per hour
...Description Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost effective care to the members. Providence caregivers are not simply valued – they’re invaluable. Join our team at...Daily paidMinimum wageFull timeWork at officeLocal areaShift work- ...Mobile, AL is looking for a Registered Nurse to perform critical Utilization Review functions. This role requires effectively collaborating with... ...'s degree in nursing, with at least 2 years of experience. RN licensure is mandatory, and experience with Utilization Review...
- ...A healthcare organization in Texas is seeking an RN Utilization Review Coordinator to perform utilization reviews and ensure medical necessity compliance. The role involves collaborating with healthcare teams, managing denial appeals, and supporting discharge planning....Full time
- ...Mass General Brigham is seeking a Peer-to-Peer Utilization Review Nurse to join the Central Utilization Management team. This role involves evaluating... ...candidate will have a Bachelor's of Science in Nursing, an RN license, and extensive experience in clinical nursing and...Remote workFlexible hours
- ...Mass Digital Health is seeking a Utilization Review Nurse in Quincy, Massachusetts. This role involves evaluating patients for appropriate admission... ...coordination. This position requires at least two years of RN experience in care management or utilization management. The...
- LifeBridge Health seeks a Utilization Review Nurse RN to evaluate medical necessity and appropriate level of care across our continuum. In this role, you will conduct concurrent and retrospective reviews, apply evidence-based criteria, and collaborate with physicians, payers...
$45 - $50 per hour
...for a dedicated Registered Nurse Clinical Reviewer for a fully remote position in New York. This role involves conducting utilization and quality reviews and contributing to clinical... ...nursing programs with an active New York RN license. #J-18808-Ljbffr kozmetickesluzby....Remote jobHourly pay$50 per hour
...an experienced Registered Nurse Clinical Reviewer for a fully remote position with an hourly... ...of $50. This role involves conducting utilization reviews and ensuring healthcare documentation... ...should have an active New York State RN license and 1-3 years of experience in acute...Remote jobHourly pay$43 - $63 per hour
...Job Description Job Description The Utilization Review Nurse plays a key role in evaluating patient admissions to ensure appropriate levels... ..., or Clinical Documentation Improvement Active Nevada RN license required Minimum 3 years of Utilization Management...Relocation package$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... ...~ Graduate of an accredited School of Nursing. ~ Current RN license in the applicable state. ~5+ years of acute care nursing...Full timeRelocation package- ...knowledge and a current Arkansas licensure as a RN. Preferably experienced in the use of ICD... ...written format with the Medical Staff, review organizations, administration and others... ...control system to assure effective utilization of hospital facilities and services. Assist...Work at office
$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- A growing healthcare company in New York seeks a Utilization Review Nurse to conduct clinical reviews and ensure medical necessity authorizations are met. The ideal candidate will be an LPN or RN with critical thinking skills and attention to detail, able to manage tasks...
- At Houston Methodist, the Utilization Review Nurse (URN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and concurrent medical record review for medical necessity and level of care using nationally recognized acute care indicators...Permanent employmentWork experience placementLocal area
- ...RN Utilization Review City: Apple Valley State: CA Job Type: Travel Discipline: RN Speciality: Utilization Review Facility Setting: Short Term Acute Care (STAC) Accepting Locals per Radius Rule?: Yes Contract Length: 13 weeks Shifts: Days Shift Details: Day 5x8-Hour...Contract workTemporary workLocal areaRemote workShift workWeekend workDay shift
$2,800 per month
...Offering Nursing Profession Registered Nurse Specialty Utilization Review Job ID 18027156 Job Title Utilization Review RN Weekly Pay $2800.0 Shift Details Shift 12 Hour Mid 11-11 Scheduled...Weekly payShift work- ...RN - Utilization Review Shift: 08:00 AM - 04:00 PM Shifts Per Week: 5 Scheduled Hours: 40 Start Date: 07/13/2026 End Date: 10/12/2026 Duration: 13 Week(s) Required Certs: BLS and CA License Preferred Certs: BSN or MSN Required Skills: Utilization...Shift work
$57.28 - $88.92 per hour
...Description Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost‑effective care to the members. Providence caregivers are valuable participants in a patient‑focused, whole‑person care culture...Daily paidWork at officeLocal areaShift work- ...Utilization Review Rn Shift: 8 HR Days Start Date: 07/27/2026 End Date: 10/26/2026 Duration: 13 Week(s) Location: Apple Valley, CA Equal Opportunity Employer: MedSource LLC is an equal opportunity employer and does not discriminate against any individual...Shift work
- ...Ur Rn Weekend Shifts Weekend requirements - ur rn four weekend shifts (days) in a six-week period but can be more. Start... ...three-year acute medical care manager/um experience performing utilization review in a hospital setting (not health plan/medical group). First...Immediate startShift workWeekend work
$2,639 per month
...Client Name Saint Rose Hospital Job Type Travel Offering Nursing Profession RN Specialty Utilization Review Job ID 37235561 Job Title RN - Utilization Review Weekly Pay $2639.0...Weekly payContract workShift workNight shiftWeekend work- ...is on site at St. Luke's Hospital. The Utilization Management Specialist in the Behavioral... ...regarding authorization of stay, continued stay reviews, appeals and denial letters. Provides... ...Qualifications State of Iowa Licensed RN Two years of behavioral health work...Daily paidTemporary workWork experience placementWork at officeFlexible hoursShift work
- ...appropriateness of treatment setting by utilizing the applicable medical policy and industry... ...and appropriateness of treatment setting reviews to ensure compliance with applicable criteria... ...Must have clear and active RN license in the state of IN AS/BS in Nursing...Private practiceImmediate start
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