Remote Utilization Review RN (InterQual) - PA Licensed
The Judge Group
A healthcare staffing agency is seeking a Utilization Management RN to work remotely from PA, DE, or NJ. The role involves assessing clinical information, determining medical necessity for services, and collaborating with providers. Candidates should have at least three years of Medical/Surgical experience and proficiency with InterQual criteria. This position offers a day shift workload with flexible weekends and requires an active PA RN license. #J-18808-Ljbffr
Vacancy posted 3 days ago
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$78k - $88k
...Summary We are seeking a skilled Utilization Review Nurse to conduct prior authorization,... ...updated on clinical guidelines. Maintain RN license and meet continuing education... ...in prior authorization reviews using InterQual or MCG. ~ Strong written communication...Remote workFull timeContract workWork at officeWork from homeFlexible hours- ...JOB SUMMARY: The Utilization Review Nurse is to assess the medical... ...based UM department with use of Interqual or MCG o Prefer clinical... ...and make solid decisions • License/Certification: o Current... ...unrestricted Registered Nurse (RN) license EQUAL...Remote workFull timeTemporary workLocal area
American Health Partners
United States22 hours ago - ...TurningPoint Healthcare Solutions is hiring a Utilization Review Nurse to work remotely. The ideal candidate must hold a valid LPN or RN license and possess strong critical thinking and clinical expertise. Responsibilities include performing initial clinical reviews,...Remote work
TurningPoint Healthcare Solutions
Florida, NY3 days ago - ...Quick Job Details: Setting: Fully Remote – Utilization Review Schedule: Full-Time, Monday–Friday... ...Job Requirements: Active RN license with Multi-State/Compact License required... ...improvement Experience applying InterQual and/or MCG criteria preferred...Remote workFull timeMonday to Friday
HealthPlus Staffing
Fort Lauderdale, FL18 days ago $78k - $88k
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...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 timeSanta Barbara Cottage Hospital
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Varite
United States22 hours ago $40 per hour
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Dallas, TX3 days ago$35 - $43 per hour
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CHRISTUS Health
Alamogordo, NM5 hours ago $66.83k - $111.38k
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$35 - $45 per hour
Position: RN / Utilization Review Nurse Location: Sacramento, CA (ON-SITE) Employment Type: Potential... .... Required Qualifications Active Licensed Vocational Nurse (LVN) license. Minimum... ...Comfortable working independently in a remote or office-based setting. Working Conditions...Remote workWeekly payContract workWork at officeMonday to Friday$65 per hour
...RN – Utilization Review Location: Everett, WA 98201 Start Date: 05/04/2026 Duration: 13 weeks Schedule... ...: No Certs Required: BLS, WA RN License Will this traveler need to float between... .... Pending License accepted: No Fully Remote Position RTO Restrictions: Please include...Remote workHourly payLocal areaImmediate startMonday to FridayShift workWeekend workPacer Group
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HealthPlus Staffing
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$45 - $50 per hour
...for a dedicated Registered Nurse Clinical Reviewer for a fully remote position in New York. This role involves conducting utilization and quality reviews and contributing to... ...nursing programs with an active New York RN license. #J-18808-Ljbffr kozmetickesluzby.vecnakraska...Remote jobHourly pay- Comagine Health seeks Clinical Utilization Review Nurses (RN) to assess medical necessity and quality of care... ...reviews. This full-time, remote position requires Alabama licensure and... ...long-term care, provider relations, and PA reviews is valued. #J-18808-Ljbffr Palo...Remote jobFull timeContract work
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