Average salary: $75,400 /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, MO3 days ago- 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
- ...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 Clinical Utilization Review Nurses (RN) based in Alabama to assess medical necessity and quality of care through prospective, concurrent, and retrospective utilization management reviews. This full-time, remote position supports compliant, cost...SuggestedRemote jobFull time
$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- ...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 - Geisinger, a nationally recognized health system, seeks an experienced RN to join our per diem utilization management team from home in Pennsylvania. The role supports medical necessity reviews and level of care determinations. You will review cases, ensure documentation...SuggestedRemote jobDaily paid
$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...SuggestedDaily paidLive inRemote workShift workDay shiftProvidence Swedish Medical Center
Seattle, WA2 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...SuggestedWeekly payContract work
MedWave Healthcare Staffing
Tuba City, AZ17 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...SuggestedLocal areaRemote workHome officeCoventbridge Integrity Systems
Grove City, OH18 hours 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, CA18 hours ago - ...Responsibilities Responsible for the review of medical records for appropriate admission... ...reviewer and the Care Coordination staff utilizing evidence-based guidelines and critical... ...lieu of 1 year experience. California RN license. AHA BLS Ability to pass annual...SuggestedRemote work
Santa Barbara Cottage Hospital
New York, NY2 days ago $84.06k - $118.67k
...GlanceLocation: RemoteFacility: Ascension Network ServicesDepartment: Utilization ManagementSchedule: Days l Part TimeSalary range: $84,060.91 -... ...team members.May prepare statistical analysis and utilization review reports as necessary.Oversee and coordinate compliance to...SuggestedLocal areaAscension
Austin, TX3 days ago$2,760 per month
...Name Jacobi Medical Center Job Type Travel Offering Nursing Profession RN Specialty Utilization Review Job ID 20525752 Weekly Pay $2760.0 Shift Details Shift 08:00 AM - 05:00 PM...SuggestedHourly payWeekly payPermanent employmentShift workTalent4Health
Bronx, NY4 days ago$63k - $65k
...National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance RN Utilization Review As a nurse at Sedgwick, you can build a meaningful and rewarding career while advocating for patients in a nontraditional...SuggestedFull timeWork experience placementLocal areaRemote workFlexible hoursSedgwick
Memphis, TN6 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 States5 days ago - ...To support effective utilization management, the full-time remote Utilization Review RN will examine medical records, develop clinical reviews for authorization, and collaborate with interdisciplinary teams to optimize reimbursement and prevent payment denials. Key responsibilities...Full timeRemote work
Virtual Vocations Inc
United States17 hours ago - ...Job Description Quick Job Details: Setting: Fully Remote – Utilization Review Schedule: Full-Time, Monday–Friday Hours: Standard... ...hours Patient Volume: N/A Job Requirements: Active RN license with Multi-State/Compact license required Minimum 2...Remote jobFull timeMonday to Friday
HealthPlus Staffing
Fort Lauderdale, FL17 days ago - ...completing pre-screening assessments of prospective patients. Ensures completion of appropriate clinical review of all applicable patients as stated in system utilization management plan. Oversees Clinical Review Specialist as indicated. Maintains necessary documentation...ReliefRemote workWeekend work3 days per week
Children's Healthcare of Atlanta
Atlanta, GA18 hours ago - Comagine Health is seeking Clinical Utilization Review Nurses (RN) for a remote position based in Alabama. You will assess the medical necessity and quality of care through prospective, concurrent, and retrospective reviews to ensure compliance with clinical criteria, policies...Remote job
- Ascension Sacred Heart Hospital is seeking a nurse to join our Utilization Management team in a remote role. You will perform prospective, concurrent, and retrospective reviews to ensure medical necessity and alignment with reimbursement policies. Join a multidisciplinary...Remote job
- HonorHealth in Arizona seeks an Utilization Review RN Specialist to review and monitor utilization for cost-effective, high-quality care. This role ensures medical necessity across Medicare, AHCCCS, and other payers, both on admission and concurrently. The position requires...Remote job
- Registered Nurse (RN) - Utilization Review Job Description Job Shift:Days Job Type:Full Time The individual in this position is responsible to facilitate effective resource coordination to help patients achieve optimal health, access to care, and appropriate utilization...Full timeWork at officeRemote workFlexible hoursShift work
$84.56k - $126.84k
Location: Aurora Position Type: Regular Regular/Temporary: Regular Job Overview The Utilization Review RN participates as a member of a multidisciplinary team to support medical necessity reviews, ensure compliance, and actively participate in denial mitigation. It is...Temporary workPart timeLive inImmediate startRemote workRelocationRelocation packageShift workWeekend workAfternoon shift- The UR RN specializes in examining medical records and developing concise and pertinent clinical reviews to support authorization obtainment, avoid payment denial, and optimize reimbursement. The Utilization Review (UR) Nurse has acute knowledge and skills in areas of...Work at officeHome officeShift workWeekend work
$65 per hour
...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 (58) | 08:00 16:30 PAY DETAILS (72 HOURS / 2 WEEKS) Pay Rate: $65/hr Description: Start date: ASAP Shift: 5x8 Days...Hourly payLocal areaImmediate startRemote workMonday to FridayShift workWeekend work$1,787 per week
Supplemental Health Care is seeking a travel nurse RN Acute Care Case Management for a travel nursing job in Boston, Massachusetts... ...Health Care is hiring experienced Non-patient Care (utilization Review) RNs for contract opportunities at a leading Level 1 trauma center...Contract workLocal areaImmediate startShift work$2,832 - $3,031 per week
Aya Healthcare has an immediate opening for the following position: Utilization Review Registered Nurse in Whittier, CA. We'll work with you to build the healthcare career of your dreams. Whether you want a job close to home or across the country, we've got you. Job Details...Weekly payDaily paidPermanent employmentLocal areaImmediate startRelocationShift work$40.12 - $62.19 per hour
...Utilization Review RNSinai Hospital's Utilization Review operates as a distinct specialty service line of physician advisors, nurses, and support... ...-time remote position.Responsibilities:The Utilization Review RN reviews the medical record by applying utilization review...Full timeRemote workLifeBridge Health
Owings Mills, MD1 day ago$60.2k - $107.4k
Optum is a global healthcare organization empowering care through technology. The Utilization Management Nurse role involves reviewing medical records, extracting case details, and crafting defensible appeal letters according to process instructions and guidelines. The...Remote jobFull timeMonday to Friday
