Average salary: $75,400 /yearly
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- A leading professional services firm is seeking a Utilization Review Specialist to perform utilization review services in compliance with regulations. The role involves conducting precertification and concurrent reviews while advocating for patients. Ideal candidates will...SuggestedRemote job
- 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...SuggestedRemote jobFull time
$40 per hour
...workflow and process improvements remotely. This role requires strong clinical knowledge in acute care settings and experience with utilization review. Candidates should possess excellent communication skills and the ability to work independently. The position offers a pay...SuggestedRemote jobHourly payTemporary work$45.9 - $71.4 per hour
Description Utilization Review RN - Remote The RN Care Coord-Qual Med Mgmt will provide administration of medical management programs that include: prior authorization, concurrent hospital and skilled nursing review, appeals and grievance, delegation, medical policy development...SuggestedRemote jobMinimum wageShift work$45.9 - $71.4 per hour
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, and mutual respect...SuggestedRemote jobLocal area$45.9 - $71.4 per hour
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, and mutual respect...SuggestedRemote jobMinimum wageLocal areaShift work- The Utilization Review Specialist is responsible for the assessment and review of the healthcare delivery system with a concentration on tasks that promote cost-effective quality care and cost containment in accordance with various federal and/or state statutes, regulations...SuggestedRemote jobWeekly payContract workWork at officeLocal area
- As a UM Specialist, you'll be at the center of medical review decisions—helping balance clinical appropriateness, regulatory standards... ...Conduct prospective, retrospective, and concurrent utilization reviews Compare treatment requests against established medical...SuggestedWork at officeRemote workFlexible hours
$40 per hour
Clinical Support Manager (temporary) Utilization Review RN/LPN Job Category : Advisory Services Requisition Number : CONSU005289 Posted : November 25, 2025 Full-Time Remote Locations Showing 1 location Remote United States Description About Sound Physicians: Headquartered...SuggestedHourly payFull timeTemporary workPart timeWork at officeLocal areaRemote workWork from homeShift workWeekend work$40 per hour
...triage for other potential issues related to physician advisor case review or hospitalist teams). Triage case review requests, to... ...a change of course Resourcefulness: Proactive willingness to utilize available information and tools to figure things out Self-starter...SuggestedHourly pay16 hoursFull timeTemporary workPart timeWork at officeLocal areaImmediate startRemote workMonday to FridayFlexible hoursShift workWeekend work$51.43 - $79.84 per hour
...Description - 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 shift- ...to the physician advisor, PA moonlighter, for a second level review as needed. Facilitates communication with service based multidisciplinary... ...3 years of acute care nursing experience is required; prior utilization management or case management experience is required. A...SuggestedTemporary workRemote workShift workWeekend work
- ...you’ll make an impact in this role Provide health care services regarding admissions, case management, discharge planning and utilization review. Review admissions and service requests within assigned unit for prospective, concurrent and retrospective medical necessity...SuggestedPart timeLocal areaRemote work
- ...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...SuggestedContract workRemote workMonday to FridayFlexible hours
$1,880 per week
GQR Healthcare is seeking a travel nurse RN Utilization Review for a travel nursing job in Baltimore, Maryland. Job Description & Requirements Specialty: Utilization Review Discipline: RN Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel...SuggestedRemote workShift workWeekend work$56.44 - $87.63 per hour
RN Utilization Review Location: Irvine, CA. This position is per diem and will work remotely, 8‑hour day shifts. Overview Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA ministries. Conduct clinical reviews and review medical...Hourly payDaily paidRemote workShift workDay shift$2,520 per week
...United Staffing Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Jackson, Mississippi. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 01/26/2026 ~ Duration...Weekly payPermanent employmentContract workTemporary workLocal areaRemote workShift workWeekend workUnited Staffing Solutions
Jackson, MS5 days ago$56.44 - $87.63 per hour
A leading healthcare organization is seeking an RN for Utilization Review who can manage both prospective and concurrent reviews while working remotely. Key responsibilities include conducting clinical reviews and navigating a fast-paced regulatory environment. Candidates...Remote jobHourly payDaily paid- A leading health care provider is seeking a Utilization Review RN for a remote position in Oregon. This role focuses on administering medical management programs and ensuring the appropriateness of services. Candidates must possess an Oregon Registered Nurse License and...Remote job
$56.44 - $87.63 per hour
RN Utilization Review Full‑time Remote Days role at Providence Description Provide prospective, retrospective, and concurrent utilization reviews for our LA ministries. Conduct clinical reviews and review medical records daily during admission for all payers, as required...Remote jobMinimum wageFull timeLocal areaShift work- A leading healthcare provider is seeking a Utilization Review RN for a fully remote position. The role involves administering medical management programs such as prior authorization and concurrent reviews. Candidates must have at least 5 years of clinical nursing experience...Remote job
- A leader in healthcare staffing is looking for a Hospital RN for Care Coordination & Utilization Review in San Jose, CA. This is a contract role (06+ months) focused on supporting discharge planning and communication with healthcare providers. Candidates must hold an active...Contract workImmediate start
- A leading health care organization is seeking a Remote RN with experience in Utilization Review and patient care. The role involves working Monday to Friday, supporting the Medicare team without direct patient communication. Candidates must have at least 2 years of RN...Remote jobMonday to Friday
- A healthcare staffing agency is seeking a Travel Nurse RN for a remote Utilization Review position in Baltimore, Maryland. The role involves no direct patient care and focuses on conducting medical reviews. Candidates must have an active RN License, at least 5 years of...Remote job
$80 - $95 per hour
Immediate need for a talented Hospital RN - Care Coordination & Utilization Review . This is a 06+ months contract opportunity with long-term potential and is located in San Jose, CA (Onsite) . Please review the job description below and contact me ASAP if you are interested...Contract workLocal areaImmediate start- A healthcare staffing firm is seeking an experienced Utilization Review (UR) Nurse in Washington, DC. The role involves conducting quality improvement... ...with interdisciplinary teams. Candidates must have an RN license, experience in similar roles, and reliable transportation...Remote job3 days per week
- A leading healthcare organization is seeking a Remote Utilization Review RN. This role involves administering medical management programs, including prior authorization and care coordination, at their Portland location. Candidates should possess 5 years of clinical nursing...Remote jobFull timeShift work
$60 - $65 per hour
Immediate need for a talented Registered Nurse - RN Utilization Review / Discharge Planning . This is a 06+ months contract opportunity with long-term potential and is located in San Jose, CA(Onsite). Please review the job description below and contact me ASAP if you are...Contract workLocal areaImmediate startShift work- ...Immediate need for a talented RN - Case Manager/ Utilization Review. This is a 03+ months contract opportunity with long-term potential and is located in Santa Clara, CA (Onsite). Please review the job description below and contact me ASAP if youare interested. Job ID:...Contract workLocal areaImmediate startWeekend work
Pyramid Consulting
Santa Clara, CA2 days ago - ...use the internal application process. To learn how to apply for a faculty or staff position, please review this tip sheet. The purpose of the Utilization Case Manager RN is to conduct initial chart reviews for medical necessity and identify the need for authorization....Full timeTemporary workWork at officeRemote workWorldwide
The University of Miami
United States1 day ago
