Average salary: $93,259 /yearly
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$30 - $34 per hour
A healthcare services company is seeking an experienced Utilization Review Nurse to work remotely. The ideal candidate must hold an active LVN license in California and have experience in outpatient utilization management. Responsibilities include approving or denying...SuggestedHourly payRemote workAstrana Health
California, MO1 day ago- ...Industrial Asset Management Council, Inc is looking for a Remote RN to join their team. The role requires 2 years of RN experience and Utilization Review expertise, supporting various units in a clinical review capacity. This work-from-home position offers flexible scheduling...SuggestedRemote workWork from homeFlexible hours
Industrial Asset Management Council
Kansas City, MO4 days ago $50 per hour
...an experienced Registered Nurse Clinical Reviewer for a fully remote position with an hourly... ...of $50. This role involves conducting utilization reviews and ensuring healthcare documentation... ...should have an active New York State RN license and 1-3 years of experience in acute...SuggestedHourly payRemote workGreenLife Healthcare Staffing
New York, NY4 days ago- 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
- ...TurningPoint Healthcare Solutions is seeking a Utilization Review Nurse to join their team in a fully remote role. The ideal candidate must be a Licensed Nurse Practitioner (LPN) or Registered Nurse (RN) with strong critical thinking skills and attention to detail. The...SuggestedRemote work
Alumni Ventures
Florida, NY4 days ago - COMAGINE HEALTH is seeking Clinical Utilization Review Nurses (RN) for a full-time remote position focused on assessing the medical necessity of healthcare services in Alabama. Candidates must hold an active RN license and possess a BA/BS in nursing, alongside a minimum...SuggestedFull timeRemote work
Comagine Health
Seattle, WA1 day ago - ...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
$60.2k - $107.4k
...Stryker Corporation is looking for a Utilization Review Nurse, RN, based in California. As part of this role, you'll manage inpatient utilization efficiently while adhering to clinical guidelines. The position offers the flexibility of remote work within the U.S., alongside...SuggestedRemote workStryker
Sacramento, CA4 days ago- ...Village Center for Care, Inc. is seeking a self-motivated RN for the role of Utilization Review Nurse in a full-time, hybrid position located in the New York Tri-State Area. The successful candidate will be responsible for assessing member needs and ensuring high-quality...SuggestedFull timeRemote work
Village Center for Care, Inc.
New York, NY5 days ago - ...Mass Digital Health is seeking a Utilization Review Nurse in Quincy, Massachusetts. This role involves evaluating patients for appropriate admission... ...coordination. This position requires at least two years of RN experience in care management or utilization management. The...Suggested
Mass Digital Health
Quincy, MA4 days ago - ...Mobile, AL is looking for a Registered Nurse to perform critical Utilization Review functions. This role requires effectively collaborating with... ...'s degree in nursing, with at least 2 years of experience. RN licensure is mandatory, and experience with Utilization Review...Suggested
USA Health Systems
Mobile, AL1 day ago $55.56 - $85.96 per hour
...A healthcare facility in California is seeking a Utilization Review Case Manager to validate patient admissions and levels of care. The role involves performing patient chart reviews, securing authorizations for clinical services, and collaborating with healthcare teams...SuggestedHourly payTorrance Memorial Medical Center
Torrance, CA4 days ago$43 - $63 per hour
...Job Description Job Description The Utilization Review Nurse plays a key role in evaluating patient admissions to ensure appropriate levels... ..., or Clinical Documentation Improvement Active Nevada RN license required Minimum 3 years of Utilization Management...SuggestedRelocation packageLancesoft INC
Las Vegas, NVa month ago$45 - $50 per hour
...for a dedicated Registered Nurse Clinical Reviewer for a fully remote position in New York. This role involves conducting utilization and quality reviews and contributing to clinical... ...nursing programs with an active New York RN license. #J-18808-Ljbffr kozmetickesluzby....SuggestedRemote jobHourly pay$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$40.12 - $62.19 per hour
...Utilization Review Nurse RN - NE ~ Randallstown, MD ~NORTHWEST HOSPITAL ~NW CARE MANAGEMENT ~Part-time - Weekends - Weekend shifts - 8:00am-4:30pm ~RN OTHER ~95496 ~$40.12-$62.19 Experience based ~ Posted: April 9, 2026 Apply Now Save Job...Part timeShift workWeekend workLifeBridge Health
Randallstown, MD1 day ago$32.95 per hour
...Shift: 12pm - 12am or 8:00-4:30pm Performs clinical review of patient records to evaluate the utilization of acute care services. Communicates to third party payors... .... Licensure/Certification/Registry Current RN licensure in the State of Illinois required. Experience...Shift workMemorial Health University Medical Center
Springfield, IL4 days ago$57.28 - $88.92 per hour
...Description Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost‑effective care to the members. Providence caregivers are valuable participants in a patient ‑focused, whole‑person care culture...Daily paidWork at officeLocal areaShift workPROVIDENCE, INC.
