Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Utilization Review RN - Remote, Mon-Fri, No Nights

Hines Associates Ltd.

New York, NY
  • Remote job

Hines & Associates is seeking registered nurses for a Monday–Friday role focused on clinical decision reviews to determine eligibility for outpatient or inpatient services. This position emphasizes URAC guidelines, disability and workers compensation regulations, and collaboration with case managers. Experience in mental health or substance abuse is required; 3+ years of acute care practice is preferred. A remote setting is offered within a nationwide team, with a salary- and benefit-rich #J-18808-Ljbffr Hines Associates Ltd.

Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Utilization Review RN - Remote, Mon-Fri, No Nights in New York, NY vacancy
  •  ...seeking a Nursing professional to perform concurrent reviews from a home-based setting, ensuring appropriate care levels...  ...with Medical Affairs and educating providers on utilization processes. Schedule is Mon-Fri, 8am-5pm Central with rotating weekends/holidays. #J... 
    Remote work

    Centene Corporation

    United States
    5 days ago
  • $400 per month

    RN & LPN - Nights - OPEN INTERVIEWS MON-FRI 10am-3pm Job Category : SNF Requisition Number : RNLPN006293 Posted : October 6, 2026 Full-Time On-site...  ...federal employment laws.For further information, please review the Know Your Rights notice from the Department of... 
    Suggested
    Daily paid
    Full time
    Immediate start
    Flexible hours
    Night shift

    Huntington-Woods-Care-

    Westlake, OH
    1 day ago
  • $35 - $40 per hour

     ...LLC, a leader in healthcare transformation, seeks an RN Utilization Management Reviewer for a fully remote role. You will perform timely clinical decision...  ...judgment to determine medical necessity. Hours are Mon-Fri 9:00 AM-5:30 PM Eastern; compensation is hourly $35.... 
    Remote job
    Hourly pay

    Sagility LLC

    New York, NY
    23 hours ago
  • $35 - $40 per hour

     ...experienced Registered Nurse (RN) with health plan or payer-side Utilization Management (UM) experience to support clinical quality review and AI model development for prior...  .... Shift is 8 hrs/day Mon - Fri, 40 hrs/week Fully Remote Position Pay Range: $35 - $... 
    Remote work
    Hourly pay
    Local area
    Shift work

    PRIDE Health

    Minneapolis, MN
    2 days ago
  • $2,150 per week

     ...Revenue Cycle is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Fort...  ...hospital-based) ~ Skilled experience with remote work LENGTH OF ASSIGNMENT – 13...  ...or lounges, or just spend a quiet night enjoying the sound of the ocean... 
    Remote work
    Temporary work
    Zero hours contract
    Immediate start
    Shift work
    Night shift
    Weekend work

    AMN Healthcare Revenue Cycle

    Fort Myers, FL
    14 days ago
  •  .... The role features a Monday through Friday schedule, 8:00 am to 4:30 pm, with no nights, weekends, or holidays, and includes an occasional remote opportunity after 4 months. A MO/ KS RN license and BLS are required, and ambulatory care experience is preferred. In this... 
    Remote job
    Monday to Friday
    Weekend work

    Saint Luke's Hospital of Kansas City

    New York, NY
    4 days ago
  • $33 - $37 per hour

     ...and rewarding career! Job Description Are you an experienced RN Utilization Review Nurse looking for a new opportunity with a prestigious...  ...Behavioral Health and Long Term Care. Hours for this Position: Mon‑Fri: 8:30am - 5pm Advantages of this Opportunity: Great salary... 
    Private practice
    Work at office

    Healthcare Support Staffing

    Troy, MI
    1 day ago
  •  ...change? Want to work no nights, no weekends, and no...  ...HolidaysWork-life balance.Remote settingRole Description:This individual will utilize clinical knowledge and...  ...decision to a second level reviewer. This individual...  ...but is not limited to RN, LMSW, LMHC.Must have Mental... 
    Remote work
    Temporary work
    Work at office
    Monday to Friday
    Flexible hours

