Utilization Review Nurse
$35 - $40 per hourIntePros
Base Pay 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 services to meet patients’ needs, ensuring efficient, cost-effective, and compliant delivery of home health care. This role monitors admissions, reauthorizations, extended certification periods, and ongoing care to ensure adherence to Medicare and regulatory guidelines while promoting positive patient outcomes. Responsibilities Review and process prior authorizations and reauthorization requests in accordance with company policy. Assess medical documentation to determine the need for continued home health services based on Medicare guidelines. Refer cases outside of established guidelines to the Utilization Review Physician Advisor. Maintain accurate and timely records of authorizations, communications, and payer interactions. Collaborate with provider staff to identify patient needs, coordinate care, and ensure appropriate resource utilization. Monitor patient progress and outcomes to support efficient, cost-effective care. Serve as a communication link and provide customer service support to payer case managers, patients, and provider teams. Submit required status and summary reports within deadlines. Participate in weekend and holiday rotation; remain available for after‑hours support as needed. Review clinical documentation for compliance with CMS Chapter 7 and Milliman Care Guidelines; provide feedback to clinicians on medical necessity, homebound status, visit utilization, and discharge planning. Identify and escalate quality‑of‑care concerns to the Quality Assurance Committee/QPUC. Support the Utilization Review Committee/QPUC in addressing and resolving utilization‑related issues. Qualifications Graduate of an accredited program in professional, practical, or vocational nursing. Current, active nursing license (RN, LPN, or LVN) in good standing with the Arizona Board of Nursing and other state boards as applicable. Minimum of two (2) years of general nursing experience in medical, surgical, or critical care. At least three (3) years of experience in utilization review/management, case management, or recent home health fieldwork. Excellent oral and written communication abilities. Proven time management skills and ability to meet deadlines. Self‑directed, flexible, and able to work independently with minimal supervision. Working knowledge of home care regulations and federal requirements. Experience Familiarity with home health and community‑based services. Experience in utilization or case management preferred. Knowledge of homecare, managed care, medical/nursing procedures, and community resources. NCQA and URAC experience is a plus. Proficiency with MS Office (Outlook, Word, Excel), Adobe, and multiple electronic medical record systems. Seniority Level Mid‑Senior level Employment Type Contract Job Function Quality Assurance Industry Hospitals and Health Care #J-18808-Ljbffr
- A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care. This role involves monitoring patient admissions and ongoing care while ensuring adherence to guidelines. The ideal candidate will have...SuggestedContract workRemote work
$2,103 - $2,256 per week
...Registered Nurse (RN) | Progressive Care Unit Location: Sun City, AZ Agency: Host Healthcare Pay: $2,103 to $2,256 per... ...that was rated #1 in Nursing Satisfaction by MIT Sloan Management Review. No matter if you want to explore the other side of the country...SuggestedFull timeContract workLocal areaImmediate startShift work$2,103 - $2,256 per week
...Registered Nurse (RN) | Progressive Care Unit Location: Sun City, AZ Agency: Host Healthcare Pay: $2,103 to $2,256 per week Shift Information: Days Contract Duration: 13 Weeks Start Date: 8/10/2026 About the Position Host Healthcare...SuggestedFull timeContract workImmediate startShift work- ...Registered Nurse (RN) | Wound/Ostomy Location: Phoenix, AZ Agency: Titan Medical Group Pay: Competitive weekly pay (inquire for details) Shift Information: Days - 4 days x 10 hours Contract Duration: 13 Weeks Start Date: 8/24/2026 About...SuggestedWeekly payFull timeContract workShift work
$2,463 per week
