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, NE1 day ago $40 - $45 per hour
...Remote Clinical Review Nurses (Immediate Hiring) Position Type: Contract|Location: Columbus, OH (Remote) Job Responsibilities Review approximately... ...other and complete cases. Qualifications 3+ years of utilization management, concurrent review, prior authorization, utilization...Remote workContract workTemporary workImmediate startActalent
Columbus, OH1 day 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
$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, CA8 days ago$76k - $85k
...public sector. To learn more, visit PCG is currently seeking a Utilization Review Nurse. The Utilization nurse will also be responsible for... ...hospital utilization management RN required Working Conditions Remote The above is intended to describe the general contents and...Remote workFor contractorsH1bWork at officeLocal areaPublic Consulting Group
Helena, MT2 days ago$76k - $85k
...A public sector solutions firm is seeking a Utilization Review Nurse to perform prior authorization and clinical reviews. Candidates should have... ...communication, and attention to detail while working remotely. Compensation ranges from $76,000 to $85,000, with additional...Remote workPublic Consulting Group
Albany, NY1 day 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 States5 days ago$76k - $85k
...A leading public sector solutions firm is seeking a Utilization Review Nurse to perform prior authorization and medical reviews in a remote environment. The role requires at least 2 years of clinical nursing experience and an RN license. Responsibilities include using...Remote workPublic Consulting Group
Helena, MT1 day ago$33.6 - $51.39 per hour
...This is a great opportunity for a local remote position. There is no communication... ...for hospitalized patients ~2 years of Utilization Review (UR) experience reviewing hospital admissions... ...Minimum Requirements Education ~ Nursing Diploma/Associate's - Nursing...Remote workHourly payFull timeWork experience placementReliefLocal areaWork from homeMonday to FridayFlexible hoursShift workBJC HealthCare
Saint Louis, MO5 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 States21 days ago- ...making a difference at Umpqua Health. Position Title: Utilization Review Nurse Department: Umpqua Health Status: Full Time, Exempt position... ...Friday 8:00am – 5:00pm (pacific standard time) Location: Remote position Salary: Wage Band 20: $ 85,990 – $ 105,3440 ~...Remote workFull timeWork at officeLocal areaMonday to FridayFlexible hours
Umpqua Health
United States8 days ago $71.61k - $111k
...Position Responsible for Utilization Management, Quality Screening... ...Characteristics # Registered nurse with a New York State current... ...applicable to utilization review process. # Excellent written... ...work cannot be done from a remote location.Other Requirements:...Remote workShift workAlbany Medical Center
Albany, NY4 days ago$76k - $85k
...A leading public sector solutions provider is seeking a Utilization Review Nurse based in Atlanta, GA. The role involves conducting healthcare... ...and experience in a managed care setting to qualify for this remote opportunity. Competitive compensation ranging from $76,000...Remote workPublic Consulting Group
Atlanta, GA1 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 $1,600 - $1,800 per week
...NOW HIRING: Registered Nurse - Utilization Management Location: Buckley AFB & Peterson AFB,... ...No weekends, no holidays, no telehealth/remote work Minimum Qualifications... ...in Utilization Management, Utilization Review, or Case Management ~• Preferred Certifications...Remote workContract workImmediate startMonday to FridayVarite
Aurora, CO1 day ago$40 - $45 per hour
...healthcare staffing agency is seeking an experienced RN with over 4 years of experience in utilization management for a remote position. Responsibilities include assessing member health, reviewing medical necessity of care, and contributing to discharge planning based on...Remote workHourly payContract workActalent
El Paso, TX2 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 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, NC1 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...Remote workFull timeWork at officeShift work
Gibson Area Hospital
Gibson City, IL2 days ago - ...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 $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- 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 jobWork from homeFlexible hours
- ...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
- ...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
- 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
- Overview Title: Clinical Review Nurse - Prior Authorization Review Location: Fully Remote (PST Time Zone - WA/OR Resident) Duration: 12-Month (Potential for Extension... ...for Prior Authorization Review to join our Utilization Management team. In this role, you will conduct...Remote workContract 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$40 - $45 per hour
...A leading healthcare staffing agency is immediately hiring Remote Clinical Review Nurses to review cases for medical necessity. The role demands 3+ years of relevant experience and an active RN Compact License. You'll advocate for members and collaborate with a nursing...Remote workHourly payImmediate startActalent
Columbus, OH1 day ago$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
