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  •  ...Job Title: Utilization Management RN Location: Remote – must reside within the PA/NJ/DE tri...  ...potential conversion to full-time License Requirement:...  ...RN license or Nurse Licensure Compact (including...  ...detailed medical record review to determine medical necessity... 
    Part time
    Remote work
    Full time

    IntePros

    Philadelphia, PA
    3 days ago
  •  ...Position Title: Utilization Review Nurse Location: Fully Remote Position Summary The Utilization Review Nurse serves as a key liaison in coordinating...  ...Review Physician Advisor. Maintain accurate and timely records of authorizations, communications, and payer... 
    Part time
    Remote work
    Flexible hours
    Weekend work

    IntePros

    Phoenix, AZ
    3 days ago
  •  ...Job Title: Nurse Liaison | UM&QR Location: Naperville IL | Hybrid Duration: November 2025 to June 2026 (possible...  ...is responsible for ensuring compliance of the Utilization Management (UM) and Quality Review (QR) functions performed by the Medical Groups/IPAs participating... 
    Part time
    Contract work
    Night shift

    Innovative Systems Group

    Naperville, IL
    3 days ago
  •  ...Imperial is currently seeking a Registered Nurse with 2 to 3 years of clinical nursing background and 2 to 3 years of Utilization Review experience. The ideal nurse for this role...  ...to improve the provision of efficient and timely patient care. Identifies process issues... 
    Part time
    Immediate start

    Imperial Health Plan of California, Inc.

    Pasadena, CA
    3 days ago
  • $90k - $115k

     ...professionally. Working from your home or office Wanting to part of a community What we offer Therapists: ~ Competitive...  ...~ Comprehensive benefits package ~401K with 4% match ~ Part-time and full-time options ~ CEUs ~ Paid parental leave ~ Malpractice... 
    Part time
    Remote work
    Full time
    Work at office
    Work from home
    Relocation package

    LifeStance Health

    Snohomish, WA
    2 days ago
  •  ...Job Description Job Title: UM Nurse (California License) – Must be licensed in California- Remote Opportunity Term : RTH...  ...patient facing, they will be reviewing patient records and providing...  ...Ensure discharge planning is timely and appropriately communicated... 
    Remote work
    Immediate start

    Enterprise Engineering

    Los Angeles, CA
    22 days ago
  • $65 per hour

     ...hours ~ Employment Type: Travel Part-Time Speech-Language Pathologist (SLP) \n...  ...Services must be provided in person ; no remote work is available \n\t\n\t \n\t The...  ...staffing agency specializing in travel nursing, travel allied health, interim leadership... 
    Part time
    Remote work
    Weekly pay
    Daily paid
    16 hours
    Permanent employment
    Interim role
    Immediate start
    Flexible hours
    Shift work

    Connected Health Care

    Orleans, MA
    21 days ago
  • $35 - $45.94 per hour

     ...Description Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review team....  ...Review. Work Location: This is a remote position, open to candidates who...  ...skills, education, and experience. Full-time employees are eligible for benefits including... 
    Remote work
    Hourly pay
    Full time
    Work from home
    Home office

    Oscar Health

    Dallas, TX
    17 days ago
  • Overview Title: Clinical Review Nurse - Prior Authorization Review Location: Fully Remote (PST Time Zone - WA/OR Resident) Duration:...  ...Authorization Review to join our Utilization Management team. In this role...  ...Prior Authorization role as part of our utilization management... 
    Remote work
    Contract work

    SPECTRAFORCE

    Washington DC
    2 days ago
  • $90k - $115k

     ...plan ~ Comprehensive benefits package ~401K with 4% match ~ Part-time and full-time options ~ CEUs ~ Paid parental leave ~...  ...Experienced in working with adult, and/or child and adolescent populations. MUST reside in Washington state for fully remote... 
    Part time
    Remote work
    Full time
    Relocation package

    LifeStance Health

    Longbranch, WA
    1 day ago
  • $68.8k - $118k

     ...every member feels valued. The Utilization Review RN will review and document...  ...Medica's Utilization Review Nurses are responsible for reviewing...  ...required This position is a Remote role . To be eligible for consideration...  ..., Holidays, paid volunteer time off, 401K contributions,... 
    Remote work
    Work experience placement

