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
$2,430 per week
...Travel Nurse - Labor & Delivery Epic Travel Staffing is hiring a Travel Nurse - Labor & Delivery. We`ll be your ticket to the travel RN - L&D job you`ll love with unparalleled recruiter support and industry-best benefits. Shift: Nights Length: 13 Start Date...SuggestedWeekly payPermanent employmentShift workNight shift$1,936 per week
...Registered Nurse (RN) | Telemetry Location: Phoenix, AZ Agency: OneStaff Medical Pay: $1,936 per week Shift Information: Rotating - 3 days x 12 hours Contract Duration: 13 Weeks Start Date: 8/17/2026 About the Position TravelNurseSource...SuggestedHourly payFull timeContract workTemporary workWork experience placementWork at officeFlexible hoursShift work$1,650 per week
...Registered Nurse (RN) | Long-Term Care Location: Phoenix, AZ Agency: OneStaff Medical Pay: $1,650 per week Shift Information: Rotating - 3 days x 12 hours Contract Duration: 13 Weeks Start Date: 7/25/2026 About the Position We. Are....SuggestedHourly payFull timeContract workTemporary workWork experience placementLive inShift work- ...Registered Nurse (RN) | Post-Anesthesia Care Unit (PACU) / Pre-Post Op Location: Phoenix, AZ Agency: Titan Medical Group Pay: Competitive weekly pay (inquire for details) Shift Information: Days - 3 days x 12 hours Contract Duration: 13 Weeks...SuggestedWeekly payFull timeContract workShift work
$1,795 per week
...Registered Nurse (RN) | Telemetry Location: Phoenix, AZ Agency: GQR Healthcare Pay: $1,795 per week Shift Information: Nights - 3 days x 12 hours Contract Duration: 13 Weeks Start Date: ASAP About the Position Telemetry RN Job Location...Hourly payWeekly payFull timeContract workImmediate startShift workNight shift$2,449 per week
...Registered Nurse (RN) | Stepdown Location: Sun City, AZ Agency: Triage Staffing Pay: $2,449 per week Shift Information: Nights - 3 days x 12 hours Contract Duration: 13 Weeks Start Date: 9/7/2026 About the Position Travel Nursing: Progressive...Full timeContract workShift workNight shift$2,502 per week
Epic Travel Staffing is hiring a Travel RN - Labor & Delivery Shift: Days/ 6a-6:30p, 12x3, 36hrs/week Length: 13 Weeks Weekend/On Call Requirements: To be determined by the facility Requirements: AZ license Minimum of 2 years' L&D experience (with recent...Weekly payPermanent employmentShift workWeekend work- ...Registered Nurse (RN) | Labor & Delivery Location: Phoenix, AZ Agency: Titan Medical Group Pay: Competitive weekly pay (inquire for details) Shift Information: Nights - 3 days x 12 hours Contract Duration: 13 Weeks Start Date: 8/24/2026...Weekly payFull timeContract workShift workNight shift
$1,961 per week
...Registered Nurse (RN) | Medical-Surgical Location: Phoenix, AZ Agency: AHS Staffing Pay: $1,961 per week Shift Information: Nights - 5 days x 8 hours Contract Duration: 14 Weeks Start Date: 8/17/2026 About the Position AHS Staffing is...Full timeContract workShift workNight shift$2,091 - $2,156 per week
...Registered Nurse (RN) | Outpatient Clinic Location: Phoenix, AZ Agency: Pioneer Healthcare Services Pay: $2,091 to $2,156 per week Shift Information: Nights - 3 days x 12 hours Start Date: 8/10/2026 About the Position TravelNurseSource is...Full timeWork at officeRelocation packageShift workNight shift- Trusted is seeking an experienced nurse for this exciting travel nursing assignment. Trusted has streamlined the travel nursing experience by enabling nurses to apply directly to jobs without the need for recruiters. This unique approach provides more transparency, eliminates...Daily paidPermanent employmentContract workPart timeLocal areaShift workNight shiftWeekend work
$2,020 per week
...Cross Country Nurses is seeking a travel nurse RN Telemetry for a travel nursing job in Phoenix, Arizona. Job Description & Requirements... ...sterile procedures and patient safety is essential. The unit utilizes Cerner EMR; nurse to patient ratio is 1:4. The unit is...For contractorsShift workNight shiftWeekend work$58 - $65 per hour
Job Description: The Registered Nurse (RN) is a professional caregiver who assumes responsibility... ...care of patients. The staff RN utilizes the nursing process by use of technology,... ...and national travel RN rates Pay rates are reviewed quarterly and adjusted based on market...Hourly payPrice workFull timeLocal areaShift work$2,090 per week
...Medical Solutions is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Phoenix, Arizona. Job Description & Requirements ~ Specialty: ICU - Intensive Care Unit ~ Discipline: RN ~ Duration: 13 weeks ~36 hours per week ~ Shift:...Weekly payDaily paidFull timeContract workWork from homeShift workNight shift- Trusted is seeking an experienced nurse for this exciting travel nursing assignment. Trusted has streamlined the travel nursing experience by enabling nurses to apply directly to jobs without the need for recruiters. This unique approach provides more transparency, eliminates...Daily paidContract workPart timeLocal areaShift workNight shiftWeekend work