    Hines

    Rockford, IL
    4 days ago
  • $23 per hour

    Hospice Telephone Triage RN- FT 6:30a-4p Mon-Fri/no wknds (REMOTE) Hospice Telephone Triage RN- FT 6:30a-4p Mon-Fri/no wknds (REMOTE) 2 weeks ago Be...  ...triage for hospice and home health providers since 2008. Utilizing best-in-class technology, IntellaTriage provides round... 
    Remote job
    Hourly pay
    Full time
    Part time
    Live in
    Work from home
    Monday to Friday
    Shift work
    Night shift
    Weekend work
    Day shift
    Afternoon shift
    Weekday work

    IntellaTriage

    Orlando, FL
    14 hours ago
  • CorVel Corporation is seeking a Utilization Review Case Manager for a fully remote role in the United States. The position requires current nursing licensure and 4+ years of clinical experience with preferred exposure to utilization review. Responsibilities include data... 
    Remote job

    CorVel Corporation

    Rancho Cucamonga, CA
    23 hours ago
  •  ...Allegheny Health Network seeks an RN Utilization Review professional to obtain pre-certifications, coordinate authorizations and manage denials...  ...appropriate levels of care and timely approvals. This remote role requires PA RN licensure (or multi-state eNLC), a care-... 
    Remote work

    Highmark Health

    United States
    1 day ago
  • CorVel in the United States is seeking a Utilization Review Case Manager to gather demographic and clinical information, certify medical necessity...  ...length of stay for inpatient and outpatient treatment. This remote role requires strong CPT/ICD coding knowledge, meticulous... 
    Remote job

    NurseRemotely

    New York, NY
    4 days ago
  • Centene Management Company LLC is seeking a remote Nurse Reviewer to perform concurrent reviews, determine the member’s health status, and oversee...  ...and discharge planning teams while educating providers on utilization processes. The ideal candidate holds a nursing degree with... 
    Remote job

    Centene Management Company LLC

    Seattle, WA
    2 hours ago
  • Centene Corporation is hiring a nurse reviewer to perform concurrent reviews for Medicaid and...  ...Marketplace post-acute care from a fully remote role. Ideal candidates reside in Central,...  .../IPR/SNF settings. Typical schedule is Mon-Fri, 8am-5pm based on your time zone with rotating... 
    Remote job

    Centene Corporation

    Seattle, WA
    2 hours ago
  •  ...TEEMA is seeking a Registered Nurse for a remote role with Arizona hours (1st shift). You will review medical records for quality, safety, and utilization issues, identify PQIs, and support QA...  ...Directors. Must hold an active RN license, have 3+ years of clinical experience... 
    Remote work
    Day shift

    TEEMA

    Phoenix, AZ
    5 days ago
  • $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 job
    Hourly pay
    Part time

    Personify Health, Inc.

    New York, NY
    3 days ago
  •  ...Job Description: Ascension Texas Utilization Management Department (Fully Remote)Job Summary:• Provides health care services regarding admissions, case management, discharge planning and utilization review.Responsibilities:• Reviews admissions and service requests within... 
    Remote work

    First Connect Health

    Austin, TX
    3 days ago
  •  ...WNS, part of Capgemini, seeks a remote Utilization Review Nurse to perform medical necessity reviews and collaborate with providers to ensure compliant...  ...team-oriented environment. Requirements include active RN or LVN licensure, a minimum of two years in utilization... 
    Remote work
    Work at office

    HealthHelp

    New York, NY
    1 day ago
  •  ...RN Utilization Review Location: Torrance, CA Job Type: Travel Discipline: RN Specialty: Utilization Review Facility Setting: Short Term Acute Care (STAC) Accepting Locals per Radius Rule?: Yes Contract Length: 13 weeks Shifts: Days Shift Details... 
    Remote work
    Contract work
    Temporary work
    Local area
    Shift work

