Remote RN Utilization Review Clinician
$23.76 - $51.49 per hourMolina Healthcare of Illinois
- Remote job
Molina Healthcare is seeking a Registered Nurse (RN) to support clinical member services review and assessment processes. This role involves analyzing requests, ensuring compliance with guidelines, and collaborating with teams to promote effective care. Qualified candidates should possess an active RN license in Nevada and at least 2 years of acute care experience. The position offers a competitive hourly pay range between $23.76 and $51.49 and requires adherence to utilization management policies. #J-18808-Ljbffr Molina Healthcare
$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- ...Description JOB DESCRIPTION This RN will act as a Care Review Clinician supporting our Medicare members. The position is fully remote. Excellent computer skills and... ...candidates will have previous utilization management, managed care, or post-acute...Remote workWork at officeMonday to Friday
- ...Care Review Clinician This RN will act as a Care Review Clinician supporting our Medicaid members... ...contact notes. This is a telephonic remote position and productivity is important... ...candidates will have previous utilization management, case management, managed...Remote workWork at officeMonday to FridayWeekend 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- ...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
$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- .... Responsibilities: Reviews documentation and evaluates Potential... ...with internal/external clinician support as required.... ...3+ years of experience as an RN ~ Registered Nurse in state... ...Must have prior authorization utilization experience ~ Experience with...Remote work
- ...Job Title Utilization Review/Case Management – Nurse Department Case Management (Quality) Hours & Shift Requirements Full time position. Hybrid (combination of in person and remote considered) General Summary The Utilization Review/Case Management Nurse is directly responsible...Remote workFull timeShift work
$35 - $40 per hour
...- $40.00/hr Location Fully Remote Position Summary The Utilization Review Nurse serves as a key liaison in... ...Guidelines; provide feedback to clinicians on medical necessity, homebound status... ...Current, active nursing license (RN, LPN, or LVN) in good standing...Remote workContract workFlexible hoursWeekend work$34 - $40 per hour
...pay range $34.00/hr - $40.00/hr Remote (Compact Licensure Required) - Open to LPN's & RN's About the Role Medix is seeking an experienced Utilization Review Nurse to support our mission of improving... ...guidelines . Provide feedback to clinicians on medical necessity, homebound...Remote workFull time- ...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
$30 - $38 per hour
...personifyhealth.com. Responsibilities Job Summary We are seeking Utilization Review Nurse RN to join our team on a part‑time basis, working a minimum... ...communication skills to successfully perform in a remote healthcare environment. Ability to perform the essential...Remote workHourly payFull timePart timeWork at officeMonday to FridayWeekend work$27.02 - $48.55 per hour
...flexibility. Position is remote. Hours are Monday-... ...: Performs a clinical review and assesses care related... ...and appropriate utilization of services Provides... ...for behavioral health clinicians required. Clinical knowledge... ...(LMHP) required or RN - Registered Nurse -...Remote workHourly payFull timePart timeWork at officeMonday to FridayFlexible hours- ...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
...RN – Utilization Review Location: Everett, WA 98201 Start Date: 05/04/2026 Duration: 13 weeks Schedule Shift: Day 5x8-Hour (08:00 - 16:30)... ...No Locals accepted? No. Pending License accepted: No Fully Remote Position RTO Restrictions: Please include all RTO at the time...Remote workHourly payLocal areaImmediate startMonday to FridayShift workWeekend work$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$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 job$65k - $85k
...Santa Barbara Cottage Hospital is seeking a Utilization Review Specialist (RN) for a remote position, specifically for candidates based in Florida. The ideal candidate will possess a valid Florida RN License and certifications in OASIS and coding. The role involves thorough...Remote work- ...Brighton Health Plan Solutions, LLC is seeking an Utilization Management Nurse to perform medical necessity reviews remotely. Licensed LPN with strong MS Office skills will review clinical criteria, coordinate with care partners, and document determinations in compliance...Remote work
$2,250 per week
...AMN Healthcare Revenue Cycle is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Fort Myers, Florida. Job... ...experience (hospital-based) ~ Skilled experience with remote work LENGTH OF ASSIGNMENT – 13 weeks SHIFT...Remote workTemporary workImmediate startShift workNight shiftWeekend work$51.43 - $79.84 per hour
...Overview Description – This is a remote role. You MUST live in the state of Washington (WA) to be considered. Care Manager RN, Per diem / On call, Day shift. The Utilization Review (UR) Nurse has a strong clinical background blended with knowledge and skills in...Remote workDaily paidLive inShift workDay shift- ...Description: This is a remote position but will need... ...Conduct clinical reviews of patient records to... ...appropriate resource utilization and care planning Review... ...Registered Nurse (RN) program; Bachelor's Degree... ...26,000 physicians and clinicians across 25 states....Remote workFull timePart timeReliefWork at officeLocal areaShift workRotating shiftDay shift
- ...WNS, part of Capgemini, is seeking a remote RN/LPN for utilization review in the United States. The role involves assessing medical necessity, resolving escalations, and maintaining HIPAA-compliant documentation with HealthHelp policies. Requires active nursing license...Remote workWork at office
$85.99k - $105.34k
...focused healthcare organization in Oregon is seeking a Utilization Review Nurse for a full-time remote position. The role involves evaluating clinical... ...interdisciplinary teams. Applicants should have an active RN license and at least five years of direct patient care...Remote jobFull time- ...leading healthcare solutions company is seeking an experienced Utilization Review Nurse to improve patient care through home-based services.... ...accredited nursing degree and experience in utilization review. Competitive pay and remote flexibility offered. #J-18808-Ljbffr...Remote work
- A leading medical review company in Washington is seeking a Utilization Management Nurse Reviewer. The role involves assessing medical necessity, reviewing patient... .... The position offers a competitive salary range, remote work options, and a comprehensive benefits package...Remote work
- A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care. This role involves monitoring patient admissions and ongoing care while ensuring adherence to guidelines. The ideal candidate will have...Remote workContract work
- ...Holidays ~ Work-life balance. ~ Remote setting Role Description: This individual will utilize clinical knowledge and... ...defer decision to a second level reviewer. This individual interfaces with... ...includes but is not limited to RN, LMSW, LMHC. # Must have Mental...Remote workTemporary workWork at officeMonday to FridayFlexible hours
$30 - $34 per hour
Overview Utilization Review Nurse - Remote at Astrana Health Location: 600 City Parkway West 10th Floor, Orange, CA 92868 Compensation: $30.00 - $34.00 / hour Department: HS - UM This is a fully remote position. Description Astrana Health is looking for an experienced...Remote jobHourly payMonday to Friday- ...Management Location: 100% Remote Schedule: M-F 9:00am to 5:... ...need to have an Illinois state RN license Assess and analyze... ...Summary Works with the Utilization Management team primarily responsible... ...medical necessity/utilization review and other utilization...Remote workContract work
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