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... 
    Suggested
    Remote job
    Flexible hours

    Spectraforce Technologies

    Raleigh, NC
    2 days 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

    Fabergent

    Florida, NY
    3 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

    Emergitel HR Solutions

    Honesdale, PA
    2 days ago
  • $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... 
    Suggested
    Hourly pay

    Molina Healthcare

    Milwaukee, WI
    1 day ago
  • $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... 
    Suggested
    Hourly pay

    Molina Healthcare

    Austin, TX
    1 day ago
  • 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... 
    Suggested
    Hourly pay

    Molina Healthcare

    Madison, WI
    1 day 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... 
    Suggested
    Private practice

    Healthcare Support Staffing

    Columbus, OH
    2 days ago
  • 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

    Paycor

    Florida, NY
    3 days ago
  • $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... 
    Suggested
    Hourly pay

    Pacific Grove Hospital

    Riverside, CA
    3 days ago
  • 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.... 
    Suggested
    Full time

    Surgery Partners, Inc

    Addison, TX
    2 days ago
  •  ...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

    Santa Clara County

    San Jose, CA
    4 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... 
    Suggested
    Hourly pay
    Monday to Friday

    Healthcare Support Staffing

    Troy, MI
    2 days ago
  • $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... 
    Suggested
    Minimum wage
    Full time
    Local area
    Remote work
    Shift work

    Providence Health & Service

    Portland, OR
    4 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... 
    Suggested
    Hourly pay
    Relief

    Norman Regional Health System

    Norman, OK
    3 days ago
  • 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... 
    Suggested
    Part time
    Relief
    Day shift

    Corewell Health

    Caledonia, MI
    1 day ago
  • 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... 

    HonorHealth

    Phoenix, AZ
    2 days ago
  • 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 job
    Full time

    Providence

    Los Angeles, CA
    1 day ago
  • 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 time
    Relief
    Shift work

    Corewell Health

    Caledonia, MI
    1 day ago
  •  ...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 contractors
    Casual work
    Work at office
    Local area
    Relocation package

    Northwestern Medicine

    Palos Heights, IL
    2 days ago
  • $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 pay
    Zero hours contract
    Shift work

    PRIDE Health

    Mount Rainier, MD
    54 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 pay
    Weekly pay
    Contract work
    Temporary work
    Immediate start
    Shift work
    Day shift

    GQR Healthcare

    Ashland, WI
    1 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... 

    Healthcare Support Staffing

    Columbus, OH
    3 days ago
  • 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

    Universal Hospital Services Inc.

    Jacksonville, FL
    3 days ago
  • $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 work

    Access Healthcare

    Mount Rainier, MD
    4 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 work

    TRS Healthcare

    Kinston, NC
    4 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 pay
    Permanent employment
    Temporary work
    Shift work

    LRS Healthcare - Travel Nursing

    Anacortes, WA
    1 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 work

    TRS Healthcare

    Villa Park, CA
    55 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 pay
    Long term contract
    Permanent employment
    Temporary work
    Work at office
    Shift work

    LanceSoft

    Northlake, GA
    1 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 contract
    Shift work
    Day shift

    Genie Healthcare

    Mount Rainier, MD
    4 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 contract
    Relocation package
    Shift work

    ALOIS Healthcare

    Villa Park, CA
    55 minutes agonew