Remote RN Utilization Review & Case Management
$84.06k - $118.67kAscension
Ascension seeks a Licensed Registered Nurse for a remote position in Utilization Management. The role involves providing health care services for admissions and discharge planning, conducting reviews for medical necessity, and assisting with coding and claims issues. Candidates must hold an RN license from the Texas Board of Nursing and have experience in Utilization Review. The position offers a competitive salary range of $84,060.91 - $118,668.99 per year along with comprehensive benefits. #J-18808-Ljbffr
- ...NeuroPsychiatric Hospitals is seeking a Utilization Review Nurse (RN) to coordinate patient services across multiple hospitals. The role supports... ...collaborating with teams for better outcomes. Located remotely with a preference for candidates in Indiana, Michigan, or...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... ...years of experience in remote UR or acute hospital case management. A comprehensive benefits package, including healthcare...Remote workPart time
- ...to care and appropriate utilization of resources, balanced... ...necessity. This position manages medical necessity... ...negotiation with a payer on a case by case basis. This... ...to Central Utilization Review LVN/LPN Case Manager and... ...thru Saturday schedule. Remote, but you must live...Remote workWork at office
$2,210 per week
...leader in personalized managed health care,... ...Work-life balance. Remote/hybrid setting (once... ...This individual will utilize clinical knowledge... ...to a second level reviewer. This individual interfaces with case managers and disease... ...is not limited to RN, LMSW, LMHC. Successful...Remote workFull timeTemporary workPart timeCasual workWork at officeWork from homeAll shiftsMonday to FridayFlexible hours- ...are seeking an experienced Utilization Review Nurse to join our team in a... ...Nassau County (Hybrid: In Office/Remote) Schedule: Monday to Friday,... ...standards. Participate in case management and care coordination meetings. Qualifications Active RN license in the state of New...Remote workWork at officeMonday to FridayFlexible hours
- ...completion of appropriate clinical review of all applicable patients as stated in system utilization management plan. Oversees Clinical Review... ...as well. This role will be remote but regular meetings/trainings... ...using Epic and escalating cases for status change where necessary...Remote workReliefShift workWeekend work3 days per week
$35 - $45 per hour
...Position: RN / Utilization Review Nurse Location: Sacramento, CA (ON-SITE) Employment... ...reviewers to support case review processes. Assist... ...required timelines. Support case management activities and identify... ...working independently in a remote or office-based setting. Working...Remote workWeekly payContract workWork at officeMonday to Friday- ...OverviewDescription – This is a remote role. You MUST live in the state... ...Washington (WA) to be considered. Care Manager RN, Per diem / On call, Day shift.The Utilization Review (UR) Nurse has a strong clinical... ...upon hire.1 year of Case Management experience.Why Join Providence...Remote workDaily paidLive inShift workDay shift
$35 - $45 per hour
...Position: RN / Utilization Review Nurse Location: Sacramento, CA (ON-SITE)... ...physician reviewers to support case review processes. Assist... ...timelines. Support case management activities and identify... ...working independently in a remote or office-based setting....Remote workWeekly payContract workWork at officeMonday to Friday$32 - $48 per hour
...RN-Utilization Review/Case Manage Nurse - RFT Hot Job Gibson City, IL 60936 Overview Salary Range $32.00 - $48.00 Hourly Position Type... ...Full time position. Hybrid (combination of in person and remote considered) GENERAL SUMMARY The Utilization Review/...Remote workHourly payFull timeWork at officeRelocation packageShift work- ...POSITION SUMMARY: The Utilization Review Registered Nurse (UR RN) is a key contributor to... ...patient outcomes and resource management. This role demands a... ...review meetings to discuss cases, discharge plans, and... ...required for facility based staff; optional for remote staff.Remote workWork at office
$30 - $38 per hour
...Responsibilities Job Summary We are seeking Utilization Review Nurse RN to join our team on a part‑time... .... Identify and refer potential cases to case management, wellness, chronic disease and... ...skills to successfully perform in a remote healthcare environment. Ability to...Remote workHourly payFull timePart timeWork at officeMonday to FridayWeekend work- ...care professionals regarding utilization management and quality requirements.... ...appropriately. Medical necessity reviews for designated services are... ...information and assists in case management of complex... ...Required ~ Registered Nurse (RN) - State of Michigan Upon Hire...Remote workFull timeMonday to FridayShift workWeekend work
- ...Registered Nurse (RN) – Case Manager & Utilization Review Nurse Wichita, United States | Posted on 05/25/2026 We are seeking an experienced and compassionate... ...are performed telephonically;however, this isnota remote position. Applicant must be ableto work on-site. Hours...Remote workMonday to FridayFlexible hours
