Average salary: $122,005 /yearly
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- ...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, NE2 days ago $65k - $78k
...in a company that values work-life balance, continuous learning, and career development. Summary We are seeking a skilled Utilization Review Nurse to conduct prior authorization, prospective, concurrent, and retrospective reviews for medical necessity and appropriateness...Remote workFull timeContract workWork at officeWork from homeFlexible hoursGainwell Technologies
Juneau, AK4 days ago- ...A national insurance group in Omaha seeks a full-time Utilization Review Nurse to oversee treatment requests and ensure compliance with guidelines... ...accurate documentation. The position offers options for remote work, health insurance, and other competitive benefits. #J-...Remote workFull time
Berkshire Hathaway Homestate Companies
Omaha, NE17 hours ago $47.06k - $70.24k
...A healthcare solutions provider is seeking a Utilization Review Nurse in Fort Worth, TX. This remote role involves analyzing medical bill appropriateness, documenting findings, and communicating with claims examiners. Candidates must have a current RN license and at least...Remote workCare Options For Kids
Fort Worth, TX4 days ago$40 - $45 per hour
...Immediate Hiring for “Remote Clinical Review Nurses” Job Description: Review approximately 20 cases a day for medical necessity. Advocate for and... ...each other and complete cases. Qualifications 3 years of utilization management, concurrent review, prior authorization,...Remote workContract workTemporary workImmediate startActalent
Columbus, OH2 days ago$41 - $45.5 per hour
...Direct Government Clients Role: Nurse Case Management Senior Analyst Location: Remote (within plan states: IL, TX, NM,... ...assessments, health education, and utilization management. Key... ..., concurrent, and retrospective reviews for inpatient, rehab, referrals,...Remote job- A state welfare agency in San Antonio is seeking a Nurse II to join their Medicaid CHIP Services team. The successful candidate will handle utilization reviews and ensure proper service delivery in various programs for individuals with intellectual and developmental disabilities...Remote jobFull time
$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 jobHourly payMonday to Friday- ...A leading healthcare solutions company seeks a skilled Utilization Review Nurse to conduct vital reviews for medical necessity and appropriateness. The ideal candidate will have an active RN license, 3+ years of inpatient clinical experience, and strong written communication...Remote workWork from homeFlexible hours
Gainwell Technologies
Juneau, AK4 days ago $54.86k - $71.25k
...Job Description Summary The Utilization Review Registered Nurse is responsible for reviewing medical services to ensure they meet evidence-based guidelines and member benefit plans. This includes precertification, concurrent review, and retrospective review. The...Remote workMinimum wageCurrently hiringLocal areaWork from homeFlexible hoursConduent
United States9 hours ago$2,800 per week
HonorVet Technologies is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Orange, California. Job Description & Requirements... ...determination. This position is in person (no remote) Monday through Friday with no weekends or holidays....Remote workContract workMonday to FridayShift workHonorVet Technologies
Villa Park, CA3 days ago$85k - $105.34k
...UTILIZATION REVIEW NURSE 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...Remote workFull timeWork at officeLocal areaImmediate startMonday to FridayUmpqua Health
United States2 days ago- ...max bill rate ***/hour remote within IL, TX, TN, NM, OK, MT Registered Nurse responsible for collaborating with healthcare... ...of resources. Medical necessity reviews may include: drugs and biologics... ...and sufficient support of all Utilization Management activities to include...Remote workWork at officeLocal areaFlexible hoursShift work
Mindlance
Albuquerque, NM4 hours agonew $76k - $85k
...sector. To learn more, visit . PCG is currently seeking a Utilization Review Nurse. The Utilization nurse will also be responsible for... ...utilization management RN required Working Conditions ~ Remote The above is intended to describe the general contents...Remote workFor contractorsH1bWork at officeLocal areaPublic Consulting Group
Des Moines, IA9 hours ago$71.61k - $111k
...Position Responsible for Utilization Management, Quality Screening... ...Characteristics 1. Registered nurse with a New York State current... ...applicable to utilization review process. 8. Excellent written... ...work cannot be done from a remote location. Other...Remote workShift workAlbany Med
