Average salary: $93,259 /yearly
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- ...healthcare solutions provider is seeking a Clinical Review Clinician for a remote position. The candidate... ...'s degree in nursing, along with an active RN or LPN license, is required, along with experience in Utilization Management or Appeals. Knowledge of Medicare regulations...SuggestedRemote jobFlexible hours
- ...healthcare services company is seeking a Clinical Care Reviewer based in Doral, FL. The role requires a current FL RN licensure and a minimum of 3 years of nursing... ...or ICU. Candidates should have experience with Utilization Review, familiarity with Interqual Criterion,...Suggested
- A healthcare staffing firm is seeking an experienced Registered Nurse (RN) for the role of Utilization Review / Case Manager. Responsibilities include conducting utilization reviews, collaborating with interdisciplinary teams, and ensuring compliance with care plans. The...Suggested
$29.05 - $56.64 per hour
...experienced Registered Nurse to support medical claims and appeals review, ensuring compliance with regulations and guidelines.... ...clinical nursing experience, including experience in areas like utilization review and medical coding. The role involves performing clinical...SuggestedHourly pay$29.05 - $56.64 per hour
...company is seeking a Registered Nurse to support medical claim reviews and ensure compliance with regulations. The role involves... ...should have at least two years of nursing experience, including utilization review and knowledge of coding. Competitive pay ranges from $2...SuggestedHourly pay- A healthcare organization seeks a Clinical Reviewer to support medical claims and appeals review activities... ...claims. Candidates must have an active RN license and at least 2 years of nursing experience, including utilization review and coding. Strong analytical skills and...SuggestedHourly pay
- ...evidence based clinical guidelines. Conducts prior authorization reviews to determine financial responsibility Qualifications 2 years... ...with Hospital Nursing (Med-Surg, ER) Well versed in Utilization Management-Must be able to determine elective vs urgent request...SuggestedPrivate practice
- A growing healthcare company in New York seeks a Utilization Review Nurse to conduct clinical reviews and ensure medical necessity authorizations are met. The ideal candidate will be an LPN or RN with critical thinking skills and attention to detail, able to manage tasks...Suggested
$31 - $50 per hour
A leading healthcare facility in Riverside, California, is seeking a Utilization Review Specialist to act as a liaison between managed care organizations and clinical staff. Responsibilities include monitoring patient stays, conducting quality reviews, and ensuring compliance...SuggestedHourly pay- A healthcare organization in Texas is seeking an RN Utilization Review Coordinator to perform utilization reviews and ensure medical necessity compliance. The role involves collaborating with healthcare teams, managing denial appeals, and supporting discharge planning....SuggestedFull time
- ...to oversee and assess hospital service utilization, ensuring compliance with state regulations... ...applicant must hold a valid California RN license and have two years of acute care... ...monitoring patient admissions and reviewing service justifications. This position is...Suggested
$33 - $37 per hour
A national healthcare staffing firm seeks an experienced RN Utilization Review Nurse in Troy, MI. Responsibilities include utilization review for Medicaid and Medicare, managing authorization processes, and collaborating with healthcare teams to ensure quality care. Ideal...SuggestedHourly payMonday to Friday$45.9 - $71.4 per hour
...Description Utilization Review RN - Remote Providence Health Plan caregivers are not simply valued - they're invaluable. Join our team at Providence Health Plan Partners and thrive in our culture of patient-focused, whole-person care built on understanding, commitment...SuggestedMinimum wageFull timeLocal areaRemote workShift workProvidence Health & Service
Portland, OR4 days ago$23.79 - $38.86 per hour
A regional healthcare provider in Norman, Oklahoma, is seeking an RN for a PRN position focused on Utilization Review, Clinical Analysis, and Resource Management. Qualified candidates must have a diploma or ADN and three years of acute RN experience. The role offers a competitive...SuggestedHourly payRelief- A regional healthcare provider is seeking a part-time RN Utilization Review Specialist in Caledonia, Michigan. The role involves assessing inpatient admissions, advocating for patients within acute care services, and educating medical staff on utilization management. Ideal...SuggestedPart timeReliefDay shift
- A nonprofit healthcare system in Arizona is seeking a Utilization Review RN Specialist who will be responsible for reviewing and monitoring healthcare services to ensure high quality, cost-effective care. This role involves coordinating medical necessity reviews and collaborating...