...Registered Nurse (RN) | Progressive Care Unit Location: Sun City, AZ Agency: AHS Staffing Pay: $2,463 per week Shift Information: Nights - 5 days x 8 hours Contract Duration: 13 Weeks Start Date: 9/7/2026 About the Position TravelNurseSource...SuggestedPermanent employmentFull timeContract workTemporary workShift workNight shift$1,943 - $2,096 per week
...Registered Nurse (RN) | Neuro Location: Phoenix, AZ Agency: Host Healthcare Pay: $1,943 to $2,096 per week Shift Information: Rotating Contract Duration: 13 Weeks Start Date: 8/10/2026 About the Position Host Healthcare is an award-winning...Full timeContract workImmediate startShift work$1,796 per week
...Registered Nurse (RN) | Progressive Care Unit Location: Phoenix, AZ Agency: Magnet Medical Pay: $1,796 per week Shift Information: Nights - 3 days x 12 hours Contract Duration: 12 Weeks Start Date: 8/3/2026 About the Position The Registered...Full timeContract workShift workNight shift$2,132 per week
...Registered Nurse (RN) | Neuro Location: Phoenix, AZ Agency: Cynet Health Pay: $2,132 per week Shift Information: Nights - 3 days x 12 hours Contract Duration: 13 Weeks Start Date: 8/17/2026 About the Position Job Title: Registered Nurse...Full timeContract workShift workNight shiftDay shift$2,230 per week
...Registered Nurse (RN) | Progressive Care Unit Location: Sun City, AZ Agency: GetMed Staffing Pay: $2,230 per week Shift Information: Nights - 3 days x 12 hours Contract Duration: 13 Weeks Start Date: 9/7/2026 About the Position TravelNurseSource...Full timeContract workShift workNight shift$2,361 per week
...Registered Nurse (RN) | Progressive Care Unit Location: Sun City, AZ Agency: TRS Healthcare Pay: $2,361 per week Shift Information: Nights Start Date: 8/17/2026 About the Position TravelNurseSource is working with TRS Healthcare to find a...Full timeContract workRelocation packageShift workNight shift$2,352 per week
...Registered Nurse (RN) | Progressive Care Unit Location: Sun City, AZ Agency: Cynet Health Pay: $2,352 per week Shift Information: Nights - 3 days x 12 hours Contract Duration: 13 Weeks Start Date: 8/17/2026 About the Position Job Title...Full timeContract workWork experience placementAll shiftsShift workNight shift$2,222 per week
...Registered Nurse (RN) | Progressive Care Unit Location: Sun City, AZ Agency: OneStaff Medical Pay: $2,222 per week Shift Information: Rotating - 3 days x 12 hours Contract Duration: 13 Weeks Start Date: 8/17/2026 About the Position TravelNurseSource...Hourly payFull timeContract workTemporary workWork experience placementWork at officeFlexible hoursShift work$1,936 - $2,164 per week
...Registered Nurse (RN) | Wound/Ostomy Location: Phoenix, AZ Agency: Prime Time Healthcare Pay: $1,936 to $2,164 per week Shift Information: Rotating - 5 days x 8 hours Contract Duration: 13 Weeks Start Date: ASAP About the Role: TravelNurseSource...Full timeContract workTemporary workPart timeSummer workImmediate startShift workRotating shift- ...Registered Nurse (RN) | Progressive Care Unit Location: Phoenix, AZ Agency: Concentric Healthcare Staffing Pay: Competitive weekly pay (inquire for details) Contract Duration: 13 Weeks Start Date: ASAP About the Position Concentric is currently...Weekly payFull timeContract workTemporary workImmediate start
$2,162 per week
...Registered Nurse (RN) | Wound/Ostomy Location: Phoenix, AZ Agency: TRS Healthcare Pay: $2,162 per week Shift Information: Days Start Date: 8/24/2026 About the Position Registered Nurse - Wound Care TRS Healthcare is seeking a Registered...Full timeContract workRelocation packageShift work- ...Registered Nurse (RN) | Progressive Care Unit Location: Phoenix, AZ Agency: Concentric Healthcare Staffing Pay: Competitive weekly pay (inquire for details) Contract Duration: 13 Weeks Start Date: ASAP About the Position TravelNurseSource...Weekly payFull timeContract workTemporary workImmediate start
$1,958 - $2,171 per week
...Registered Nurse (RN) | Wound/Ostomy Location: Phoenix, AZ Agency: LRS Healthcare Pay: $1,958 to $2,171 per week Shift Information: Days Contract Duration: 13 Weeks Start Date: 8/10/2026 About the Position TravelNurseSource is working...Full timeContract workImmediate startFlexible hoursShift work$2,231 per week
