Remote Utilization Review RN | Hospital Admissions Expert
BJC HealthCare
A major healthcare organization is seeking a registered nurse for a remote position focused on utilization review. Candidates should have 2 years of experience in a hospital setting and expertise in evaluating medical necessity. Responsibilities include assessing care levels and ensuring efficient use of healthcare resources. Benefits include comprehensive insurance, 401(k) matching, and tuition assistance. Join a team dedicated to providing top-notch patient care while working from the comfort of your home. #J-18808-Ljbffr
- ...Concierge Home Care is seeking a Utilization Review Specialist (RN) for a remote opportunity. This position requires a Florida RN License, OASIS Certification, and Home Health Coding Certification. You will be responsible for reviewing home health clinical documentation...Remote workFlexible hoursWeekend workWeekday work
- ...A leading healthcare organization is seeking a remote RN to ensure appropriate administration of hospital resources and quality care. Responsibilities include reviewing patient care levels and utilizing Interqual Criteria for inpatient hospitalizations. The ideal candidate...Remote work
- ...Santa Barbara Cottage Hospital is hiring a Utilization Review Nurse for a remote position. The role involves gathering clinical information, certifying medical necessity... ...will have a strong nursing background with RN licensure and at least 4 years of clinical experience...Remote work
- Industrial Asset Management Council, Inc is seeking a remote RN to support various units, requiring at least 2 years of experience in patient care and Utilization Review. Candidates must live within one hour of St. Louis, MO, hold an active RN license, and be available...Remote jobFull time
$49.34 - $76.59 per hour
...A leading healthcare organization is seeking a Utilization Review RN for a fully remote role in Oregon. Candidates must hold an Oregon Registered Nurse License and have at least 5 years of clinical nursing experience, particularly in collaboration with physicians. This...Remote work- ...NeuroPsychiatric Hospitals is seeking a Utilization Review Nurse (RN) to coordinate patient services across multiple hospitals. The role supports pastoral... ...collaborating with teams for better outcomes. Located remotely with a preference for candidates in Indiana,...Remote work
$65k - $75k
Gainwell Technologies LLC is seeking a Nurse Reviewer (RN) to perform clinical reviews remotely in the United States. Responsibilities include reviewing... ..., 5+ years of clinical experience, and 2+ years in utilization review or claims auditing. This full-time position...Remote workFull time- ...Utilization Review Nurse Participates as a member of a multidisciplinary... ...as well. This role will be remote but regular meetings/trainings... ...~2 years of experience in hospital or insurance related utilization... ..., for appropriateness of admission type and setting, utilizing...Remote workReliefWeekend work3 days per week
- ...OverviewDescription – This is a remote role. You MUST live in... .... Care Manager RN, Per diem / On call, Day shift.The Utilization Review (UR) Nurse has a strong... ...determining the appropriate admission status based on... ...employees) serve in over 50 hospitals, over 1,000 clinics and...Remote workDaily paidLive inShift workDay shift
$57.28 - $88.92 per hour
...Description RN Utilization Review - Remote. This position is Per Diem and will work 8-hour, Day shifts... ...review medical records daily during admission for all payers, as required by the... ...environment or working as an acute hospital case manager. Preferred Qualifications...Remote workDaily paidMinimum wageLocal areaShift workDay shift- ...Job Description RN Utilization Review - Remote. This position is Per Diem and will work 8-hour, Day... ...review medical records daily during admission for all payers, as required by the... ...environment or working as an acute hospital case manager. Preferred Qualifications...Remote workDaily paidMinimum wageLocal areaShift workDay shift
$2,109 per week
...is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in... ...Opportunity for a Remote Utilization Review Registered... ...Review with a focus on: - Admission criteria - Concurrent review... ...: - 3 years of acute care hospital experience in Utilization...Remote workZero hours contractFlexible hoursShift workWeekend workDay shift- ...Job Description RN Utilization Review - Remote position. This position will work Per diem, 8-hour... ...review medical records daily during admission for all payers, as required by the health... ...environment or working as an acute hospital case manager. Preferred...Remote workDaily paidMinimum wageLocal areaShift workDay shift
$32 - $48 per hour
...RN-Utilization Review/Case Manage Nurse - RFT Gibson City, IL 60936 Overview... ...of in person and remote considered) GENERAL SUMMARY... ...responsible for review of patient admissions for severity of illness and... ...of care. GIBSON AREA HOSPITAL & HEALTH SERVICES MISSION...Remote workHourly payFull timeWork at officeRelocation packageShift work$35 - $45 per hour