    Medica

    Minnetonka, MN
    4 days ago
  •  ...Authorization experience. Remote but will need to come...  ..., completes audits, reviews and updates reports and...  ...to coordinate resource utilization and evaluation of services...  ...degree (or higher) in nursing and/or a health related...  ...Solving - Team Player - Time Management - Written/... 
    Remote work
    Local area

    Winston Medical Staffing

    Newark, NJ
    3 days ago
  • $65k - $78k

     ...learning, and career development. Summary We are seeking a skilled Utilization Review Nurse to conduct prior authorization, prospective, concurrent, and...  ..., learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation... 
    Remote job
    Full time
    Contract work
    Work at office
    Work from home
    Flexible hours

    Gainwell Technologies

    Raleigh, NC
    22 hours ago
  • $90k - $115k

     ...bonus ~ Comprehensive benefits package ~401K with 4% match ~ Part-time and full-time options ~ CEUs ~ Paid parental leave ~...  ...balance and personal schedules Hybrid Model with In-person & Remote flexibility Therapist are a critical part of our clinician team... 
    Part time
    Remote work
    Full time
    Relocation package
    Monday to Friday
    Flexible hours
    Weekend work

    LifeStance Health

    Spokane, WA
    4 days ago
  • $95k - $105k

    Utilization Review Nurse VillageCare is looking for a self‑motivated and passionate RN for a full‑time, 100% remote position. Location: Must reside within the New York Tri‑State Area (NY, NJ, or CT). From the comfort of your own home, you will be responsible for the assessment... 
    Remote work
    Full time

    VillageCare

    New York, NY
    22 hours ago
  • Job Description JOB TITLE Utilization Review Nurse REPORTS TO Utilization Review, Manager...  ...Utilization Management WORK LOCATION Remote (occasional travel as required)...  ..., applying nursing judgment to ensure timely, cost-effective, and high-quality care... 
    Remote work
    Full time
    Contract work
    Apprenticeship
    Work at office
    Local area
    Immediate start
    Flexible hours

    Umpqua Health

    Roseburg, OR
    more than 2 months ago
  • $55 per hour

     ...Akkodis is hiring a Concurrent Review Nurse to support our client in the...  ...Healthcare space. Location: Remote (must be based in California...  ...when necessary. Make timely and appropriate recommendations...  ...Experience in case management, utilization management, or discharge... 
    Remote work
    Full time
    Contract work
    Temporary work
    Local area

    Akkodis

    California, MO
    22 hours ago
  •  ...great opportunity for a local remote position. Schedule PRN (As...  ...Requirements: 2 years of staff nurse experience performing care for...  ...patients. 2 years of utilization review (UR) experience reviewing hospital...  ...Flexible Spending Accounts. Paid Time Off benefit combines vacation... 
    Remote work
    Relief
    Local area
    Work from home
    Monday to Friday
    Flexible hours
    Shift work

    BJC HealthCare

    Saint Louis, MO
    22 hours ago
  • $90k - $115k

     ...bonus ~ Comprehensive benefits package ~401K with 4% match ~ Part-time and full-time options ~ CEUs ~ Paid parental leave ~...  ...balance and personal schedules Hybrid Model with In-person & Remote flexibility Therapist are a critical part of our clinician team... 
    Part time
    Remote work
    Full time
    Relocation package
    Monday to Friday
    Flexible hours
    Weekend work

    LifeStance Health

    Spokane, WA
    4 days ago
  • $90k - $115k

     ...employed position ~ Sign-on bonus ~ Cash based incentive program ~ Comprehensive benefits package ~401K with 4% match ~ Part-time and full-time options ~ CEUs ~ Paid parental leave ~ Malpractice insurance provided Licensed Therapists are a critical... 
    Part time
    Remote work
    Full time
    Work at office
    Relocation package

