Remote RN: Utilization Review & Prior Authorization
$35.58 - $51.44 per hourWell Sense Health Plan
WellSense Health Plan is seeking a 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 $51.44 per hour, along with excellent benefits. Ideal candidates will possess a nursing degree and 2+ years of prior authorization experience in a managed care setting. Strong communication skills and critical thinking abilities are essential for successful candidates. #J-18808-Ljbffr
Vacancy posted 9 hours ago
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$1,949.74 per month
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Hartford, CT14 hours ago $78k - $88k
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Juneau, AK1 day ago$46 per hour
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Springfield, IL2 days ago - ...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
SPECTRAFORCE
Washington DC4 days ago $35 - $40 per hour
...$40.00/hr Location Fully Remote Position Summary The Utilization Review Nurse serves as a key liaison in... ...Responsibilities Review and process prior authorizations and reauthorization requests in... ..., active nursing license (RN, LPN, or LVN) in good standing with...Remote workContract workFlexible hoursWeekend workIntePros
Phoenix, AZ1 day ago$30 - $34 per hour
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California, MO1 day ago- ...Utilization Review Nurse This position has a remote option for those living close and will be able to come into the... ...Others, or Leader of Leaders. The prior authorization role completes an assessment of... ...or compact required RN license in state of employment or...Remote workFull time
CHRISTUS Health
United States4 days ago $34 - $40 per hour
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New York, NY3 days ago- ...Utilization Review Nurse (Ur Nurse) Join our team at Cobalt Benefits Group... ...timely and effective care authorizations, transitions, and utilization... ...for services requiring prior authorization, applying utilization... ...Current, unrestricted RN license (State license required...Remote workFull timeTemporary workSummer workWork at officeFlexible hours
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United States3 days ago $85k - $105.34k
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Roseburg, OR1 day ago $69.38k - $92.28k
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Schenectady, NY14 hours ago- ...service requests, verify member benefits, and process prior authorizations. Candidates must have an Illinois state RN license and 1-3 years of experience in hospital or medical clinic settings. This is a fully remote position, offering work within a collaborative...Remote work
Integrated Resources
Springfield, IL2 days ago $23.76 - $51.49 per hour
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Nevada, IA3 days ago- ...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
IntePros
New York, NY1 day ago - ...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
Guidehealth
Chicago, IL1 day ago - ...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
Well Sense Health Plan
Boston, MA4 days ago - ...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
AMN Healthcare
United States4 days ago - ...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
MRINetwork
United States4 days ago - COMAGINE HEALTH is seeking a Clinical Utilization Review Nurse (RN) for a full-time remote position, focused on medical necessity assessments in healthcare. Applicants must have a BA/BS in Nursing and at least 3 years of clinical experience. The role requires strong communication...Remote jobFull timeContract workWork from home
$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 workPacer Group
Everett, WA14 hours ago$30 - $38 per hour
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New York, NY4 days ago$2,210 per week
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Freeport, IL1 day ago
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