Average salary: $65,199 /yearly
More statsGet new jobs by email
$43 - $47 per hour
...Torrance, CA is seeking a Senior Healthcare Recruiter for a remote RN position. The ideal candidate will have at least 1 year... ...an active CA RN License. Responsibilities include reviewing and processing chart tasks in a back office setting. This is a contractual role...Remote workPacer Group
Torrance, CA1 day ago$35 - $50 per hour
...This is a hybrid role based in West Hills, CA ACTIVE LVN or RN license required Key Responsibilities: Audit denied provider and member claims for accuracy and compliance Review and process claims in accordance with UM guidelines and regulatory standards...Remote workContract workTemporary workTEKsystems
Canoga Park, CA5 days ago- ...application process. To learn how to apply for a faculty or staff position, please review this tip sheet. The purpose of the Utilization Case Manager RN is to conduct initial chart reviews for medical necessity and identify the need for authorization. The Utilization...Remote workFull timeTemporary workWork at officeWorldwide
The University of Miami
United States2 days ago - ...physicians looking for additional income as a collaborating physician (Chart Reviews). Our collaborators over see our highly skilled Nurse... ...Type: Collaborating Physician - 1099 (Chart Reviews) Location: Remote Opportunity - State of Missouri Hours: Flexible Hours...Remote workExtra incomeFull timeFor contractorsReliefFlexible hours
Matrix Medical Netowrk
Scottsdale, AZ2 days ago $750 - $1,250 per month
A local healthcare provider in Hackensack, NJ is seeking a remote Physician for chart reviews and examinations. The ideal candidate must be Board Certified and licensed in New Jersey, ready to conduct telemedicine consultations. Responsibilities include reviewing patient...Remote jobPart timeLocal areaFlexible hours- ...A healthcare organization is seeking a Clinical Services Specialist RN to perform reviews of patient records for medical necessity compliance. This full-time role involves analyzing records according to policies and facilitating communication with various stakeholders....Remote workFull timeWork from home
AFMC
Fort Smith, AR3 days ago $2,472 per week
...Connect Health is seeking a travel nurse RN Utilization Review for a travel nursing job in Everett,... ...Pending License accepted: No Fully Remote Position RTO Restrictions: Please... ...Any (no reddish orange permitted) Charting: EPIC Parking Cost: Facility Paid...Remote workWeekly payLong term contractTemporary workLocal areaImmediate startMonday to FridayShift workWeekend workFirst Connect Health
Everett, WA2 hours agonew$47.06k - $70.24k
...healthcare solutions provider is seeking a Utilization Review Nurse in Fort Worth, TX. This remote role involves analyzing medical bill appropriateness, documenting... ...with claims examiners. Candidates must have a current RN license and at least four years of clinical experience,...Remote workCare Options For Kids
Fort Worth, TX3 days ago- ...hospital case management/utilization review and discharge planning... ...Experience Colleague must have an RN license, as defined by their... ...Hybrid position. Onsite and remote work to be determined by the manager... ...individual patients in Power Chart. Actively participates in...Remote workFull timeLocal areaShift workDay shift
Saint Alphonsus Health System
Boise, ID3 days ago $54.86k - $71.25k
...Job Description Summary The Utilization Review Registered Nurse is responsible for reviewing medical services to ensure they meet... ...and internal partners Active, unrestricted Registered Nurse (RN) license in Missouri Multistate licensure as applicable Valid...Remote workMinimum wageCurrently hiringLocal areaWork from homeFlexible hoursConduent
United States4 days ago$43 - $47 per hour
...Roles, MA, Phlebotomist, CNA|| Passionate ||… Home Health RN – Remote (CA License Required) Facility: Compassus Providence... ...Torrance, CA (5315 Torrance Blvd, Ste 169-B) Role Type: Remote Reviewer RN – Back Office Chart Review Start Date: 11/03/2025 Duration: 13 Weeks Pay: $4...Remote workContract workPacer Group
Torrance, CA1 day ago- ...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
Gibson Area Hospital
Gibson City, IL1 day ago $28.94 - $51.63 per hour
...A healthcare organization is seeking a Telephonic Oncology Preservice Review Nurse to perform pre-service clinical coverage reviews. This remote position requires a current RN license and 2+ years of Radiation Oncology experience. Responsibilities include validating cases...Remote workHourly payWeekend workAfternoon shiftOptum
Downers Grove, IL3 days ago$62.7k - $100.4k
...outcomes and lower costs of care. Job Summary: Clinical Care Reviewer II is responsible for processing medical necessity reviews for... ...Science (A.S) Completion of an accredited registered nursing (RN) degree program required Three (3) years clinical experience...Remote workHourly payWork at officeDiversityJobs Inc
Boston, MA6 days ago$75 - $90 per hour
...Immediate need for a talented RN Case Manager - Utilization Review - Onsite-Santa Clara, CA. This is a 03+ months contract opportunity with long-term potential and is located in U.S(Remote) . Please review the job description below and contact me ASAP if you are...Remote workContract workLocal areaImmediate startPyramid Consulting
