Average salary: $93,259 /yearly
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$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... ...of accredited nursing programs with an active New York RN license. #J-18808-LjbffrSuggestedHourly payRemote workkozmetickesluzby.vecnakraska.sk - Jobboard
United States3 days ago- ...UofL Health in Louisville, KY seeks an experienced Utilization Review RN to support the Utilization Management function. You will assess medical necessity for admissions and continued stay, coordinate with physicians and case managers, and document in Case Management Software...Suggested
UofL Health
Louisville, KY1 day ago - ...Excellus BCBS in New York seeks a Utilization Management professional to coordinate behavioral... ...services for members. You will perform clinical reviews, ensure medical necessity, and... ...Requirements include an associates degree with NYS RN license and at least three years of UM...SuggestedWork at office
Excellus BlueCross BlueShield
East Syracuse, NY3 days ago - ...A leading healthcare staffing firm is seeking a Utilization Review RN in Syracuse, NY. The role involves conducting utilization management activities, certification reviews, and collaborating with healthcare providers. Candidates must have an RN License in NY and at least...SuggestedMonday to Friday
HealthCare Support
Syracuse, NY8 hours ago - ...WNS, part of Capgemini, seeks a remote Utilization Review Nurse to perform medical necessity reviews and collaborate with providers to ensure... ...strong team-oriented environment. Requirements include active RN or LVN licensure, a minimum of two years in utilization review...SuggestedWork at officeRemote work
NurseRemotely
United States5 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, MA2 days ago - Kingman Healthcare Incorporated (KHI) seeks an experienced Utilization Review Nurse to support case management in Arizona. You will conduct medical... .... Ideal candidates hold a BSN (MSN preferred), have 3+ years RN hospital experience, and UR or CM exposure. #J-18808-LjbffrSuggested
Kingman Healthcare
Kingman, AZ2 days ago $65k - $85k
...Growth Opportunities | Increased Earning Potential At Concierge Home Care, we are growing and looking for an experienced Utilization Review Specialist (RN) to join our remote home health team. This role is ideal for an RN with strong experience in OASIS, coding, QA, and...SuggestedRemote workMonday to FridayWeekend workWeekday workConcierge Home Care
Jacksonville, FL2 days ago- ...the United States is seeking an Inpatient Utilization Management Clinician to evaluate... ...remote, full-time role requires an active RN license, nursing degree, and experience with... ...physicians and care management to ensure timely reviews, document outcomes, and maintain...SuggestedFull timeRemote work
Well Sense Health Plan
United States2 days ago - ...Comagine Health is seeking Clinical Utilization Review Nurses (RN) licensed in Alabama for a remote, full-time role. You will assess medical necessity and quality of healthcare services through prospective, concurrent, and retrospective reviews to support compliant, cost...SuggestedFull timeRemote work
Comagine Health
Washington DC5 days ago $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- ...knowledge and a current Arkansas licensure as a RN. Preferably experienced in the use of ICD... ...written format with the Medical Staff, review organizations, administration and others... ...control system to assure effective utilization of hospital facilities and services. Assist...SuggestedWork at office
Unity Health
Searcy, AR1 day ago - ...improvement huddles, employee surveys, and town hall meetings Job Description A Day In The Life The Utilization Review Specialist (RN) is responsible for ensuring appropriate utilization of healthcare services across the continuum of care. This role evaluates...SuggestedFull timeWork at officeWeekend work
Munson Healthcare
Traverse City, MI17 days ago Case Manager Registered Nurse - RN Case MGMT- Utilization Review- IN PERSON- Up to $25K SIGN ON BONU
$25k
...Job Description Job Description To Apply for this Job Click Here Position: UTILIZATION REVIEW RN- Case Management (IN PERSON) - Up to $25K SIGN ON BONUS Location: Farmington, NM **Onsite- In person Schedule: Days Responsibilities: Meets expectations...SuggestedPermanent employmentWork at officeRelocation packagei4 Search Group
Farmington, NM5 days ago- ...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
$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...Contract workDay shiftHiredFirst
San Luis Obispo, CAa month ago- ...Providing timely and evidence-based utilization review services, the full-time Utilization Review RN will work remotely to manage complex medical conditions, treatment planning, and recovery for injured employees while advocating for effective medical treatment. Key responsibilities...Full timeWork experience placementRemote work
Virtual Vocations Inc
United States1 day ago - Health Business Solutions LLC seeks an experienced Utilization Review Nurse in New York to provide clinical guidance, drive appropriate level of... ...criteria, and collaborate with insurers on denials. Requires RN license (US multi-state/compact), BSN preferred, 2+ years UR experience...
