Remote Utilization Review Nurse - Case Management
IntePros
Now hiring: Remote Utilization Review Nurse - Case Management in Remote at IntePros. Job type: Full-Time. Review the complete description and requirements below to determine if this opportunity is the right fit for you. Posted: Oct 21, 2026. A healthcare services provider is seeking a Remote Utilization Review Nurse to coordinate clinical resources, ensuring compliance with healthcare standards. Responsibilities include processing authorizations, reviewing documentation, and collaborating with teams to meet patient needs. Candidates must possess a nursing license and have experience in utilization review or home health. This contract role offers a chance to manage healthcare quality efficiently while working remotely. #J-18808-Ljbffr
- ...A healthcare services provider is seeking a Remote Utilization Review Nurse to coordinate clinical resources, ensuring compliance with healthcare... ...review or home health. This contract role offers a chance to manage healthcare quality efficiently while working remotely. #J...Remote workContract work
- ...Description: Nurses - are you looking for... ...leader in personalized managed health care,... ...-life balance. * Remote setting ROLE DESCRIPTION... ...individual will utilize clinical knowledge... ...to a second level reviewer. This individual interfaces with case managers and disease...Remote workTemporary workMonday to FridayFlexible hours
- ...Responsible for utilization review work for emergency admissions... ...and/or medical/surgical nursing At least 2 years utilization management experience in acute admission... ...in Nursing (BSN) Case Management... ...Comfortable with remote work arrangements and virtual...Remote workFull timeFor contractorsWork at officeShift workWeekend workWeekday work
$1,600 - $1,800 per week
...NOW HIRING: Registered Nurse - Utilization Management Location: Buckley AFB & Peterson AFB, Colorado... ..., no holidays, no telehealth/remote work Minimum Qualifications... ...Utilization Management, Utilization Review, or Case Management ~• Preferred Certifications...Remote workContract workImmediate startMonday to Friday- ...Currently seeking a Utilization Management RN . Please see details... ...below: Position is remote - candidate must... ...active PA license or a Nurse Licensure Compact to include... ...medical record review to determine medical necessity... ...when needed. Refer cases that do not meet...Remote workImmediate startDay shift
$35 - $45 per hour
...from IntePros IntePros is seeking a Remote Utilization Review Nurse serves as a key clinical liaison, coordinating... ...with Medicare guidelines. Refer cases outside established guidelines to the... ...communication with payer plan case managers, patients, and provider teams....Remote workContract workWeekend work- ...Utilization Review Nurse Location: [City, State / Remote] Employment Type: Full-Time Experience: 2-5+ Years Job Summary We are seeking... ...requirements, collaborate with healthcare providers and case management teams, and support high-quality, cost-effective...Remote workFull timeSecond jobWork at office
$95k - $107.5k
...Full-time Description Title: Nurse Reviewer, Utilization Management Job Type: Full-time Location:... ...week in Brighton, MA office; 1 day remote FLSA Status: Exempt About Us... ...providers and internal teams, and escalates cases requiring physician-level judgment...Remote workFull timeLocal area- ...for performing Workers' Compensation utilization review, which includes prospective, concurrent... ..., identify patients with ongoing case management needs and refer these claimants to the... ...Diploma, Associate, bachelor's degree in nursing, or Master's level (or higher) degree...Remote workLong distance
- ...facilities. In partnership with nursing home operators, these Medicare Advantage plans manage medical risk by improving... ...Program JOB SUMMARY The Utilization Review Nurse is to assess the medical... ...clinical data provided Certify cases that meet clinical review...Remote workFull timeTemporary workLocal area
$77.08k - $119.47k
...Department/Unit: Care Management/Social Work Work... ...0 Responsible for Utilization Management,... ...Characteristics Registered nurse with a New York... ...experience in case management, utilization... ...to utilization review process. Excellent... ...cannot be done from a remote location. Other...Remote workShift work- ...Performs medical record review for severity of... ...efficient time management skills Education... ...Training: Nurse, Registered (RN) licensure... ...-5 years previous Utilization Review experience... ...nursing; hospital case management;... ...Days, Primarily remote; onsite orientation...Remote workShift workWeekend work
- ...Utilization Review Nurse This position has a remote option for those living close and will be able to come into the hospital... ...They effectively and efficiently manage a diverse workload in a fast-... .... Identify and present cases of possible quality of care deviations...Remote workFull time
$55 per hour
