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  • $41.14 - $61.2 per hour

     ...Utilization Review RN Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future...  ...has three community emergency centers offering adult and pediatric care for the Greater Houston area. Depending on the position... 
    Suggested
    Full time

    Common Spirit Health

    Houston, TX
    21 hours ago
  •  ...Clinica Review Nurse Travel offering nursing profession RN specialty utilization review. Regular pay rate $63. Shifts per week 5. Scheduled hours 40. Start date 04/10/2026. End date 07/10/2026. Duration 13 weeks. City Uniondale, State NY, Zip Code 11556. RC Healthcare
    Suggested
    Shift work

    RC Healthcare

    Uniondale, NY
    4 days ago
  • Complexity of Work: Essential Competencies and Skills: Excellent customer service and interpersonal skills. Able to effectively present information, both formal and informal. Strong written and verbal communications skills with all levels of internal and external customers...
    Suggested
    Work experience placement

    Memorial Healthcare System

    Hollywood, FL
    2 days ago
  •  ...Utilization Review Nurse Full Time, Days, Not a Remote position. Hours: 8:30-5:30, Monday - Friday At Houston Methodist, the Utilization Review Nurse (URN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and concurrent medical... 
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    Permanent employment
    Full time
    Work experience placement
    Work at office
    Local area
    Monday to Friday

    Houston Methodist

    Spring, Montgomery County, TX
    3 days ago
  •  ...Job Opportunity You will review patient cases for medical necessity and establish service suitability. You'll educate the healthcare...  ..., terminology, and clinical documentation Experience with utilization review, discharge planning, and levels of care determination... 
    Suggested
    Work at office

    IntelyCare

    Dallas, TX
    1 day ago
  • $44.16 - $77.58 per hour

     ...patients in an acute care environment. Accountabilities include assessment and planning, coordination of care, resource utilization management and/ or review, discharge planning, documentation of interventions, regulatory compliance and patient advocacy. The goal of the... 
    Suggested
    Minimum wage
    Full time
    Relocation package
    Shift work
    Day shift
    1 day per week

    Providence Health and Services

    Chugiak, AK
    4 days ago
  •  ...competitive compensation and benefits package, along with a 401k match and tuition reimbursement program. Summary: The Utilization Reviewer contributes to assessment and planning by performing a thorough review of the total resources available to patient pre and... 
    Suggested
    Monday to Friday

    RHI Rehab

    Indianapolis, IN
    4 days ago
  •  ...Position Summary: Assists in the coordination of the appropriate utilization of services and resources of patient care and continuum at...  ...: Assists in the coordination of all aspects of concurrent review process for individual cases. Coordinates clinical documentation... 
    Suggested
    Permanent employment
    Full time
    For contractors

    Texas Medical Center

    Houston, TX
    2 days ago
  •  ...Drug Utilization Review Pharmacist Ensure Safe and Effective Use of Medications A confidential managed care organization is seeking a skilled Drug Utilization Review (DUR) Pharmacist to support quality prescribing and improve patient outcomes. This role is ideal for... 
    Suggested
    Remote work

    Pharmacy Careers

    Corona, NY
    5 days ago
  • $57.28 - $88.92 per hour

     ...Description Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost effective care to the members. Providence caregivers are not simply valued – they’re invaluable. Join our team at... 
    Suggested
    Minimum wage
    Full time
    Work at office
    Local area
    Shift work

    Providence Health and Services

    Mission Hills, CA
    4 days ago
  •  ...to impact others in a meaningful way - we warmly invite you to join our growing family! We are currently seeking to hire Utilization Review Specialists to join our corporate NJ Team! The Utilization Review Specialist collaborates with Avenues Recovery facilities... 
    Suggested
    Temporary work
    Currently hiring
    Flexible hours

    Avenues Recovery

    New Jersey
    4 days ago
  •  ...At Bradford Health Services, we don’t just invest in our patients—we invest in our people. About the Role: The Utilization Review Coordinator plays a critical role in ensuring that patients at our facility receive the appropriate level of care while managing... 
    Suggested
    Full time
    Part time
    Relief
    Weekend work

    ADDICTION AND MENTAL HEALTH SERVICES, LLC

    Dallas, TX
    9 days ago
  • $17.44 per hour

     ...Job Description Job Description Utilization Review Specialist I   Join a team that CARES!   Here at ODMHSAS, we believe in I.C.A.R.E. – Integrity, Compassion, Accountability, Respect, and Excellence.  Our mission is to promote healthy communities and provide... 
    Suggested
    Hourly pay
    Full time
    Work at office
    Flexible hours
    Weekend work

    Oklahoma Department of Mental Health and Substance Abuse Ser...