- A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care.... ...Arizona and substantial experience in utilization review or case management. Strong communication skills and flexibility are essential...Remote workContract work
- ...yourcommission is looking for a Utilization Management Review Nurse to evaluate and ensure the effectiveness of medical services in Texas. This role... ...experience in acute healthcare settings, including Case Management. The position requires flexibility in work hours...Remote workFlexible hours
$77.91k
...Healthcare USA, LLC is seeking an Inpatient Review Nurse to join its remote Utilization Management team. This position involves reviewing... ...candidate will have a minimum of 3 years in case management and licensing as an LVN or RN in California. The role offers a pay range...Remote work- ...Harris Health System is seeking a Utilization Management Review Nurse (UMRN) to assess the necessity and appropriateness of medical services. The... ...license, and strong clinical experience, particularly in Case Management. The position allows for telecommuting and flexible...Remote workFlexible hours
- ...Hospital Experience by Specialty Pediatrics* ICU MS Case Management/Utilization Review Pre-Cert Review* Prior Authorizations*... ...Commission/ Core Measure/National Safety Goals Additional Skills remote UR work CA and Medi-Cal experience/knowledge*Remote work
- ...A healthcare services provider is seeking a Remote Utilization Review Nurse to coordinate clinical resources, ensuring compliance with healthcare... ...or home health. This contract role offers a chance to manage healthcare quality efficiently while working remotely. #J-1...Remote workContract work
- ...The Case Management Society of America (CMSA) ® is looking for a PRN Utilization Management Review Nurse in Bellaire, Texas. This position involves evaluating the necessity and efficiency... ...management, and must be licensed as an RN in Texas. Strong analytical and...Remote workReliefFlexible hours
- ...Santa Barbara Cottage Hospital is seeking a Case Manager responsible for coordinating patient care and ensuring proper utilization of resources. The role involves managing medical... ...and a Registered Nurse license. This is a remote position with a Tuesday to Saturday schedule...Remote workLocal area
- ...Barbara Cottage Hospital is hiring a Utilization Review Nurse for a remote position. The role involves... ...have a strong nursing background with RN licensure and at least 4 years of clinical... ...engagement. Join us to support the Case Management department and enjoy competitive...Remote work
$1,600 - $1,800 per week
...Hiring: Registered Nurse – Utilization Management Location: Buckley AFB &... ...no holidays, no telehealth/remote work Minimum Qualifications... ..., active, and unrestricted RN license Certifications... ...Management, Utilization Review, or Case Management Preferred Certifications...Remote workContract workImmediate startMonday to Friday$41 - $45.5 per hour
...Government Clients Role: Nurse Case Management Senior Analyst Location: Remote (within plan states: IL,... ...: Active, unrestricted RN License Must have MCG/... ..., health education, and utilization management. Key... ...concurrent, and retrospective reviews for inpatient, rehab,...Remote work- ...Currently seeking a Utilization Management RN . Please see details and qualifications below: Position is remote - candidate must reside in the tri... ...conditions through medical record review to determine medical... ...information when needed. Refer cases that do not meet criteria...Remote workImmediate startDay shift
$35 - $40 per hour
...hr Location Fully Remote Position Summary The Utilization Review Nurse serves as a key liaison... ...guidelines. Refer cases outside of established... ...service support to payer case managers, patients, and provider... ...active nursing license (RN, LPN, or LVN) in good...Remote workContract workFlexible hoursWeekend work$50.68 per hour
...Job Overview The Utilization Review RN participates as a member of a multidisciplinary... ...Department Name Utilization Management Status Flex, not eligible... ...position will be primarily remote but may require onsite work... ...of care in conjunction with Case Managers regarding the...Remote workHourly payLive inRelocationFlexible hoursShift workWeekend workDay shiftAfternoon shift- ...Description This is a remote position but will... ...Conduct clinical reviews of patient records... ...resource utilization and care planning.... ...and ongoing patient cases; recommend or elevate... ...Registered Nurse (RN) program; Bachelor... ...utilization review, case management, or payer review...Remote workFull timePart timeReliefWork at officeLocal areaShift workRotating shiftDay shift
$30 - $34 per hour
...Overview Utilization Review Nurse - Remote at Astrana Health Location: 600 City Parkway West 10th Floor,... ...and durable medical equipment Refer cases to Medical Directors as needed/appropriate... ...UM. Candidates with only case management experience are not a fit. Experience...Remote workHourly payMonday to Friday
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote RN Utilization Review & Case Management. Be the first to apply!