Los Angeles, CA12 hours ago$75k
...Hospital is seeking a dedicated Registered Nurse for inpatient utilization review responsibilities. This role requires performing medical... ...teams to make informed decisions. Candidates must hold an active RN license and have experience in acute care settings. The starting...Remote workSanta Barbara Cottage Hospital
New York, NY3 days ago- ...appropriateness of treatment setting by utilizing the applicable medical policy and industry... ...and appropriateness of treatment setting reviews to ensure compliance with applicable criteria... ...Must have clear and active RN license in the state of IN AS/BS in Nursing...Private practiceImmediate start
HealthCare Support
Indianapolis, IN4 days ago $33.51 - $48.58 per hour
...Responsibilities Conducts admission and continued stay reviews per the Care Coordination Utilization Review guidelines to ensure that the hospitalization is... ...regarding review outcomes. Collaborates with facility RN Care Coordinators to ensure progression of care. Engages...Catholic Health Initiatives
Omaha, NE4 days ago- ...focused on one mission: delivering patient‑centered care to each and every patient each and every day. Job Description The Utilization Review RN performs activities which support the Utilization Management functions. They are responsible for the delivery of the Utilization...Work at officeShift work
University Medical Center
Cincinnati, OH2 days ago - ...Responsibilities Conducts admission and continued stay reviews per the Care Coordination Utilization Review guidelines to ensure that the hospitalization is... ...regarding review outcomes. Collaborates with facility RN Care Coordinators to ensure progression of care. Engages...
CommonSpirit Health
Omaha, NE1 day ago - ...Description Utilization Review RN at Providence Health Plaza. Utilization Management covers 7 days/week, including holidays. This posting is not for a specific job vacancy. It serves to establish a place for current or future interested applicants to apply for Utilization...Full timePart timeLocal areaNight shiftAfternoon shift
Providence Health Plan Group
Portland, OR1 day ago - ...and Responsibilities Responsible for the review of medical records for appropriate admission... ...reviewer and the Care Coordination staff utilizing evidence-based guidelines and critical... ...and Certifications Registered Nurse: CA (RN:CA) Preferred years of nursing experience...
CommonSpirit Health
Live Oak, CA4 days ago $75k
...WNS Global Services is seeking a fully remote Utilization Review Nurse to perform inpatient reviews and ensure compliance with medical necessity... ...effectively with physicians. The ideal candidate has an RN license, at least two years of experience in acute care, and proficiency...Work at officeRemote workWNS Global Services
Houston, TX1 day ago- ...Job Description We are seeking an experienced Utilization Review Nurse to join our team in a hybrid role based in Uniondale, Long Island, Nassau... ...and care coordination meetings. Qualifications Active RN license in the state of New York. Minimum of 2 years of experience...Work at officeRemote workMonday to FridayFlexible hours
6AM City
New York, NY5 days ago $50.14 - $77.83 per hour
...The Utilization Review (UR) Nurse has a strong clinical background blended with well-developed knowledge and skills in Utilization Management (UM), medical necessity and patient status determination. This individual supports the UM program by developing and maintaining...Minimum wageLocal areaShift workProvidence Health & Service
Centralia, WA4 days ago- ...experience doesn’t match every requirement. About the role The Utilization Review Nurse is responsible for reviewing and processing medical... ...Licensure: Current and active license as a Registered Nurse (RN) in the state of Ohio. Licensed Practical Nurses (LPNs) currently...Work at office
Quantum Health
Dublin, OH4 days ago - ...Job Summary and Responsibilities As our Utilization Management Nurse, you will be a critical... ...utilization. Every day, you will meticulously review medical records, authorize services, and... ...outcomes. Collaborates with facility RN Care Coordinators to ensure progression of...
Santa Barbara Cottage Hospital
New York, NY3 days ago