    Tulsa, OK
    14 days ago
  • $40 per hour

     ...This position is responsible for performing initial, concurrent review activities; discharge care coordination for determining...  ...accordance to contract guidelines. Provides information regarding utilization management requirements and operational procedures to members,... 
    Suggested
    Remote job
    Full time
    Contract work
    Work at office

    HireOps Staffing LLC

    Dallas, TX
    3 days ago
  • $75k - $95k

     ...Job Description Job Description Description: Utilization Review Manager Reports to: CEO Job Category: Salaried | Exempt | Full-Time Starting Salary: $75,000-$95,000/year (DOE) Job Site: Remote (must reside in Colorado) Job Summary: The Utilization... 
    Suggested
    Hourly pay
    Full time
    Remote work

    NRT |Foundry Treatment Center

    Steamboat Springs, CO
    14 days ago
  •  ...successfully passing CHAP surveys and client audits; and operate with ethics at the center of our Core Values. We are looking for a Utilization Review Licensed Vocational Nurse to join our fast-growing team. Become part of a notable company and help us achieve our goals!... 
    Work at office

    NEOGEN CARE

    Los Angeles, CA
    a month ago
  •  ...Description: Join our team at Cobalt Benefits Group and start an exciting new career in employee benefits solutions. As a Utilization Review Nurse (UR Nurse) , you’ll play an important role in helping us offer customized, self-funded insurance options to our clients... 
    Full time
    Temporary work
    Work at office
    Flexible hours

    Cobalt Benefits Group LLC

    South Burlington, VT
    14 days ago
  • $15k

     ...Description Job Description Sign on bonus may apply up to $15,000 Position Summary: Reviews patient admissions for appropriateness, efficiency of resource utilization and compliance with third party payer requirements. Duties include analyzing medical charts,... 
    Work at office
    Relocation package
    Shift work
    Weekend work

    Global Force USA

    Las Vegas, NV
    15 days ago
  • $40 - $63 per hour

     ...Job Description Job Description Salary: $40-$63 Utilization Review Nurse (RN) Las Vegas, NV | Full-Time Salary: $40 $63/hour Position Summary Reviews patient admissions for medical necessity, appropriate resource utilization, and compliance with payer... 
    Full time
    Work at office
    Shift work
    Weekend work

    Access Healthcare Staffing & Recruitment

    Las Vegas, NV
    15 days ago
  •  ...Utilization Review Specialist Collin Springs-Changes Plano is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care... 
    Temporary work
    Part time
    Relief

    Lifepoint Health

    Mckinney, TX
    21 hours ago
  •  ...PRN Utilization Review RN - M-F Days Must be available to work daytime hours (between 8am-6:30pm) Monday - Friday Description With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion... 
    Full time
    Relief
    Work at office
    Local area
    Monday to Friday
    Night shift

    UT Southwestern Medical Center

    Dallas, TX
    3 days ago
  •  ...community at Sidney Regional Medical Center in Sidney, Nebraska! We are currently pursuing a non-licensed, full-time Clinic Utilization Review Specialist to join our Case Management team. At SRMC, our patients are our number one priority. We aim to provide... 
    Full time

    Sidney Regional Medical Center

    Sidney, NE
    6 days ago
  •  ...through all levels of care in the substance abuse and mental health setting. Works with the UR Director and facility contacts on case reviews for pre-service, concurrent, and retrospective authorizations and appeals, looking for medical necessity and appropriateness of... 
    Full time
    Part time

    MALIBU GROUP LLC

    Malibu, CA
    22 days ago
  •  ...Job Description Job Description A facility located near Lexington, Nebraska is seeking a Utilization Review Registered Nurse to join their team! Utilization Review Registered Nurse Opportunity: Full-time, permanent position Schedule: Monday-Friday,... 
    Permanent employment
    Full time
    Monday to Friday

    Ironside Human Resources

    Kearney, NE
    11 days ago
  • $55k - $70k

     ...Job Description Job Description 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... 
    Work at office
    Remote work
    Flexible hours

    ICBD

    Lauderdale Lakes, FL
    24 days ago
  • $65 per hour

     ...Job Description Job Description RN Case Manager / Utilization Review - Syracuse, NY (#25268) Location: Acute Care/Academic Medical...  ...recertification prior to employment. Experience: Must have Pediatric experience. Minimum of 1.5 years of recent experience (... 
    Hourly pay
    Full time
    Private practice
    Monday to Friday
    Day shift

    Greenlife Healthcare Staffing

    Syracuse, NY
    9 days ago
  •  ...Provider Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers...  ...and Workers' Compensation Board Certification to conduct Utilization Reviews. This is a fully remote, non-clinical role offering... 
    Price work
    Extra income
    For contractors
    Remote work
    Flexible hours

    Dane Street

    New York, NY
    3 days ago
  •  ...RN BLS Case Managers, Utilization Review A Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity... 

    Careers Integrated Resources Inc

    Newark, NJ
    21 hours ago
  • $41.6k - $47k

     ...Utilization Review Specialist  HYBRID,  must be able to travel to 3031 NE STEPHENS ST. ROSEBURG, OR 97470 EMPLOYMENT TYPE- Full-Time, Exempt   About Umpqua Health At Umpqua Health, we’re more than a healthcare organization—we’re a community-driven Coordinated... 
    Full time
    Work at office
    Local area
    Immediate start
    Remote work
    Monday to Friday
    Flexible hours
    Shift work

    Umpqua Health

    Roseburg, OR
    2 days ago
  •  ...Utilization Review Specialist Mesa Springs is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As... 
    Relief

    Lifepoint Health Support Center

    Fort Worth, TX
    2 days ago