Average salary: $66,264 /yearly
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$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$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 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$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$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 States10 hours ago$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
Olympia, WA1 day 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 $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, MO10 hours 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$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$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$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- ...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 - ...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- ...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
- ...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$38 - $40 per hour
A healthcare provider is looking for a Registered Nurse (RN) for a remote position in Texas. The RN will be responsible for various review activities and care coordination in the insurance or managed care sector. Candidates must have a valid RN license in Texas and at...Remote jobHourly payContract work- 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 jobFull time
$30 per hour
...Position Title: Registered Nurse II (100% REMOTE) Assignment Duration: 3 Months Work Schedule: M-F, 9-5:30pm EST with 30 min unpaid lunch Work Arrangement: Virtual Position Summary: Responsible for clinical criteria prior authorization setup to meet client needs and ensure...Remote workFor contractorsWork at officeLocal areaSpectraforce Technologies
United States3 days 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- A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care. This role involves monitoring patient admissions and ongoing care while ensuring adherence to guidelines. The ideal candidate will have...Remote jobContract work
- 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
- ...established industry player is seeking a dedicated Registered Nurse for a remote contract position in the insurance or managed care sector.... ...validating treatment plans and performing thorough medical reviews on claims. Candidates must possess strong communication skills...Remote jobContract work
$35 - $45.94 per hour
Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review team. Oscar is the first health insurance company built... ...the Supervisor, Utilization Review. Work Location: This is a remote position, open to candidates who reside in: Texas, Georgia,...Remote workHourly payFull timeWork from homeHome office- A leading health insurance provider is hiring a Utilization Review Nurse to perform case reviews and make care recommendations. Responsibilities... ...one year of utilization review experience. The position is remote, but candidates must reside in specific states. The role...Remote job
- ...Manager to advance high-quality, patient-centered care through Utilization Review. The ideal candidate will have an active RN license in... ...healthcare services and coordinating care effectively. This fully remote position offers flexibility, competitive pay, and comprehensive...Remote job