$37.45 - $57.29 per hour
...Job Description: The Registered Nurse (RN) is a professional caregiver who assumes responsibility... ...the care of patients. The staff RN utilizes the nursing process by use of technology,... ...response to interventions through review of achievement of goals, clinical outcomes...Hourly payRemote work- ...EXCELLENT URGENT CARE OPPORTUNITY FOR EXPERIENCED NURSE PRACTITIONER! Full Time shifts available. Flexible Scheduling. Now interviewing... ...Fortunes 2024 Most Innovative Companies, and Beckers Hospital Reviews 150 top places to work in healthcare 2024. At the end of the...Full timeFlexible hoursShift work
$2,161 per week
...MedPro Healthcare Staffing is seeking a travel nurse RN Telemetry for a travel nursing job in Phoenix, Arizona. Job Description & Requirements ~ Specialty: Telemetry ~ Discipline: RN ~ Start Date: 08/17/2026 ~ Duration: 13 weeks ~36 hours per week ~ Shift...Hourly payWeekly payContract workTemporary workFor contractorsImmediate startShift workNight shift$2,127 per week
...Registered Nurse (RN) | Emergency Room (ER) / Trauma Location: Phoenix, AZ Agency: FlexCare Pay: $2,127 per week Shift Information: Nights - 3 days x 12 hours Contract Duration: 13 Weeks Start Date: ASAP About the Position TravelNurseSource...Full timeContract workImmediate startShift workNight shift$2,105 per week
...Registered Nurse (RN) | Emergency Room (ER) / Trauma Location: Phoenix, AZ Agency: OneStaff Medical Pay: $2,105 per week Shift Information: Rotating - 3 days x 12 hours Contract Duration: 13 Weeks Start Date: 8/3/2026 About the Position...Hourly payFull timeContract workTemporary workWork experience placementShift work$2,235 - $2,304 per week
...Registered Nurse (RN) | Emergency Room (ER) / Trauma Location: Phoenix, AZ Agency: Jackson Nurse Professionals Pay: $2,235 to $2,304 per week Shift Information: Nights - 3 days x 12 hours Contract Duration: 13 Weeks Start Date: 8/10/2026...Daily paidFull timeContract workImmediate startShift workNight shift$1,938 - $2,138 per week
...Registered Nurse (RN) | Emergency Room (ER) / Trauma Location: Phoenix, AZ Agency: Ventura MedStaff Pay: $1,938 to $2,138 per week Shift Information: Nights - 5 days x 12 hours Contract Duration: 13 Weeks Start Date: 8/17/2026 About the...Full timeContract workShift workNight shift$3,229.33 per month
...Details Client Name Banner Health - Estrella Medical Center Job Type Travel Offering Nursing Profession RN Specialty CVOR Job ID 18226587 Job Title RN - CVOR Weekly Pay $3229.33...Weekly payFlexible hoursShift work$85k - $90k
...Job Title: Registered Nurse- Clinical Care Guide Location: Tucson, AZ 85718 (100% Onsite) Job Type: Direct Hire | Full-Time Salary: $85,000-$90,000 per year (W2) Job Summary: We are seeking a compassionate and experienced Registered Nurse...Full time- ...CORE Institute continues to grow, we are looking for a Registered Nurse for our Peoria Spine Center. Please see below for the functions... ...are given immediate attention and priority. Maintains/reviews patient records, charts and other pertinent information. Ensures...Work at officeImmediate startShift work
$40 - $45 per hour
...substance use challenges! Be part of something bigger-together, we can change lives and create lasting hope! Position: Registered Nurse Job Type: Full-Time: Non-Exempt Shift Details: Thursday, Friday, Saturday, and every other Wednesday | 7:00pm - 7:30am...Hourly payFull timeWork at officeShift work$2,032 - $2,162 per week
...Summary: The PACU (Post-Anesthesia Care Unit) Registered Nurse provides specialized care to patients recovering from anesthesia... ...adverse reactions Respond promptly to emergency situations utilizing PACU nursing standards, policies, procedures, and protocols...Temporary workShift work- ...Registered Nurse Ozanam Manor (I and II) Interim Housing Communities are transitional housing programs for 160 single adults experiencing... ...and that documents nursing notes in a professional manner that utilizes clear goal setting and progress towards those goals (e.g. SOAP)...Permanent employmentContract workInterim roleWork at office
- ...mission and experience why amazing health starts with amazing healthcare. For more information, visit As a Full Time Registered Nurse (RN), you'll provide care to client employees and their dependents in our Health Center located in North Phoenix, AZ (Zip Code 85085...Full timeContract workLocal areaMonday to Friday
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Utilization Review Nurse. Be the first to apply!





