Remote Utilization Review Nurse - CA Licensed (LVN/RN)
$30 - $34 per hourAstrana Health
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 services based on established criteria. Competitive hourly compensation ranges from $30.00 to $34.00. Join our dedicated team committed to putting patients first. #J-18808-Ljbffr
$35 - $45 per hour
Position: RN / Utilization Review Nurse Location: Sacramento, CA (ON-SITE) Employment Type: Potential contract to... ...Required Qualifications Active Licensed Vocational Nurse (LVN) license. Minimum 3 years of... ...working independently in a remote or office-based setting. Working...Remote workWeekly payContract workWork at officeMonday to Friday- ...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
- ...Healthcare LLC is seeking a Lead Utilization Management Nurse, responsible for reviewing inpatient service requests... ...team of UM Nurses. This fully remote position demands strong communication... ...skills and a valid California LVN or RN license. The role includes mentoring...Remote work
$34 - $42 per hour
...is searching for an experienced UM Review Nurse. This role involves reviewing outpatient... ...Necessity Criteria and requires a CA-licensed LVN with at least one year of outpatient Utilization Management experience. The position is remote for CA nurses, requires open...Remote jobHourly pay$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 experience,...Remote work- ...RN/LVN - After-Hours & Weekend Shifts job at Blize Healthcare. Hercules, CA. Blize Healthcare is currently seeking a compassionate and dependable Registered Nurse or Licensed Vocational Nurse to join our team for after... ...judgments and utilize critical thinking in...Shift workNight shiftWeekend work
$30 - $38 per hour
...Responsibilities Job Summary We are seeking Utilization Review Nurse RN to join our team on a part‑time basis... ...as needed. Work to the top of the RN license and ensure proper referral to medical... ...skills to successfully perform in a remote healthcare environment. Ability to...Remote workHourly payFull timePart timeWork at officeMonday to FridayWeekend work- ...the Job We have an exciting new opportunity for an RN or LVN Home Healthcare Nurse primary for Bakersfield, CA. This person\'s responsibility is to provide high-... ...a current CPR/First Aid certification. Must be a licensed driver with an automobile that is insured. Excellent...Work at office
$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... ...with hospital staff. Candidates must have a current RN license and at least 1 year of clinical experience. Competitive hourly...Remote workHourly payPart time- Astrana Health Management is seeking a CA-licensed UM Review Nurse to review outpatient medical services. Candidates should have 1+ years of outpatient Utilization Management experience, work remotely, and maintain availability for shifts 8 AM - 8 PM PST, Monday through...Remote jobShift work
- ...Utilization Review Registered Nurse (UR RN) The Utilization Review Registered Nurse (UR RN) is a key contributor... ...unrestricted Registered Nurse (RN) license in the State of Texas or compact... ...required for facility based staff; optional for remote staff. Nexus Health SystemsRemote workWork at office
$54.19 - $68.37 per hour
...Registered Nurse Location: Laguna Hills, CA Department: Observation Care... ...activities. Utilizing the nursing process... ...practice standards, the RN, Clinical Nurse II is... .... Delegates to licensed and unlicensed personnel... ...also includes peer review. Identifies...Daily paidShift workNight shift- ...Integrated Transitional Care Nurse to facilitate... ...members in Rancho Cucamonga, CA. The role emphasizes... ...assessments and overseeing reviews for medical necessity... ...in Nursing and active RN license. Responsibilities include... ...schedule, combining remote and onsite work. #J-188...Remote workTemporary work
- Comagine Health is looking for a Clinical Utilization Review Nurse (RN) to perform remote assessments on the medical necessity of healthcare services. This... ...should possess a BA/BS in Nursing, hold a current RN license, and have over 3 years of clinical experience. Strong...Remote jobFull time
$31 - $45 per hour
Astrana Health Management is seeking a Case Manager (LVN or RN) in Monterey Park, CA. This full-time position involves working standard hours M-F... ...experience, with a hybrid work structure allowing for both at-office and remote work. #J-18808-Ljbffr Astrana Health ManagementRemote workHourly payFull timeWork at office$75k - $85k
...RN / LVN Regional Clinical Liaison - Los Angeles, CA Los Angeles, CA RESPECT. RELIABILITY. POSITIVE ATTITUDE. ALWAYS... ...for a clinically oriented nurses to work alongside our Physicians... ...Qualifications and Skills: LVN or RN license required Experience in long...- ...Future Opportunities: Nurse (LPN/LVN/RN) Positions - Join our Talent Network Job Titles: Registered Nurse (RN), Licensed Practical Nurse (LPN), and Licensed Vocational Nurse (LVN)... ...EEO employer – M/F/Vets/Disabled Telework/Remote Work policies are contingent upon client...Remote workContract work
- A&G Infusion Nursing Services, Inc. is seeking an experienced IVIG Infusion RN in Aurora, Colorado to deliver high-quality in-... ...candidate will possess an active RN license in CA and have at least 1 year of... ...for flexibility as it is remote and contract-based, requiring...Remote workDaily paidContract work
$88.85k
...Location: Los Angeles, CA, US, 90017 Job Category: Clinical Position Type... ...that purpose. Job Summary The Utilization Management (UM) Claims Review Nurse RN II is responsible for conducting clinical... ...medical necessity determinations. Licenses/Certifications Required Registered...Full time- Outpatient Case Manager ( RN or LVN ) job at Regal Medical Group. Northridge, CA. Job Description The Case Manager... ...Graduate from an accredited Licensed Vocational Nursing Program. Current CA LVN license... ...preferred. 2-3 years of utilization or HMO experience preferred....