...from Akkodis Akkodis is hiring a Concurrent Review Nurse to support our client in the Healthcare space. Location: Remote (must be based in California) Employment... ...clinic setting. Preferred: Experience in case management, utilization management, or discharge planning....Remote workFull timeContract workTemporary workLocal area- A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care. This... ...Arizona and substantial experience in utilization review or case management. Strong communication skills and flexibility are...Remote jobContract work
$41 - $45.5 per hour
...Direct Government Clients Role: Nurse Case Management Senior Analyst Location: Remote (within plan states: IL, TX, NM,... ...assessments, health education, and utilization management. Key... ..., concurrent, and retrospective reviews for inpatient, rehab, referrals,...Remote job- ...Job Description HIRING: Utilization Review Nurse | Remote | UM Training Provided \n \n 5 Clinical... ...looking to transition into Utilization Management This is a unique opportunity! While... ...in Utilization Management and case management from the ground up. \n...Remote workFull timeContract workHome officeShift work
- Utilization Review Nurse Auditor (33034)# Utilization Review Nurse Auditor (33034)Fully Remote • Mount Laurel, NJ 08054## OverviewSalary Range$33.0... ...insight and direction to management on any compliance concerns... ...reviews, Medicare compliance, case management, record...Remote workLocal areaMonday to Friday
- ...global, innovative Total Talent management firm dedicated to... ...Field work contract role for a Utilization Review Nurse. The Utilization Review Nurse... .../Prior Authorization/Case Review Nurses with active... ...to work independently and remotely Experience in a healthcare...Remote workContract work
- ...Gainwell Technologies LLC is looking for a Utilization Review Nurse to work remotely in Maine. You will conduct reviews for medical necessity and appropriateness of services, utilizing clinical criteria and guidelines. Qualified candidates should have an active Maine RN...Remote workFlexible hours
- ...support a mission-driven health organization, the full-time Utilization Review Nurse - RN will conduct medical necessity reviews, escalate non-... ...determinations Analyze clinical documentation for completeness and manage a caseload based on urgency and member impact Required...Remote workFull time
$65k - $78k
...Your Role In Our Mission Review admissions, procedures, services,... ...decision-making, referring complex cases to Medical Directors when needed.... ...findings and rationale in medical management systems. Assist in training new nurses, provide feedback, and stay updated...Remote workFull timeWork at officeWork from homeFlexible hours- ...Newark NJ rest of role will be remote This position is... ...Responsibilities: 1. Conducts on-site reviews at participating provider... ...improvement and health management. 4. Assists the Quality Management... .... Requires License Practical Nurse License or an active New...Remote work
- ...great opportunity for a local remote position. There is no... ...hospitalized patients ~2 years of Utilization Review (UR) experience reviewing... ...Requirements Education ~ Nursing Diploma/Associate's -... ...benefits and resources to help you manage your physical, emotional,...Remote workFull timeReliefLocal areaMonday to FridayFlexible hoursShift work
$35 - $45.94 per hour
...we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review... ...: You will perform frequent case reviews, check medical... ...Review. Work Location: This is a remote position, open to candidates... ...review experience in a managed care setting Strong experience...Remote workHourly payFull timeFor contractorsWork from homeRelocationHome officeWeekend work- ...Centene is seeking a Nursing professional to perform concurrent reviews from a home-based setting, ensuring appropriate care levels and discharge planning... ...with Medical Affairs and educating providers on utilization processes. Schedule is Mon-Fri, 8am-5pm Central with...Remote work
- A global talent management firm is seeking a Utilization Review Nurse for a contract role based in Pennington, NJ. The role involves performing utilization management, reviewing medical records, and coordinating discharge planning. Candidates must have an active RN license...Remote workContract work
- ...leading healthcare solutions company is seeking an experienced Utilization Review Nurse to improve patient care through home-based services.... ...accredited nursing degree and experience in utilization review. Competitive pay and remote flexibility offered. #J-18808-Ljbffr...Remote work
- ...Alignment Health is seeking an inpatient review nurse to join the remote utilization management team. You will assist patients through the continuum of care in... ...with the patient’s primary care physician, facility case manager, discharge planner and contracted ancillary...Remote work
- ...TriWest Healthcare Alliance seeks a Utilization Management Clinical Review nurse to evaluate and authorize beneficiary care, focusing on cost-effective,... ...inpatient and continued stay reviews, and presenting complex cases for Medical Director review, while staying compliant...Remote work
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