Remote RN: Inpatient Utilization & Review
$75kWNS
- Remote job
WNS is seeking a Registered Nurse for the role of Utilization Review Specialist. The position involves conducting inpatient utilization reviews, using criteria like InterQual, while engaging with clinical teams and maintaining high documentation standards. Successful candidates must possess an active RN license and have at least two years of acute care experience. The position offers a salary of $75,000 annually, with additional benefits including medical, dental, and paid time off. #J-18808-Ljbffr WNS
$60.2k - $107.4k
...Stryker Corporation is looking for a Utilization Review Nurse, RN, based in California. As part of this role, you'll manage inpatient utilization efficiently while adhering to clinical... .... The position offers the flexibility of remote work within the U.S., alongside...Remote work- ...Village Center for Care, Inc. is seeking a self-motivated RN for the role of Utilization Review Nurse in a full-time, hybrid position located in the... ...familiarity with Medicaid/Medicare regulations and clinical guidelines, along with inpatient experience. #J-18808-Ljbffr...Remote workFull time
- ...programs and… more! Description The Registry Utilization Review Nurse (PRN) is responsible for... ...physician and/or physician advisor. The UR RN (PRN) will perform utilization review... ...comprehensive review of all new observation and inpatient admissions for status designation as...SuggestedTemporary workCasual workReliefShift work
$30 - $38 per hour
...Responsibilities Job Summary We are seeking Utilization Review Nurse RN to join our team on a part‑time basis... ...for medical appropriateness; inpatient hospital stay including mental health... ...skills to successfully perform in a remote healthcare environment. Ability to perform...Remote workHourly payFull timePart timeWork at officeMonday to FridayWeekend work- ...A healthcare institution in the United States is hiring for a Concurrent Review Nurse responsible for performing utilization management activities remotely. The role involves conducting concurrent reviews, evaluating clinical documentation against guidelines, and collaborating...Remote work
- ...Medix™ is seeking an experienced RN for a Utilization Review role, allowing you to work from the comfort of home. In this contract-to-hire position, you'll review inpatient treatment plans and communicate with medical teams to ensure appropriate care levels. Ideal candidates...Remote workContract workWork from home
$2,210 per week
...Holidays Work-life balance. Remote/hybrid setting (once... ...: This individual will utilize clinical knowledge and... ...treatment or inpatient confinement. This individual... ...decision to a second level reviewer. This individual interfaces... ...but is not limited to RN, LMSW, LMHC. Successful...Remote workFull timeTemporary workPart timeCasual workWork at officeWork from homeAll shiftsMonday to FridayFlexible hours$75k
...WNS Global Services is seeking a fully remote Utilization Review Nurse to perform inpatient reviews and ensure compliance with medical necessity criteria. This... ...effectively with physicians. The ideal candidate has an RN license, at least two years of experience in acute...Remote workWork at office$75k
...Cottage Hospital is seeking a dedicated Registered Nurse for inpatient utilization review responsibilities. This role requires performing medical... ...to make informed decisions. Candidates must hold an active RN license and have experience in acute care settings. The starting...Remote work$78k - $92k
...TalentLNX LLC is seeking a Utilization Review Nurse for a remote position focusing on evaluating medical necessity of inpatient and outpatient services. Ideal for experienced RNs aiming to utilize their clinical expertise without direct patient care. The role involves...Remote work$30 - $34 per hour
...Overview Utilization Review Nurse - Remote at Astrana Health Location: 600 City Parkway West 10th Floor, Orange, CA 92868 Compensation... ...Complete prior authorization/retrospective review of elective inpatient admissions, outpatient procedures, post-homecare...Remote workHourly payMonday to Friday- ...Position Summary The Utilization Review Nurse works as responsible for ensuring the receipt of high... ...outcomes for enrollees with a need for inpatient/outpatient authorizations. This... ...years of clinical nursing experience as an RN, preferably in a hospital setting. 2+ years...Remote workWork at office
$41 - $45.5 per hour
...Management Senior Analyst Location: Remote (within plan states: IL, TX,... ...: Active, unrestricted RN License Must have MCG/... ...assessments, health education, and utilization management. Key... ...concurrent, and retrospective reviews for inpatient, rehab, referrals, and select...Remote work- ...TurningPoint Healthcare Solutions is seeking a Utilization Review Nurse to join their team in a fully remote role. The ideal candidate must be a Licensed Nurse Practitioner (LPN) or Registered Nurse (RN) with strong critical thinking skills and attention to detail. The...Remote work
