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$27.02 - $48.55 per hour
...workplace flexibility. Position Purpose Performs a clinical review and assesses care related to mental health and substance abuse... ...Analyzes BH member data to improve quality and appropriate utilization of services Provides education to providers, members and their...SuggestedHourly payFull timeContract workPart timeWork at officeRemote workFlexible hoursCentene Corporation
California, MO1 day ago$40.12 - $62.19 per hour
Utilization Review Nurse RN - Grace Medical Center Baltimore, MD GRACE MEDICAL CENTER Part-time - Weekends - Day shift - 8:00am-4:30pm RN OTHER 96385 $40.12-$62.19 Experience based Posted:April 28, 2026 Apply Now Save Job Saved Summary JOB...SuggestedPart timeShift workWeekend workDay shift$74.29k - $111.43k
...Concurrent Utilization Review Nurse, RN California, United States NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care. By uniquely aligning the interests of health consumers...SuggestedWork at officeNeueHealth
Encino, CA1 day ago- ...A leading healthcare company in Washington, D.C. is seeking a Medical Director to oversee inpatient medical necessity reviews and utilization management. This role requires strong analytical and communication skills, as well as 5+ years of clinical experience post-residency...SuggestedRemote work
Humana
Washington DC5 days ago $2,486 per week
...Coast Medical Service is seeking an experienced Utilization Review Registered Nurse for an exciting Travel Nursing job in Kinston, NC. Shift: 5x8 hr days Start Date: 08/03/2026 Duration: 13 weeks Pay: $2486 / Week Coast Medical Service is a nationwide travel nursing...SuggestedDaily paidFlexible hoursShift workCoast Medical Service
Kinston, NC15 days ago- ...Humana is offering a remote internship opportunity for a Utilization Management Behavioral Health Registered Nurse (RN). This role is part... ...members or military spouses. Interns will conduct clinical reviews, communicate with providers, and document findings. Applicants...SuggestedInternshipRemote work
Humana
Phoenix, AZ2 days ago $153k - $177.1k
...and duration of treatment required for complex and/or escalated reviews, and providing guidance to team members and collaborating with... ...the correct and consistent application, interpretation, and utilization of member health care benefits, cost of care options, and coverage...SuggestedFull timeTemporary workWork experience placementLocal areaWork from homeFlexible hoursShift workKaiser Permanente
Kailua, HI3 days ago- ...A leading healthcare solutions company is seeking an experienced Utilization Review Nurse to improve patient care through home-based services. Responsibilities include processing authorization requests, ensuring compliance with Medicare guidelines, and collaborating with...SuggestedRemote work
Medix
New York, NY4 days ago - ...Utilization Review Specialist Senior At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of...SuggestedReliefWeekend work
- ...Utilization Physician Reviewer At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians...SuggestedReliefRemote workShift workWeekend work
$2,110 per week
...Health Advocates Network is urgently hiring Utilization Review Registered Nurses (RNs) in the Fort Myers, FL area. Must have 2 years Utilization Review experience. ~ Pay Rate: $2,110 weekly ~ Specialty: Utilization Review Registered Nurse (RN) ~ Shift: Day ~13...SuggestedWeekly payDaily paidTemporary workLocal areaImmediate startShift workHealth Advocates Network
Fort Myers, FL6 days ago$27.02 - $48.55 per hour
...for US based applicants with independent clinical licensure. Reviews will focus on the following settings: residential treatment center... ..., Arkansas, Texas, or Tennessee, (2) have experience in utilization management/review and (3) in behavioral health settings. (4) Experience...SuggestedHourly payFull timePart timeWork at officeRemote workFlexible hours$68.26 - $78.79 per hour
..., level of care, and duration of treatment required for basic reviews, and collaborating with the health care team, members, and caregivers... ...the correct and consistent application, interpretation, and utilization of member health care benefits, cost of care options, and...SuggestedFull timeTemporary workWork experience placementLocal areaWork from homeFlexible hoursShift workKaiser Permanente
Wailuku, HI2 days ago- ...A leading healthcare company in Honolulu is seeking an experienced Utilization Review Nurse to ensure the quality and cost-effectiveness of healthcare services. The role requires conducting utilization reviews and collaborating with healthcare providers and insurance...Suggested
Telenett
Honolulu, HI5 days ago - 40 hours per week Position: Utilization Review (UR) Nurse Company Overview Telenett is a leading healthcare company based in Honolulu, HI. We provide innovative and high-quality healthcare services to our clients, including insurance companies, hospitals, and healthcare...SuggestedRelocation package
Telenett
Honolulu, HI1 day ago - Baycare is seeking a Utilization Review Specialist Senior in Tampa, Florida. This role involves acting as a liaison between funding agents and ensuring appropriate level of care through concurrent review. Ideal candidates will have a background in Critical Care or Emergency...
