Average salary: $93,259 /yearly
More statsGet new jobs by email
$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, MO4 days ago- Community First Medical Center is seeking a Case Manager - Utilization Review RN to deliver clinically based case management and utilization review across the patient care continuum in Chicago, IL. You will collaborate with physicians, social workers, revenue cycle staff...Suggested
- ...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
$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- ...BlueCross BlueShield South Carolina subsidiary, seeks a Medical Reviewer II (RN) to perform medical claim reviews and determine medical... ...established guidelines. The role documents decisions and supports utilization review across multiple services. The position is remote,...SuggestedRemote jobFull time
- Comagine Health is seeking a Clinical Utilization Review Nurse (RN) licensed in Alabama to assess medical necessity and quality of care through prospective, concurrent, and retrospective reviews. This full-time, remote position supports compliant, cost-effective care aligned...SuggestedRemote jobFull timeContract work
$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- Ampcus Inc. is seeking a Utilization Management Specialist (Remote) to review medical necessity and authorization for clinical services. The role emphasizes clinical nursing expertise, care management experience, and adherence to guidelines and policies. The position requires...SuggestedRemote job
- ...TurningPoint Healthcare Solutions is hiring a Utilization Review Nurse to work remotely. The ideal candidate must hold a valid LPN or RN license and possess strong critical thinking and clinical expertise. Responsibilities include performing initial clinical reviews,...SuggestedRemote work
TurningPoint Healthcare Solutions
Florida, NY4 days ago $40.12 - $62.19 per hour
...Utilization Review Nurse RN ~Baltimore, MD ~SINAI HOSPITAL ~UTILIZATION REVIEW ~Full-time w/Weekend Commitment - Day shift - 8:00am-4:30pm ~RN OTHER ~96812 ~$40.12-$62.19 Experience based ~Posted: July 2, 2026 Apply Now Save Job...SuggestedFull timeShift workWeekend workDay shift$2,743 - $2,905 per week
...Job Description Job Description RN II – Case Management / Utilization Review (CNA) (Contract) – 13 Weeks Location: California 93405 Pay: $2,743 – $2,905/week Schedule: Day Shift, 4x10s (no set days; occasional weekends) Hours: 7:30 AM – 6:00 PM Call...SuggestedContract workDay shiftHiredFirst
San Luis Obispo, CA4 days ago- ...Gateway Regional Medical Center, Inc. is seeking a full-time Utilization Review Specialist RN responsible for conducting admission and concurrent reviews to avoid payment denials, while managing appeals. This role requires collaboration with interdisciplinary teams to...SuggestedFull time
Gateway Regional Medical Center
Granite City, IL2 days ago - ...Job Description Job Description Position Summary The PACE Utilization Review Specialist – RN oversees clinical utilization management for participants enrolled in the Program for All-Inclusive Care for the Elderly. The position ensures that services are medically...SuggestedWork at office
Chinatown Service Center
Alhambra, CA3 days ago - ...Registered Nurse (RN) 3 Utilization Review A Registered Nurse (RN) 3 Utilization Review monitors and evaluates patient care utilization. Working under minimal supervision, this role manages projects and processes within the utilization review group and provides expert...Suggested
Cone Health
Greensboro, NC3 days ago - ...Registered Nurse – Utilization Review (Remote) This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient, and Observation (OBS). Minimum of 3 years acute medical Care...SuggestedRemote work
3B Healthcare, Inc.
