Average salary: $75,400 /yearly

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  • Remote RN Clinical Reviewer - Utilization & Quality

    $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-Ljbffr
    Suggested
    Hourly pay
    Remote work

    kozmetickesluzby.vecnakraska.sk - Jobboard

    United States
    3 days ago

  • Remote RN Utilization Review Specialist

     ...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... 
    Suggested
    Work at office
    Remote work

    NurseRemotely

    United States
    5 days ago

  • Utilization Review Specialist (RN) - Remote

    $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... 
    Suggested
    Remote work
    Monday to Friday
    Weekend work
    Weekday work

    Concierge Home Care

    Jacksonville, FL
    2 days ago

  • Remote Inpatient Utilization Review RN

     ...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... 
    Suggested
    Full time
    Remote work

    Well Sense Health Plan

    United States
    2 days ago

  • Remote RN: Clinical Utilization Review (Alabama)

     ...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... 
    Suggested
    Full time
    Remote work

    Comagine Health

    Washington DC
    5 days ago

  • Utilization Review Specialist (RN) - Hybrid in Traverse City, MI

     ...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... 
    Suggested
    Full time
    Work at office
    Weekend work

    Munson Healthcare

    Traverse City, MI
    17 days ago

  • Utilization Review RN

     ...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... 
    Suggested
    Full time
    Work experience placement
    Remote work

    Virtual Vocations Inc

    United States
    1 day ago

  • RN - UTILIZATION REVIEW

    $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... 
    Suggested
    Local area
    Immediate start
    Remote work
    Monday to Friday
    Shift work
    Weekend work

    Pacer Group

    Everett, WA
    2 days ago

  • Utilization Review RN

    $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... 
    Suggested
    Full time
    Work experience placement
    Local area
    Remote work
    Flexible hours

    Sedgwick

    Hartford, CT
    4 days ago

  • RN - Utilization Review

     ...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... 
    Suggested
    Weekly pay
    Remote work

    Slate Healthcare

    United States
    8 hours ago

  • RN - Utilization Review

     ...RN - Utilization Review MedWave 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... 
    Suggested
    Weekly pay
    Contract work

    Tuba City Regional

    Tuba City, AZ
    8 hours ago

  • RN - Utilization review

     ...Job Description: Ascension Texas Utilization Management Department (Fully Remote)Job Summary:• Provides health care services regarding...  ...admissions, case management, discharge planning and utilization review.Responsibilities:• Reviews admissions and service requests within... 
    Suggested
    Remote work

    First Connect Health

    Austin, TX
    1 day ago

  • Utilization Review RN

    $38.66 - $58.32 per hour

     ...Utilization Review RN Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit... 
    Suggested
    Full time
    Remote work

    CommonSpirit Health

    United States
    3 days ago

  • RN - Utilization Review

     ...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... 
    Suggested
    Weekly pay
    Remote work
    Monday to Friday
    Weekend work

    Slate Healthcare

    Fort Myers, FL
    2 days ago

  • RN Utilization Review

     ...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... 
    Suggested
    Remote work
    Shift work
    Weekend work

    AMN Healthcare

    United States
    1 day ago

  • Utilization Review RN

     ...following Job Description will also apply at Broward Pace Program sites. Job Summary The Utilization RN is responsible for conducting prospective, concurrent, and retrospective clinical reviews to determine medical necessity, level of care, and appropriateness of services... 
    Full time
    Part time
    Work at office
    Local area
    Remote work
    Weekend work
    Afternoon shift

    Miami Jewish Health

    Doral, FL
    1 day ago

  • Utilization Review RN

    $1,949.74 per month

     ...Offering Nursing Profession Registered Nurse Specialty Utilization Review Job ID 17979666 Job Title Utilization Review RN Weekly Pay $1949.74 Shift Details Shift 8 Hour Days Scheduled... 
    Weekly pay
    Remote work
    Shift work

    Providence Health and Services

    Eureka, CA
    4 days ago

  • Utilization Review RN

    $63.1k - $94.65k

     ...experience, education, certifications, and overall qualifications. *Must have current compact RN license, or be willing to obtain* Schedule Information Our Utilization Review team provides coverage seven days a week, operating between 8:00 a.m. and 10:00 p.m. To support... 
    Work at office
    Flexible hours
    Shift work

    Ensemble Health Partners

    Brooklyn, NY
    4 days ago

  • Utilization Review RN

     ...role is specific to the LTSS department. RN will be responsible for providing case management...  ...based on authorization and concurrent review. Provides monthly telephonic outreach to...  ...appropriateness of treatment setting by utilizing the applicable medical policy and... 
    Contract work
    Remote work
    Monday to Friday
    Flexible hours