$30 - $34 per hour
A healthcare services company is seeking an experienced Utilization Review Nurse to work remotely. The ideal candidate must hold an active LVN license in California and have experience in outpatient utilization management. Responsibilities include approving or denying medical...Remote workHourly pay$85.7k - $128.54k
...opportunities for growth and innovation. Utilization Management Nurse Lead Responsibilities Reviews reporting to assign tasks to UM... ...as first-line SME/resource for inpatient UM questions; provides 1:1... ..., valid, and unrestricted LVN or RN license in California (Non-Compact...Remote jobImmediate start$33 - $37 per hour
A national healthcare staffing firm seeks an experienced RN Utilization Review Nurse in Troy, MI. Responsibilities include utilization review for Medicaid and Medicare, managing authorization processes, and collaborating with healthcare teams to ensure quality care. Ideal...Hourly payMonday to Friday- ...great opportunity for a local remote position. Schedule PRN... ..., behavioral health, inpatient, etc). Requirements: ~2... ...hospitalized patients. ~2 years of utilization review (UR) experience reviewing... ...both Missouri and Illinois RN licenses. ~ If candidate...Remote workReliefLocal areaWork from homeMonday to FridayFlexible hoursShift work
- ...Management Location: 100% Remote Schedule: M-F 9:00am... ...to have an Illinois state RN license Assess and... ...Summary Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management...Remote workContract work
$47.06k - $70.24k
A healthcare solutions provider is seeking a Utilization Review Nurse in Fort Worth, TX. This remote role involves analyzing medical bill appropriateness, documenting... ...claims examiners. Candidates must have a current RN license and at least four years of clinical...Remote work- ...Industrial Asset Management Council, Inc is looking for a Remote RN to join their team. The role requires 2 years of RN experience and Utilization Review expertise, supporting various units in a clinical review capacity. This work-from-home position offers flexible scheduling...Remote workWork from homeFlexible hours
$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 workHourly payPart time- ...Currently seeking a Utilization Management RN . Please see details and qualifications... ...below: Position is remote - candidate must reside in... ...through medical record review to determine medical necessity... ...determine medical necessity for inpatient admissions, continued stays...Remote workImmediate startDay shift
- ...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
$55.24 - $92.02 per hour
Utilization Review—RN US-Remote Requisition ID: 2026-39874 Position Category: Nursing - Care Management Job Type: ONA union represented Position... ...Utilization Management follows patients on every inpatient, observation, and overnight day stay unit and the Emergency...Remote workHourly payFull timePart timeWork at officeNight shiftWeekend work3 days per week- ...for clinical member services review assessment processes. Responsible... ...care model. Adheres to utilization management (UM) policies and... ...experience in hospital acute care, inpatient review, prior authorization,... .... Registered Nurse (RN). License must be active and...Remote job
$55 per hour
...is hiring a Concurrent Review Nurse to support our client... ...space. Location: Remote (must be based in California... ...concurrent reviews of inpatient activities. This role... ...Experience in case management, utilization management, or... ...judgment within the scope of RN practice in California....Remote workFull timeContract workTemporary workLocal area- COMAGINE HEALTH is seeking Clinical Utilization Review Nurses (RN) for a full-time remote position focused on assessing the medical necessity of healthcare services in Alabama. Candidates must hold an active RN license and possess a BA/BS in nursing, alongside a minimum...Remote workFull time
- ...programs... and more! Description The Utilization Review (UR) Specialist is a Registered Nurse responsible... ...workflows on all observation, inpatient, and extended recovery admissions as required... .... Work Type: This position is a remote position outside traditional office, often...Remote workWork at office
$45k - $70k
...A leading healthcare company is looking for a Utilization Management Nurse Reviewer to ensure medical services are appropriately utilized. Responsibilities include conducting assessments, reviewing patient records, and collaborating with healthcare providers. A valid nursing...Remote work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote RN: Inpatient Utilization & Review. Be the first to apply!