    LifeStance Health

    Federal Way, WA
    1 day ago
  • $90k - $115k

     ...~ Comprehensive benefits package ~401K with 4% match ~ Part-time and full-time options ~ CEUs ~ Paid parental leave ~ Malpractice...  ...and personal schedules Hybrid Model with In-person & Remote flexibility Therapist are a critical part of our clinician... 
    Part time
    Remote work
    Full time
    Work at office
    Relocation package
    Monday to Friday
    Flexible hours
    Weekend work

    LifeStance Health

    Kirkland, WA
    2 days ago
  • $90k - $115k

     ...plan ~ Comprehensive benefits package ~401K with 4% match ~ Part-time and full-time options ~ CEUs ~ Paid parental leave ~...  ...balance and personal schedules Hybrid Model with In-person & Remote flexibility Therapist are a critical part of our clinician team... 
    Part time
    Remote work
    Full time
    Work at office
    Relocation package
    Monday to Friday
    Flexible hours
    Weekend work

    LifeStance Health

    Federal Way, WA
    1 day ago
  • $61.76k

    Join to apply for the Utilization Review Nurse role at Berkshire Hathaway Homestate Companies - Workers...  ...applicable legal requirements. This is a full-time, permanent position within our Medical...  .../wk) Registered Nurse (RN) - Pre/Post (Part-Time) (20hr/wk) Papillion, NE $61,763.0... 
    Part time
    Permanent employment
    Full time
    Casual work
    Relief
    Work at office
    Relocation package
    Night shift

    Berkshire Hathaway Homestate Companies - Workers Compensatio...

    Omaha, NE
    22 hours ago
  • $40 per hour

     ...Job Description Job Description Remote MCO Utilization Review Nurse (RN) IL ONLY   $40.00 per hour Monday – Friday 8:00 am – 4:30 pm Remote (IL) WHAT WE OFFER : Medical PTO Accrual Holiday Pay Seeking RN who is familiar with MCG and ASAM criteria... 
    Remote job
    Hourly pay
    Immediate start
    Monday to Friday

    Anchor Staffing Inc.

    Chicago, IL
    18 days ago
  • $41 per hour

    Remote position, however, candidates must reside in the State of TX or State of IL. This...  ...for performing accurate and timely medical review of claims suspended for medical necessity...  ...and prioritization skills. Registered Nurse (RN) with unrestricted license in the state... 
    Remote job
    Contract work

    HireOps Staffing, LLC

    Dallas, TX
    22 hours ago
  •  ...Job Description Job Description Utilization Review Nurse (LVN, LPN, RN Compact licenses are accepted...  ...for this position) Location - Remote "Work from Home" but must have a multi...  ...Ability to work in a fast-paced and time-sensitive environment Ability to meet... 
    Remote work
    Work from home

    Elite

    Houston, TX
    9 days ago
  • $90k - $115k

     ...bonus ~ Comprehensive benefits package ~401K with 4% match ~ Part-time and full-time options ~ CEUs ~ Paid parental leave ~...  ...balance and personal schedules Hybrid Model with In-person & Remote flexibility Therapist are a critical part of our clinician team... 
    Part time
    Remote work
    Full time
    Relocation package
    Monday to Friday
    Flexible hours
    Weekend work

    LifeStance Health

    Rosalia, WA
    4 days ago
  • $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 job
    Hourly pay
    Monday to Friday

    Astrana Health

    California, MO
    22 hours ago
  • $90k - $115k

     ...bonus ~ Comprehensive benefits package ~401K with 4% match ~ Part-time and full-time options ~ CEUs ~ Paid parental leave ~...  ...balance and personal schedules Hybrid Model with In-person & Remote flexibility Therapist are a critical part of our clinician team... 
    Part time
    Remote work
    Full time
    Relocation package
    Monday to Friday
    Flexible hours
    Weekend work

    LifeStance Health

    Spokane Valley, WA
    4 days ago
  • $90k - $115k

     ...bonus ~ Comprehensive benefits package ~401K with 4% match ~ Part-time and full-time options ~ CEUs ~ Paid parental leave ~...  ...balance and personal schedules Hybrid Model with In-person & Remote flexibility Therapist are a critical part of our clinician team... 
    Part time
    Remote work
    Full time
    Relocation package
    Monday to Friday
    Flexible hours
    Weekend work

    LifeStance Health

    Reardan, WA
    4 days ago