Santa Clara, CA13 hours agonew- ...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...Remote workFull timeWork at officeShift work
Gibson Area Hospital
Gibson City, IL2 days ago - ...Washington, DC is seeking a DME Medical Reviewer to ensure compliance with nursing standards... ...The ideal candidate must hold an active RN license and have at least two years of clinical... ...quality audits. The role emphasizes remote work capabilities and adherence to...Remote work
BROADWAY VENTURES, LLC
Washington DC3 days ago - ...A healthcare company is seeking a Telephonic Oncology Preservice Review Nurse to perform clinical coverage reviews. This full-time, work-from-home position requires a current RN license and 2+ years of experience in Radiation Oncology. Key responsibilities include reviewing...Remote workFull timeWork from homeFlexible hours
UnitedHealth Group
Downers Grove, IL2 days ago $28.94 - $51.63 per hour
...A health services organization is seeking a Utilization Review Nurse, RN in California to ensure appropriate inpatient care management. Responsibilities... ...admission criteria, documenting decisions, and working remotely within the U.S. Candidates should have a current RN license...Remote workHourly payOptum
Sacramento, CA2 days ago- ...Services team. The successful candidate will handle utilization reviews and ensure proper service delivery in various programs for individuals... ...insurance and retirement plans. If you possess a valid Texas RN license, this could be the opportunity for you. #J-18808-Ljbffr...Remote jobFull time
$28.94 - $51.63 per hour
...forward. As a Telephonic Oncology Preservice Review Nurse you will be performing pre-service... ...You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take... ...Qualifications: Current, unrestricted RN license in your state of residence Ability...Remote workHourly payMinimum wageFull timeWork experience placementWork at officeLocal areaWork from homeHome officeShift workAfternoon shiftOptum
Downers Grove, IL1 day ago$84k - $95k
...healthcare solutions company is seeking a Nurse Reviewer Appeals and Hearings to coordinate and... ...The ideal candidate will hold an active RN license and have extensive clinical and... ...flexible hours, the possibility of remote work, and a salary range of $84,000 - $95...Remote workFlexible hoursGainwell Technologies
Wausau, WI3 days ago- A leading healthcare provider is looking for a Clinical Reviewer, RN or LPN to join the PASRR program supporting Tennessee. This remote position is responsible for reviewing clinical documentation to determine the appropriate level of care. The ideal candidate will have...Remote jobFlexible hours
$50 per hour
Overview Registered Nurse Clinical Reviewer / IDR - Remote to Office-Based, Jericho, NY (ID #25302) Location... ...Nursing or a graduate of an approved RN program Licensure: Current New York... ...the appeal level. This includes chart screen, compiling regulatory guidance,...Remote workHourly payFull timePrivate practiceWork at officeFlexible hours- ...healthcare technology firm is seeking a DRG Nurse Reviewer Appeals and Hearings. The role involves... ...participating in hearings. Candidates must have an active RN license and relevant certifications. This position is primarily remote but requires occasional travel for onsite...Remote work
Gainwell Technologies
Florida, NY3 days ago - ...healthcare facility in Gibson City, Illinois, is seeking a Utilization Review/Case Management Nurse. The role involves reviewing patient... ...offers a hybrid work model, balancing in-person meetings with remote collaboration, aiming to enhance patient outcomes and satisfaction...Remote work
Gibson Area Hospital
Gibson City, IL1 day ago $33.12 - $56.77 per hour
...A leading health company is seeking a Nurse Reviewer I to work virtually, responsible for conducting preauthorization and treatment reviews... ...services. Applicants should have an AS in nursing and a current RN license, with preferred familiarity in utilization management...Remote workHourly payFlexible hoursElevance Health
Nashville, TN3 days ago- ...A leading insurance provider in Omaha, Nebraska is seeking a full-time Utilization Review Nurse to ensure effective management of injured workers' treatments. This role does not require prior utilization review experience and is perfect for skilled nurses looking to transition...Remote workFull timeWork at officeWork from home
Berkshire Hathaway Homestate Companies
Omaha, NE1 day ago - ...high-quality, patient-centered care through Utilization Review. The role requires an active RN license in Illinois and significant experience in healthcare... ...with providers. This position offers the flexibility of remote work while supporting professional growth and a...Remote job
$57.28 - $88.92 per hour
...organization in California is seeking a Utilization Management RN to conduct clinical reviews and manage utilization reviews for their Southern CA... ...clinical background, California RN License, and experience in a remote UR environment or as an acute hospital case manager....Remote workHourly payProvidence Health & Service
Mission Hills, CA1 day ago