$63k - $65k
...National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Utilization Review RN As a nurse at Sedgwick, you can build a meaningful and rewarding career while advocating for patients in a nontraditional...Full timeWork experience placementLocal areaRemote workFlexible hoursSedgwick
Helena, MT4 days ago- ...RN Utilization Review Review patient medical records to assess the appropriateness and medical necessity of hospital admissions, continued stays, and services, while coordinating with providers and payers to ensure compliance with clinical guidelines, regulatory requirements...Remote workShift workWeekend work
AMN Healthcare
United States1 day ago $2,940.02 per month
...HHC Correctional Health Services Job Type Travel Offering Nursing Profession RN Specialty Utilization Review Job ID 19084478 Job Title RN - Utilization Review (000298) Weekly Pay $2940.02...Weekly payShift workDay shiftHHC Correctional Health Services
East Elmhurst, NY2 days ago- ...Overview This remote position in Utilization Management requires a Registered Nurse with 2 years of experience. Responsibilities include working with providers, managing reviews, and utilizing EMR systems. The role follows a Monday through Friday schedule with...Weekly payRemote workMonday to FridayWeekend work
Slate Healthcare
Fort Myers, FL2 days ago - ...Job Title: RN - Utilization Review Position Summary We are seeking a Utilization Review Registered Nurse (RN) to review patient records and determine the appropriateness and medical necessity of healthcare services. The RN will evaluate clinical information...
MedCadre
New York, NY1 day ago $65 per hour
...Fully Remote Position Job Title : RN - UTILIZATION REVIEW Location: Everett, WA 98201 Start Date: 05/04/2026 Duration: 13 weeks Schedule Shift: Day 5x8-Hour (08:00 - 16:30) Shift Notes: Days (5×8) | 08:00 - 16:30PAY DETAILS (72 HOURS / 2 WEEKS) Pay...Local areaImmediate startRemote workMonday to FridayShift workWeekend workPacer Group
Everett, WA2 days ago- ...RN - Utilization Review Location: Torrance, CA, 90503, US Start Date: 10/26/2026 Type: Contract Shift: Days Job Description Benefits We Offer: Comprehensive health, prescription, dental, vision, life, and disability plans Competitive pay rates...Daily paidContract workLocal areaShift work
Health Advocates Network
Torrance, CA1 day ago - ...Job Title In this remote role, you will perform utilization reviews, ensuring compliance with clinical guidelines and patient care standards. Collaborate with interdisciplinary teams to assess patient needs and facilitate care coordination. Your expertise in medical...Weekly payRemote work
Slate Healthcare
United States8 hours ago $1,804 per month
...of Mary Medical Center Torrance Job Type Travel Offering Nursing Profession RN Specialty Utilization Review Job ID 19287788 Job Title RN - Utilization Review Weekly Pay $1804.0 Shift...Weekly payShift workDay shiftMeda Health, LLC
Torrance, CA6 minutes agonew- ...RN - Utilization Review Utilization 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...Shift work
LEE HEALTH CORPORATE CENTER
Fort Myers, FL1 hour agonew $3,161.25 per month
...Rikers Island Correctional Facility Job Type Travel Offering Nursing Profession RN Specialty Utilization Review Job ID 19020974 Weekly Pay $3161.25 Shift Details Shift 5x8 Days...Weekly payShift workRikers Island Correctional Facility
East Elmhurst, NY1 day ago$2,816.09 per month
...Jacobi Medical Center - NYCHH Job Type Travel Offering Nursing Profession RN Specialty Utilization Review Job ID 18960406 Weekly Pay $2816.09 Shift Details Shift 5x8 Days Scheduled...Weekly payShift workJacobi Medical Center
Bronx, NY2 days ago