    HealthCare Support

    New York, NY
    1 day ago

  • RN - Utilization Review

    $2,772.28 per month

     ...Client Name Tuba City Regional Job Type Travel Offering Nursing Profession RN Specialty Utilization Review Job ID 37699865 Job Title RN - Utilization Review Weekly Pay $2772.28... 
    Weekly pay
    Contract work
    Shift work

    Tuba City Regional (Parent)

    Tuba City, AZ
    2 days ago

  • Registered Nurse (RN) - Utilization Review

    $1,851.96 per month

     ...Corporate Center Job Type Travel Offering Nursing Profession Registered Nurse (RN) Specialty Utilization Review Job ID 38245223 Job Title Registered Nurse (RN) - Utilization Review Weekly Pay... 
    Weekly pay
    Contract work
    Local area
    Remote work
    Monday to Friday
    Shift work
    Weekend work

    Lee Health-Corporate Center

    Fort Myers, FL
    3 days ago

  • RN Utilization Review

     ...Job Details POSITION SUMMARY - RN Utilization Review POSITION DUTIES - Review patient medical records to assess the appropriateness and medical necessity of hospital admissions, continued stays, and services, while coordinating with providers and payers... 
    Temporary work
    Remote work
    Shift work
    Weekend work

    Trinity Clinics AMN

    Fort Myers, FL
    1 day ago

  • RN Utilization Review

     ...Your future role at a glance Location: Remote Department: Ascension Care Management Insurance - Utilization Review Schedule: Day Shift | PRN until 12/31/26 #LI-Remote How you’ll make an impact in this role Comprehensive Clinical Review: Conduct prospective... 
    Relief
    Local area
    Remote work
    Day shift

    Ascension

    Saint Louis, MO
    3 days ago

  • Utilization Review RN

    $63k - $65k

     ...Best Workplaces in Financial Services & InsuranceUtilization Review RN**As a nurse at Sedgwick, you can build a meaningful and rewarding...  ...needs.**PRIMARY PURPOSE**: To provide timely, evidence-based utilization review services to maximize quality care and cost-effective... 
    Work experience placement
    Local area
    Remote work
    Flexible hours

    Sedgwick Claims Management Services

    Brooklyn, NY
    3 days ago

  • Travel Nurse RN - Utilization Review - $2,220 per week

    $2,220 per week

     ...Care Career is seeking a travel nurse RN Utilization Review for a travel nursing job in Fort Myers, Florida. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Duration: 13 weeks ~40 hours per week ~ Shift: 8 hours... 
    Weekly pay
    Contract work
    Work experience placement
    Remote work
    Monday to Friday
    Shift work
    Weekend work

    Care Career

    Fort Myers, FL
    3 days ago

  • Travel Nurse RN - Utilization Review - $2,065 per week

    $2,065 per week

     ...Cross Country Nurses is seeking a travel nurse RN Utilization Review for a travel nursing job in Fort Myers, Florida. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 10/26/2026 ~ Duration: 13 weeks ~40 hours per... 
    Temporary work
    Zero hours contract
    Remote work
    Monday to Friday
    Shift work
    Weekend work

    Cross Country Nurses

    Fort Myers, FL
    13 days ago

  • Remote RN: Utilization & Discharge Review Specialist

     ...seeking a licensed nurse to perform concurrent reviews for Ambetter members in Georgia. This...  ...care decisions. The position requires RN/LPN licensure with nursing education and...  ...years acute care experience; knowledge of utilization management is preferred. This role offers... 
    Remote job
    Monday to Friday

    Centene Management Company LLC

    New York, NY
    3 days ago

  • Remote RN: Clinical Utilization Review

    Comagine Health is seeking a Clinical Utilization Review Nurse (RN) for a 100% remote, full-time role supporting Alaska contracts. The nurse will assess medical necessity and care quality through prospective, concurrent, and retrospective reviews, applying InterQual criteria... 
    Remote job
    Full time

    COMAGINE HEALTH

    Las Vegas, NV
    1 day ago

  • Remote Utilization Review RN

    Sedgwick is seeking an Utilization Review RN to provide timely, evidence-based utilization review services in a remote setting, maximizing quality care and cost-effective outcomes. Ideal candidates will have active RN licensure and relevant clinical experience. The role... 
    Remote job
    Flexible hours

    Sedgwick

    New York, NY
    5 days ago

  • Remote RN: Prior Authorization & Utilization Review

     ...Humana seeks a Pre-Authorization Nurse to review prior authorization requests for appropriate...  ...Sat, or Sun-Thurs), 8-hour shifts. Active RN license in Louisiana and 2+ years RN experience are required; health plan or utilization management background is a plus. #J-1880... 
    Remote work
    Shift work

    IntelliResume

    United States
    1 day ago