    Hired by Matrix

    United States
    3 days ago
  • CVS Health Corporation is seeking an RN Concurrent Review Nurse to join a remote team delivering inpatient clinical expertise to ensure medically necessary...  ...license, 5+ years inpatient nursing, and 2+ years in utilization management or discharge planning, with an Associate... 
    Remote job
    Work from home
    Monday to Friday
    Weekend work

    CVS Health Corporation

    Jackson, MS
    1 day ago
  • $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 work
    Local area
    Immediate start
    Monday to Friday
    Shift work
    Weekend work

    Pacer Group

    Everett, WA
    4 days ago
  • $63.1k - $94.65k

     ...all applications and next steps. Our partner is looking for a Utilization Review RN based in the United States. Join a healthcare team...  ...financial integrity of hospital operations. In this part-time, remote role, you will apply your clinical expertise to evaluate medical... 
    Remote work
    Temporary work
    Part time
    Work at office
    Work from home
    Flexible hours
    Shift work
    Afternoon shift

    Jobgether

    Oregon State
    1 day ago
  •  ...Job TitleIn this remote role, you will perform utilization reviews, ensuring compliance with clinical guidelines and patient care standards. Collaborate with interdisciplinary teams to assess patient needs and facilitate care coordination. Your expertise in medical necessity... 
    Remote work

    Slate Healthcare

    Torrance, CA
    4 days ago
  • $33.28k - $35.36k

     ...and uploading medical records and files to the corresponding Utilization Review or Medical Case Management case. Concurrently, this position...  ...(8) hour workday, Monday-Friday 8:30 AM - 5:30 PM PST. Remote . Responsibilities may include, but are not limited to:... 
    Remote work
    Full time
    Home office
    Monday to Friday

    EK Health Services Inc.

    Remote
    7 days ago
  • Position Summary: The RN Integrated Care Coordinator (UM) provides comprehensive care...  ...weekend hours are required to address utilization review cases. Roles and Responsibilities...  ...Telecommuting Requirements This is a remote position. Our whole company works remotely... 
    Remote work
    Live in
    Flexible hours
    Weekday work

    Evry Healthcare Inc.

    Brooklyn, NY
    3 days ago
  • $65k - $85k

     ...Concierge Home Care | Remote Opportunity | Growth Opportunities | Increased Earning Potential At Concierge Home Care, we are growing and looking for an experienced Utilization Review Specialist (RN) to join our remote home health team. This role is ideal for an RN with... 
    Remote work
    Monday to Friday
    Weekend work
    Weekday work

    Concierge Home Care

    United States
    2 days ago
  • University of Miami Health System seeks a full-time Utilization Review Case Manager to work remotely. The role reviews patient charts for prior authorization, concurrent and retrospective utilization, coordinating with the care team for timely and appropriate care. You... 
    Remote job
    Full time

    University of Miami

    New York, NY
    14 hours ago
  •  ...Job Summary and Responsibilities As our Utilization Review RN, you will meticulously review medical records to confirm appropriate admission status and continued hospitalization, utilizing established criteria and critical thinking. You'll work hand-in-hand with Concurrent... 
    Remote work

    CommonSpirit Health

    United States
    5 days ago
  •  ...seeking a Pre-Authorization Nurse to review and approve prior authorization...  ...adherence to guidelines in a remote environment. Candidates should hold an active RN license in Virginia or a compact...  ...experience and familiarity with utilization management and discharge... 
    Remote job

    Humana

    Columbus, OH
    5 days ago
  • Ampcus Inc. is seeking a Utilization Management Specialist (Remote) to review medical necessity and authorization for clinical services. The role emphasizes clinical nursing expertise, care management experience, and adherence to guidelines and policies. The position requires... 
    Remote job

    Ampcus Inc

    Owings Mills, MD
    2 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Utilization Review RN - Remote, Mon-Fri, No Nights. Be the first to apply!