Remote Utilization Review Supervisor RN
$77.96k - $120.37kSanta Barbara Cottage Hospital
- Remote job
Santa Barbara Cottage Hospital is seeking a Utilization Review Supervisor RN to direct operations within the department. This remote role requires a leader adept in managing a team, ensuring service quality, and handling human resources matters. The ideal candidate will have a nursing diploma, RN licensure, and at least three years of clinical experience. A comprehensive benefits package is included, along with a competitive salary range of $77,960 – $120,368. #J-18808-Ljbffr Santa Barbara Cottage Hospital
- ...State and Territorial Epidemiologists is seeking a Clinical Review Supervisor to provide operational supervision of clinical staff conducting utilization review activities. This fully remote position requires an RN license and relevant experience in patient care and...Remote work
- CorVel Corporation is looking for a Utilization Review Supervisor RN to direct operations in Rancho Cucamonga. The role includes managing day-to-day... ...ensuring quality service, and handling HR matters. This remote position requires strong communication skills, clinical experience...Remote job
$77.96k - $120.37k
...Utilization Review Supervisor RN The Utilization Review Supervisor RN is responsible for directing the operations of their designated department... ...customer service, and limited sales management. This is a remote position. Essential functions and responsibilities:...Remote workMinimum wageFull timeWork at officeLocal areaFlexible hoursNight shift- ...Centene Corp. is seeking a Supervisor, Utilization Management (RN) to lead and supervise our Clinical Review team. This role focuses on ensuring appropriate care for our members and promotes adherence to compliance standards through effective team management and continuous...Remote workFlexible hours
$75.3k - $135.4k
...Prior Authorization, Concurrent Review, and/or Retrospective Review... ...Supervises day-to-day activities of utilization management team. Monitors and... .... License/Certification RN - Registered Nurse - State Licensure... ...approach to work with remote, hybrid, field or office work...Remote workFull timePart timeWork at officeFlexible hours- ...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
- ...positions are classified as hybrid, onsite or remote. While the majority of our employees... ...of Arizona. PURPOSE OF THE JOB The Utilization Review Supervisor coordinates the activities of the UR... ...of Arizona as a Registered Nurse (RN) Required Certifications N/A PREFERRED...Remote workFull timeWork experience placement2 days per week1 day per week
$69.38k - $92.28k
...MVP Health Care seeks a Professional Concurrent Review RN to ensure members receive appropriate care while navigating the healthcare... ...Ideal candidates are experienced RNs looking to transition into utilization management, requiring strong clinical judgment and excellent communication...Remote work- Blue Cross Blue Shield of Arizona is seeking a Utilization Review Supervisor in Phoenix, AZ. This hybrid role requires coordination of medical necessity... ...must have 2 years of clinical experience and an active RN license in Arizona. The position entails evaluating department...
- ...Humana is offering a remote internship opportunity for a Utilization Management Behavioral Health Registered Nurse (RN). This role is part of the DOW SkillBridge Internship and is... ...military spouses. Interns will conduct clinical reviews, communicate with providers, and document...Remote workInternship
- ...General Brigham is seeking a Peer-to-Peer Utilization Review Nurse to join the Central Utilization... ...a Bachelor's of Science in Nursing, an RN license, and extensive experience in clinical... ...review. The position offers a remote work model with a flexible schedule while...Remote workFlexible hours
- ...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
- ...Concierge Home Care in Jacksonville, FL is seeking an experienced Utilization Review Specialist (RN) to join its remote home health team. The ideal candidate should have strong expertise in OASIS, coding, QA, and home health documentation review. This role offers flexibility...Remote work
- ...RN Utilization Review Review patient medical records to assess the appropriateness and medical necessity of hospital admissions, continued... ...management experience (hospital-based) ~ Skilled experience with remote work Length of Assignment: 13 weeks Shift / Hours...Remote workShift workWeekend work
$23.76 - $51.49 per hour
...Molina Healthcare is seeking a Registered Nurse (RN) to support clinical member services review and assessment processes. This role involves analyzing... ...hourly pay range between $23.76 and $51.49 and requires adherence to utilization management policies. #J-18808-LjbffrRemote workHourly pay- ...Department: Utilization Management Schedule: M-F 8am-5pm Work Location: Remote Benefits for eligible positions generous paid time off paid parental leave... ...management, discharge planning and utilization review. Review admissions and service requests...Remote work
- ...A healthcare staffing firm is seeking a skilled Utilization Review RN to join their team. This fully remote position requires a valid PA RN license and prior experience in insurance utilization review. Responsibilities include conducting clinical reviews, applying evidence...Remote work
- ...providing telephonic and e-referral case review and authorization of services utilizing established mental health and... ...This position is full-time, fully remote (work from home) and requires some... ...State of Michigan clinical license (RN, LMSW, LP, LPC, or LLP) required....Remote workFull timeWork from homeShift workWeekend workAfternoon shift
$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: Day 5x8-Hour (08:00 - 16:30) Shift Notes: Days (5×8) | 08:00 - 16:30PAY DETAILS (72 HOURS / 2 WEEKS)...Remote workLocal areaImmediate startMonday to FridayShift workWeekend work- COMAGINE HEALTH is seeking a Clinical Utilization Review Nurse (RN) for a full-time remote position, focused on medical necessity assessments in healthcare. Applicants must have a BA/BS in Nursing and at least 3 years of clinical experience. The role requires strong communication...Remote jobFull timeContract workWork from home
- ...Overview This remote Utilization Review position requires a Registered Nurse who will be responsible for managing patient care, performing assessments, and ensuring compliance with healthcare regulations. The role involves continuous communication with healthcare...Remote workWeekly payMonday 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 requests. This role involves working 28 hours per week with responsibilities such as providing reviews for pre-certification...Remote workHourly payPart time$2,210 per week
...Paid Holidays Work-life balance. Remote/hybrid setting (once trained)... ...: This individual will utilize clinical knowledge and communication... ...decision to a second level reviewer. This individual interfaces with... ...includes but is not limited to RN, LMSW, LMHC. Successful...Remote workFull timeTemporary workPart timeCasual workWork at officeWork from homeAll shiftsMonday to FridayFlexible hours$75k
...Hospital is seeking a dedicated Registered Nurse for inpatient utilization review responsibilities. This role requires performing medical... ...teams to make informed decisions. Candidates must hold an active RN license and have experience in acute care settings. The starting...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
- ...A healthcare provider in California is seeking a Supervisor of Utilization Management to oversee operations of the Pre-Authorization team. This role... ...referrals, and facilitate team meetings. A California RN license is required. This position offers a hybrid work environment...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$1,949.74 per month
...Registered Nurse Specialty Utilization Review Job ID 17979666 Job Title Utilization Review RN Weekly Pay $1949.74 Shift... ...13 Week(s) Job Description Remote Utilization Review RN responsible for concurrent...Remote workWeekly payShift work- ...COMAGINE HEALTH is seeking a Clinical Utilization Review Nurse (RN) to conduct utilization management reviews. This full-time role supports high... ...at least 3 years of relevant experience. The position is remote, allowing work from any location in the U.S., and offers competitive...Remote workFull time
- ...Comagine Health is seeking a Clinical Utilization Review Nurse (RN) to work remotely. This role involves assessing the necessity and quality of healthcare services through various review methods, ensuring compliance with clinical criteria. The ideal candidate must hold...Remote work
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