- A leading healthcare organization in California is seeking an RN Utilization Review professional for a full-time remote role. The position entails conducting utilization reviews and managing a varied workload in a fast-paced environment. Required qualifications include...Remote jobFull time
- RN Utilization Review Specialist PRN Corewell Health Location: 4700 60th St - Grand Rapids, MI Employment Type: Part time Shift: Day (United States of America) Hours of Work: 8:00 a.m. to 4:30 p.m. Job Responsibilities Provides health information, interacts and acts...Part timeReliefShift work
- ...employees. Ready to join our quest for better? Job Description The RN Utilization Specialist reflects the mission, vision, and values of NM,... ...expertise in hospital utilization. The RNUS through regular reviews and audits and collaboration with the clinical team,...For contractorsCasual workWork at officeLocal areaRelocation package
$2,427 per week
PRIDE Health is seeking a travel nurse RN Utilization Review for a travel nursing job in Washington, District of Columbia. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 05/11/2026 Duration: 13 weeks 40 hours per week Shift: 8 hours...Weekly payZero hours contractShift workPRIDE Health
Mount Rainier, MD54 minutes agonew$2,760 per week
GQR Healthcare is seeking a travel nurse RN Utilization Review for a travel nursing job in Ashland, Wisconsin. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: ASAP Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment...Hourly payWeekly payContract workTemporary workImmediate startShift workDay shiftGQR Healthcare
Ashland, WI1 day ago- ...compliance with regulations, analyzing clinical requests, and conducting prior authorization reviews. The ideal candidate should have 2 years of inpatient nursing, familiarity with Utilization Management, and experience with ICD10 and CPT coding. Interested candidates should...
- A nationwide health service provider is seeking a Full-Time Utilization Review Coordinator in Jacksonville, Florida. This role requires monitoring patient treatment activities, ensuring quality care, and collaborating with treatment teams. Candidates should be Registered...Full time
$2,326 per week
Access Healthcare is seeking a travel nurse RN Utilization Review for a travel nursing job in Washington, District of Columbia. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 05/11/2026 Duration: 13 weeks 40 hours per week Shift:...Shift workAccess Healthcare
Mount Rainier, MD4 hours agonew$2,043 per week
TRS Healthcare is seeking a travel nurse RN Utilization Review for a travel nursing job in Kinston, North Carolina. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 04/27/2026 Duration: 13 weeks 40 hours per week Shift: 8 hours, days...Shift workTRS Healthcare
Kinston, NC4 hours agonew$2,700 per week
LRS Healthcare - Travel Nursing is seeking a travel nurse RN Utilization Review for a travel nursing job in Anacortes, Washington. Job Description & Requirements Specialty: Utilization Review Discipline: RN Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment...Weekly payPermanent employmentTemporary workShift workLRS Healthcare - Travel Nursing
Anacortes, WA1 day ago$2,427 per week
TRS Healthcare is seeking a travel nurse RN Utilization Review for a travel nursing job in Orange, California. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 04/27/2026 Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment...Shift workTRS Healthcare
Villa Park, CA55 minutes agonew$3,076 per week
LanceSoft is seeking a travel nurse RN Utilization Review for a travel nursing job in Atlanta, Georgia. Job Description & Requirements Specialty: Utilization Review Discipline: RN Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel Utilization...Weekly payLong term contractPermanent employmentTemporary workWork at officeShift workLanceSoft
Northlake, GA1 day ago$2,310 per week
Genie Healthcare is seeking a travel nurse RN Utilization Review for a travel nursing job in Washington, District of Columbia. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 05/11/2026 Duration: 13 weeks 40 hours per week Shift:...Zero hours contractShift workDay shiftGenie Healthcare
Mount Rainier, MD4 hours agonew$2,694 per week
ALOIS Healthcare is seeking a travel nurse RN Utilization Review for a travel nursing job in Orange, California. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 04/27/2026 Duration: 13 weeks 40 hours per week Shift: 8 hours, days...Zero hours contractRelocation packageShift workALOIS Healthcare
Villa Park, CA55 minutes agonew