$85k - $105.34k
...Utilization Review Nurse Remote; Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR, 97457, as needed for business operations. Employment Type: Full‑Time, Exempt. Position Purpose The Utilization Management Nurse evaluates clinical service requests to ensure...Full timeWork at officeLocal areaImmediate startRemote workMonday to FridayUmpqua Health
New York, NY5 days ago$55k - $70k
...Utilization Review Specialist – Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No Remote Salary: $55K - $70K Who We Are Exact Billing Solutions is a unique team of revenue cycle management professionals specializing in the substance use disorder, mental...Work at officeRemote workFlexible hoursICBD Holdings
Florida, NY5 days ago- ...A healthcare management organization is seeking experienced Physician Reviewers to join their Medicare Utilization Management team in a remote position. Responsibilities include reviewing clinical service requests, applying evidence-based guidelines, and collaborating...Remote work
Solving IT
New York, NY4 days ago - ...seeking a Medical Director to conduct inpatient medical necessity reviews while collaborating with healthcare providers. This role... ...Responsibilities include performing clinical reviews, providing utilization management determinations, and ensuring compliance with regulatory...Remote workMonday to Friday
Humana, Inc.
Nashville, TN5 days ago $45k - $70k
...A leading healthcare company in the United States is looking for a Utilization Management Nurse Reviewer to ensure the efficient use of medical services and provide clinical expertise. Applicants must have an active LVN/RN license, with a preference for candidates having...Remote workDane Street
New York, NY4 days ago$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 workDane Street
New York, NY4 days ago- ...Utilization Review Registered Nurse Excel. Empower. Advance. Shine. Belong. Explore. Flourish. Champion. Make It Happen At Hopkins! Johns Hopkins Health Plans (JHHP) is the managed care and health services business of Johns Hopkins Medicine, one of the premier...Local areaRemote workMonday to Friday
Johns Hopkins Medicine
United States4 days ago $1,205 per week
...Registered Nurse (RN) | Utilization Review Location: Camden, ME Agency: Magnet Medical Pay: $1,205 per week Shift Information: Days - 3 days x 12 hours Contract Duration: 9 Weeks Start Date: 7/1/2026 About the Position The Registered...Full timeContract workShift workMagnet Medical
Camden, ME14 hours ago- ...RN Case Manager - Utilization Review At The CORE Institute, we are dedicated to taking care of you so you can take care of business! Our robust benefits package includes the following: ~ Competitive Health & Welfare Benefits ~ Monthly $43 stipend to use toward...Part time
HOPCo | Healthcare Outcomes Performance Company
Phoenix, AZ1 day ago - ...assess care related to mental health and substance abuse. This role involves evaluating treatment needs, performing authorization reviews, and improving service quality. Ideal candidates should have strong behavior health experience and a relevant license. This position...Remote workFlexible hours
Centene Corporation
United States6 days ago - ...is seeking an experienced Medical Director to conduct clinical reviews and guide decision-making in inpatient care. The role... ...of clinical experience, with a focus on hospital medicine and utilization review. Join a distinguished team to impact patient outcomes while...Remote job
- Humana is seeking a Utilization Management Behavioral Health Registered Nurse (RN) Intern to join their National Medicaid team. This role involves conducting medical necessity reviews for behavioral health services while applying clinical judgment and collaboration with...Remote jobInternship
$20 - $30 per hour
...the behavioral health industry by delivering exceptional care, utilizing state-of-the-art facilities, and prioritizing the well-being of... ...: Exempt Travel Requirement: None Responsibilities Utilization Review on Behalf of the Clinics: Prescreen referrals to project/anticipate...Remote workGuidelight Health
New York, NY3 days ago- ...healthcare company is offering an internship for transitioning military service members or spouses. The role focuses on conducting clinical reviews and supporting care management. Candidates must have an active RN license in Kentucky or a compact license and at least two years...InternshipRemote workWeekday work
Humana
Jackson, MS5 days ago