...Registered Nurse (RN) | Progressive Care Unit Location: Sun City, AZ Agency: GetMed Staffing Pay: $2,231 per week Shift Information: Nights - 3 days x 12 hours Contract Duration: 13 Weeks Start Date: 8/17/2026 About the Position GetMed...Full timeContract workShift workNight shift$2,102 per week
...Registered Nurse (RN) | Neuro Location: Phoenix, AZ Agency: Advantis Medical Staffing Pay: $2,102 per week Shift Information: Nights - 3 days x 12 hours Contract Duration: 13 Weeks Start Date: ASAP About the Position Advantis Medical...Full timeContract workImmediate startShift workNight shift$2,352 per week
...Registered Nurse (RN) | Progressive Care Unit Location: Sun City, AZ Agency: Cynet Health Pay: $2,352 per week Shift Information: Nights - 3 days x 12 hours Contract Duration: 13 Weeks Start Date: 8/17/2026 About the Position TravelNurseSource...Full timeContract workWork experience placementAll shiftsShift workNight shift$2,463 per week
...Registered Nurse (RN) | Progressive Care Unit Location: Sun City, AZ Agency: AHS Staffing Pay: $2,463 per week Shift Information: Nights - 5 days x 8 hours Contract Duration: 13 Weeks Start Date: 9/7/2026 About the Position AHS Staffing...Full timeContract workShift workNight shift$2,103 - $2,256 per week
...Registered Nurse (RN) | Progressive Care Unit Location: Sun City, AZ Agency: Host Healthcare Pay: $2,103 to $2,256 per... ...that was rated #1 in Nursing Satisfaction by MIT Sloan Management Review. No matter if you want to explore the other side of the country...Full timeContract workLocal areaImmediate startShift work$2,296 per week
...Registered Nurse (RN) | Progressive Care Unit Location: Sun City, AZ Agency: Atlas MedStaff Pay: $2,296 per week Shift... ...Great Recruiters. Both of those recognitions are fueled by real reviews by real travel nurses and allied healthcare professionals that...Hourly payFull timeContract workWork at officeRemote workShift workNight shiftWeekend work$1,896 per week
...Registered Nurse (RN) | Neuro Location: Phoenix, AZ Agency: GetMed Staffing Pay: $1,896 per week Shift Information: Nights - 3 days x 12 hours Contract Duration: 13 Weeks Start Date: 8/17/2026 About the Position GetMed Staffing is searching...Full timeContract workShift workNight shift$1,936 - $2,164 per week
...Registered Nurse (RN) | Wound/Ostomy Location: Phoenix, AZ Agency: Prime Time Healthcare Pay: $1,936 to $2,164 per week Shift Information: Rotating - 5 days x 8 hours Contract Duration: 13 Weeks Start Date: ASAP About the Role: Prime...Full timeContract workSummer workImmediate startShift workRotating shift$1,896 per week
...Registered Nurse (RN) | Neuro Location: Phoenix, AZ Agency: GetMed Staffing Pay: $1,896 per week Shift Information: Nights - 3 days x 12 hours Contract Duration: 13 Weeks Start Date: 8/17/2026 About the Position TravelNurseSource is...Full timeContract workShift workNight shift$1,907 - $2,002 per week
...Registered Nurse (RN) | Neuro Location: Phoenix, AZ Agency: GQR Healthcare Pay: $1,907 to $2,002 per week Shift Information: Nights - 3 days x 12 hours Contract Duration: 13 Weeks Start Date: ASAP About the Position Contract - W2 Neurology...Hourly payWeekly payFull timeContract workTemporary workImmediate startShift workNight shift- ...Registered Nurse (RN) | Wound/Ostomy Location: Phoenix, AZ Agency: TNAA | TotalMed Pay: Competitive weekly pay (inquire for details) Shift Information: Days Contract Duration: 13 Weeks Start Date: 8/10/2026 About the Position TravelNurseSource...Weekly payDaily paidLong term contractFull timeContract workTemporary workShift work
- ...Registered Nurse (RN) | Progressive Care Unit Location: Sun City, AZ Agency: Access Healthcare LLC Pay: Competitive weekly pay (inquire for details) Shift Information: Nights - 3 days x 12 hours Contract Duration: 13 Weeks Start Date: 9/8/2...Weekly payFull timeContract workSummer workShift workNight shift3 days per week
$1,937 per week
...Registered Nurse (RN) | Wound/Ostomy Location: Phoenix, AZ Agency: OneStaff Medical Pay: $1,937 per week Shift Information: Rotating - 4 days x 10 hours Contract Duration: 13 Weeks Start Date: 8/10/2026 About the Position We. Are. OneStaff...Hourly payFull timeContract workTemporary workWork experience placementShift work
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