- Spring Valley Pediatrics in Washington specializes in pediatric care and is looking for a qualified nurse. The position requires a valid RN or LPN license and experience in pediatrics is preferred. Responsibilities include managing patient care, educating patients, and...Remote job
$35 - $43 per hour
...hr - $43.00/hr Job Title Clinical Review Nurse – Concurrent Review Location: Remote (California only – must reside in CA or hold an active CA RN license) Duration: 12 months (with potential... ...– Concurrent Review will perform utilization management functions to ensure...Remote work- ...hiring a Care Navigator to build relationships with patients, manage vital signs remotely, and promote health behavior changes. Candidates should possess an unrestricted RN/LPN/LVN license, have clinical experience, and preferably speak Spanish. The role involves conducting...Remote work
$55 per hour
...hiring a Concurrent Review Nurse to support our... .... Location: Remote (must be based... ...case management, utilization management, or... ...Nurse license in the State of... ...within the scope of RN practice in California... .../Case Manager CA REMOTE... ...Case Manager UM LVN Delegation Oversight...Remote workFull timeContract workTemporary workLocal area- Registered Nurse (RN) or Licensed Practical Nurse (LPN): Rural Health Transformation Program Job Tracking... ..., including the Mobile Medical Unit, Remote Patient Monitoring (RPM), and follow‑... ...disease monitoring, medication review, care plan reinforcement, or post‑discharge...Remote workLocal areaWork from homeMonday to FridayFlexible hoursWeekend work
$1,778.5 per week
...Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in Hanford, CA. Shift: Inquire Start... ...candidates in the RN, ICU/CCU/Critical Care profession... ...are fueled by real reviews by real travel nurses... ...our team has been working remote since the pandemic), but...Remote workHourly payContract workWork at officeImmediate startShift workWeekend work- ...Registered Nurse (RN) | Operating Room Location: Sacramento, CA Agency: Titan Medical Group Pay: Competitive weekly pay (inquire for details) Contract Duration: 13 Weeks Start Date: 7/6/2026 Job Details Job type: Per Diem Shift: Other Assignment Length: 13 weeks Minimum...Weekly payDaily paidContract workShift work
$26 - $31 per hour
...The Cadence Health team is seeking a remote Licensed Practical Nurse (internally known as a Clinical Navigator... ...: An active compact multi-state LPN/LVN license in the state where you currently... ...-speed WiFi) is required An active CA state LVN license is required Fluency...Remote workHourly payFull timePart timeWork at officeLocal areaHome officeMonday to Friday$25 per hour
...are seeking a compassionate registered nurse (RN) to join our growing team! In this role,... ...first 6 months of hire ~3 weeks of paid remote training ~ Supportive clinical team... ...Active multistate Registered Nurse (RN) license Hospice, palliative, or end‑of‑life care...Remote workHourly payFull timePart timeWork from homeAll shiftsShift workNight shiftWeekend workAfternoon shiftWeekday work- Licensed Nurse - FT, PT, and PRN opportunities job at Seasoned Recruitment. Escondido, CA. Are you a passionate and skilled Licensed Nurse (LVN or RN) ready to make a profound difference in the lives of patients? We're seeking dedicated healthcare professionals to join...Full timeReliefShift work
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