Torrance, CA23 hours ago $52.03 - $80.64 per hour
...Utilization Review NurseThe Utilization Review Nurse will evaluate medical records to determine medical necessity by applying clinical acumen... ...depending on case findings.Minimum Education RequirementCalifornia RN license.Minimum Experience RequirementMinimum of three years...Emanate Health
Covina, CA5 hours agonew$51.43 - $79.84 per hour
...– This is a remote role. You MUST live in the state of Washington (WA) to be considered. Care Manager RN, Per diem / On call, Day shift. The Utilization Review (UR) Nurse has a strong clinical background blended with knowledge and skills in Utilization Management...Daily paidLive inRemote workShift workDay shiftProvidence Swedish Medical Center
Seattle, WA2 days ago- ...Utilization Review RNUtilization Management covers 7 days/week, including holidays.This posting is not for a specific job vacancy. It serves to... ...future interested applicants to apply for Utilization Review RN at Providence Oregon Regional Shared Services (Providence Health...Full timePart timeLocal areaDay shift
Providence Health & Service
Portland, OR1 day ago - ...Job TitleUtilization Review (UR) NurseJob DescriptionThe 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...Local area
Providence Health & Service
Centralia, WA4 days ago - ...Northern Nevada Medical Center, part of Universal Health Services, Inc., is seeking a Utilization Review Nurse (RN) on a Per Diem basis for its Case Management Unit in Sparks, NV. The role focuses on planning, coordinating, and managing patient needs during hospitalization...Daily paidWeekend work
Universal Health Services
Sparks, NV23 hours ago - ...the medical necessity, acute care appropriateness, and efficiency of medical services and procedures in the hospital setting. Utilization review is the assessment for medical necessity, both for admission to the hospital as well as continued stay. This function ensures...
Huntsville Hospital
Huntsville, AL4 days ago - ...RN - Utilization ReviewMedWave Healthcare Staffing is currently seeking a Utilization Review RN for a travel assignment in Tuba City, Arizona. The candidate that will best match this position will have at least 1 year of experience as a RN and previous travel experience...Weekly payContract work
MedWave Healthcare Staffing
Tuba City, AZ23 hours ago - ...Utilization Review Rn Travel JobShift: 8 HR DaysStart Date: 09/07/2026End Date: 12/05/2026Duration: 13 Week(s)City: Fort MyersState: FLEqual Opportunity Employer: MedSource LLC is an equal opportunity employer and does not discriminate against any individual based on race...
MedSource Travelers
Fort Myers, FL23 hours ago $93k - $100k
...CoventBridge Integrity Systems seeks a Medical Review Supervisor (MCP) to lead the MR... ...City, OH. The candidate should be an active RN with 3+ years in management, 4+ years clinical... ...experience, and 4+ years in medical/utilization review or fraud investigation. Salary range...Local areaRemote workHome officeCoventbridge Integrity Systems
Grove City, OH23 hours ago- ...RN - Utilization ReviewUtilization review nurses perform frequent case reviews, check medical records, speak with patients and care providers regarding treatment, and respond to the plan of care. They also make recommendations regarding the appropriateness of care for...
Care Career
Fort Myers, FL1 day 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, NY23 hours ago - ...Utilization Review NurseFull compliance is required 2 weeks prior to the start date. Hospital rental property limited and based on availability... ...hospital policy.Tuba City Regional Healthcare does not require your RN to have an AZ state license. Tuba City Regional Health Care...For contractors
Bestica Healthcare
Tuba City, AZ23 hours ago - ...RN - Utilization ReviewNumber of Positions: 1Remaining Positions: 1Duties: 1 year of non-acute utilization review experience - required RN experience - preferred This is the pay range that RightSourcing (a part of Magnit) reasonably expects to pay someone for this position...
Compu-Vision Consulting
East Elmhurst, NY23 hours ago - Job TitleWith level of care screening criteria such as MCG or Interqual, CMS regulations as related to hospital admissions, utilization management or utilization review, and interfacing with health care payers/regulatory agencies.
AMN Healthcare
Syracuse, NY23 hours ago $50 per hour
...Utilization Review Registered NurseUR RN's primary responsibility is to facilitate, in collaboration with the health care team, the patient's plan of care to ensure that all services are provided in a timely manner and promotes a safe and appropriate discharge plan. They...Auburn Community Hospital
Auburn, NY1 day ago