Albany, NY2 days ago$41 per hour
...Medical Review Nurse (RN) Remote position, however, candidates must reside in the State of TX or State Of IL This position is a contract for about 9 months. Pay: $41/hour RN working in the insurance or managed care industry using medically accepted criteria...Remote workContract workHireOps Staffing LLC
United States1 day ago- ...A national health organization seeks a NICU Clinical Review Nurse for a remote full-time role. The candidate must have RN licensure and NICU experience, performing concurrent reviews to ensure appropriate care and health assessments for members. Responsibilities include...Remote workFull time
Centene Corporation
Oklahoma City, OK4 days ago $40 per hour
...Must reside in TX Full time remote Candidates must be based... ...performing initial, concurrent review activities; discharge care... ...Provides information regarding utilization management requirements and... ...and facilities. Registered Nurse (RN) with valid, current, unrestricted...Remote workFull timeContract workWork at officeHireOps Staffing LLC
United States3 days ago- ...A global talent management firm is seeking a Utilization Review Nurse for a contract role based in Pennington, NJ. The role involves performing utilization management, reviewing medical records, and coordinating discharge planning. Candidates must have an active RN license...Remote workContract work
Rangam
Pennington, NJ1 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, IL2 days ago $2,800 per week
...HonorVet Technologies is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Orange, California. Job Description... ...necessity determination. This position is in person (no remote) Monday through Friday with no weekends or holidays. Pre...Remote workContract workMonday to FridayShift workHonorVet Technologies
Orange, CA4 days 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...Remote workFull timeWork at officeShift work
Gibson Area Hospital
Gibson City, IL3 days ago - ...A leading staffing agency is looking for a Utilization Review Registered Nurse to work remotely with a major health insurance client. This role involves evaluating patient care cases and ensuring requested services align with medical necessity while adhering to confidentiality...Remote work
Insight Global
Raleigh, NC2 days ago - ...Resources Management Location: 100% Remote Schedule: M-F 9:00am to 5:30... ...Summary Works with the Utilization Management team primarily... ...medical necessity/utilization review and other utilization management... ...IL State Registered Nursing (RN) license in good standing...Remote workContract work
- Currently seeking a Utilization Management RN . Please see details and... ...qualifications below: Position is remote - candidate must reside in... ...an active PA license or a Nurse Licensure Compact to include... ...conditions through medical record review to determine medical...Remote workImmediate startDay shift
- ...Job Title: Utilization Management RN Location: Remote – must reside within the PA/NJ/DE tri-state area for potential... ...Active Pennsylvania RN license or Nurse Licensure Compact (including PA)... ...through detailed medical record review to determine medical necessity for...Remote workFull time
IntePros
Philadelphia, PA1 day ago - ...the first 25 applicants This is full-time remote, but candidates must reside in IL or TX... ...for performing accurate and timely medical review of claims suspended for medical necessity... ...and prioritization skills. Registered Nurse (RN) with unrestricted license in state ....Remote workFull timeContract work
$35 - $40 per hour
Base Pay Range $35.00/hr - $40.00/hr Location Fully Remote Position Summary The Utilization Review Nurse serves as a key liaison in coordinating resources and services to meet patients’ needs, ensuring efficient, cost-effective, and compliant delivery of home health care...Remote workContract workFlexible hoursWeekend work$55 per hour
...from Akkodis Akkodis is hiring a Concurrent Review Nurse to support our client in the Healthcare space. Location: Remote (must be based in California) Employment type... ...setting. Preferred: Experience in case management, utilization management, or discharge planning. Experience...Remote workFull timeContract workTemporary workLocal area- A public healthcare provider in Texas is seeking a Utilization Management Review Nurse to evaluate the necessity of medical services and promote quality care. The ideal candidate will have a Bachelor's in Nursing and extensive clinical experience. Responsibilities include...Remote job
