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 $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, AK3 days ago$76k - $85k
...A leading public sector solutions firm is hiring a Utilization Review Nurse in Idaho Falls. This role entails performing prior authorization reviews... ...a competitive salary range of $76,000 - $85,000 and is remote. Strong communication and organizational skills are...Remote workPublic Consulting Group
Idaho Falls, ID3 days 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, TX3 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, 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
$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, AK3 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 States4 days ago- ...A company is looking for a Utilization Review Nurse RN (Part-Time). Key Responsibilities Provide assessments and reviews for the medical necessity of treatment requests and plans Conduct first level reviews for outpatient and inpatient pre-certification requests, ensuring...Remote workPart time
Virtual Vocations Inc
United States9 hours agonew $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, MT1 day 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$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$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 States1 day ago$76k - $85k
...A prominent consulting firm is seeking a Utilization Review Nurse to perform prior authorizations and manage medical reviews from a remote position. Candidates must have a nursing degree and at least two years of direct clinical experience. Strong communication, problem...Remote workPublic Consulting Group
Salem, OR3 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 & 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, CA2 days ago$76k - $85k
...A public sector consulting firm is seeking a Utilization Review Nurse responsible for performing prior authorization and clinical reviews. The... ...with a minimum of 2 years of nursing experience. This fully remote position offers a competitive salary range of $76,000 to $8...Remote workPublic Consulting Group
Cheyenne, WY3 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, NY3 days ago$76k - $85k
...A public sector solutions firm is seeking a remote Utilization Review Nurse to handle prior authorizations and reviews. Responsibilities include recording determinations regarding healthcare costs and identifying quality issues. Candidates must be a graduate of an accredited...Remote workPublic Consulting Group
Charleston, WV3 days ago$76k - $85k
...A leading public sector solutions firm is seeking a Remote Utilization Review Nurse to perform prior authorizations and reviews based on clinical documentation. The role requires an Associate's or Bachelor's degree in Nursing, a valid RN license, and a minimum of two years...Remote workPublic Consulting Group
Montgomery, AL3 days ago$76k - $85k
...A leading public sector solutions firm is seeking a Utilization Review Nurse to perform clinical reviews and manage healthcare-related inquiries. This fully remote role involves communication with healthcare providers, utilizing clinical documentation to assess healthcare...Remote workPublic Consulting Group
Lincoln, NE3 days ago$76k - $85k
...A leading public sector solutions firm is seeking a Utilization Review Nurse to perform medical management activities and healthcare reviews.... ...communication skills and a commitment to quality. This role is remote and requires a nursing degree with clinical experience....Remote workPublic Consulting Group
Raleigh, NC3 days ago$76k - $85k
...A leading public sector solutions firm is seeking a Utilization Review Nurse to perform reviews, use medical management software, and ensure quality care. This remote role requires an RN, along with a minimum of 2 years’ clinical nursing experience and proficiency in...Remote workPublic Consulting Group
Salt Lake City, UT3 days ago$76k - $85k
...A leading public sector solutions firm is seeking a Utilization Review Nurse to work remotely. This role involves conducting prior authorizations, performing reviews, and using medical management software. The ideal candidate will have a nursing degree, at least 2 years...Remote workPublic Consulting Group
Madison, WI2 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 States25 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 States2 days ago$76k - $85k
...A public sector solutions firm is looking for a Utilization Review Nurse to work remotely. This position requires at least 2 years of clinical nursing experience and responsible for making determinations on healthcare costs. Candidates should possess effective communication...Remote workPublic Consulting Group
Jefferson City, MO3 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, NJ13 hours 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