...Registered Nurse (RN) | Utilization Review Location: Corpus Christi, TX Agency: Mindlance Health... ...contact and will include 80% travel. Remote role. Will require a driver’s license.... ...management experience preferred. Hospital CM, Home health, discharge planning,...Remote workHourly payFull timeContract workImmediate startShift work3 days per week$35 - $45 per hour
...Registered Nurse (RN) | Utilization Review Location: Corpus Christi, TX Agency: Mindlance Health... ...contact and will include 80% travel. Remote role. Will require a driver’s license.... ...management experience preferred. Hospital CM, Home health, discharge planning,...Remote workHourly payFull timeContract workImmediate startShift work3 days per week- ...A leading staffing agency is looking for a Utilization Review Registered Nurse to work remotely with a major health insurance client. This role involves evaluating patient care cases and ensuring requested services align with medical necessity while adhering to confidentiality...Remote work
$35 - $45.94 per hour
...Oscar Health is looking for a Utilization Review Nurse to join their team. The role involves performing... ...care. Candidates must hold an active RN license and have at least one year of... ...utilization review or acute care settings. This remote position offers a competitive pay range...Remote workHourly pay- ...Carolina is looking for a qualified applicant to perform medical reviews and support medical claims processing. The role involves... ...established clinical guidelines. Applicants must hold an active RN license and have at least two years of clinical experience. The...Remote workFull time
$67.7k
...A specialized consulting firm is seeking a Medical Claims Reviewer to conduct medical reviews and provide guidance on claims. This remote role requires an active RN license, a bachelor's degree in nursing, and at least five years of clinical experience. Ideal candidates...Remote workFull timeMonday to Friday$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... ..., processing appeals, and working collaboratively with hospital staff. Candidates must have a current RN license and at least...Remote workHourly payPart time$50 per hour
...A leading healthcare staffing firm is seeking an experienced RN Clinical Reviewer to work remotely. You'll conduct detailed medical-legal reviews and appeals while maintaining high accuracy and integrity. Key qualifications include a New York State RN license and at least...Remote work- ...Providence Health & Services is seeking an RN Utilization Review for a part-time remote position. This role focuses on conducting clinical reviews and utilization... ...at least 2 years of experience in remote UR or acute hospital case management. A comprehensive benefits package,...Remote workPart time
$1,949.74 per month
...Nurse Specialty Utilization Review Job ID 17979666... ...Title Utilization Review RN Weekly Pay $1949.7... ...Job Description Remote Utilization Review RN responsible... ...CMS, Medicare regulations, and hospital guidelines in an acute care setting...Remote workWeekly payShift work- ...408 Apply Now Acute Hospital Experience by Specialty Pediatrics... ...MS Case Management/Utilization Review Pre-Cert Review* Prior... ...* Retrospective Review* Admission Criteria Care... ...Goals Additional Skills remote UR work CA and Medi-Cal experience...Remote work
$23.76 - $51.49 per hour
...for clinical member services review assessment processes. Responsible... ...care model. • Adheres to utilization management (UM) policies and... ..., including experience in hospital acute care, inpatient review,... ...experience. • Registered Nurse (RN). License must be active and...Remote workHourly payWork experience placementWork at office- UnitedHealth Group is seeking a Clinical Review Clinician in Plymouth, Minnesota. This role... ...involves conducting forensic reviews of hospital bills and claims while ensuring... ...should have an Associate's degree, an active RN or LPN license, and at least 2 years of clinical...Remote job
- ...access to care and appropriate utilization of resources, balanced with... ...provided to payers, physicians, hospital/office staff and ancillary... ...delegated to Central Utilization Review LVN/LPN Case Manager and/or... ...thru Saturday schedule. Remote, but you must live locally in...Remote workWork at office
- ...a great opportunity for a local remote position. There is no communication... ...4:30pm. Requirements 2 years of RN experience performing care for hospitalized patients 2 years of Utilization Review (UR) experience reviewing hospital admissions for medical necessity Must live...Remote workFull timeReliefLocal areaWork from homeMonday to FridayFlexible hoursShift work
$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... ...Guaranteed Hours: 72 hours per 2 week period Hospital Highlights Type of Facility: Level II Trauma Center...Remote workLocal areaImmediate startMonday to FridayShift workWeekend work
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