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
United States4 days ago$2,000 per week
...RadHealth+ is seeking a travel nurse RN Remote Case Manager, Utilization Review for a travel nursing job in Torrance, California. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Duration: 13 weeks ~40 hours per week ~ Shift...SuggestedWeekly payFor contractorsLocal areaRemote workShift workNight shift- ...through 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...SuggestedWork at officeWeekend work
Munson Healthcare
Traverse City, MI15 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 States1 day ago - ...Job Summary and Responsibilities As our Utilization Review RN, you will meticulously review medical records to confirm appropriate admission status and continued hospitalization, utilizing established criteria and critical thinking. You'll work hand-in-hand with Concurrent...SuggestedRemote work
CommonSpirit Health
United States2 days 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...SuggestedLocal areaImmediate startRemote workMonday to FridayShift workWeekend workPacer Group
Everett, WA1 day ago- ...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...SuggestedRemote work
First Connect Health
Austin, TX23 hours ago - ...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...SuggestedWeekly payContract work
Tuba City Regional
Tuba City, AZ4 days ago $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...SuggestedWeekly payContract workShift workMission Hospital
Tuba City, AZ3 days 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...SuggestedFull timeRemote workMonday to Friday
HealthPlus Staffing
Fort Lauderdale, FL29 days ago $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...SuggestedWeekly payRemote workShift workProvidence Health and Services
Eureka, CA3 days ago- ...Utilization Review RN - RemoteUtilization Review RN - REMOTE position. This position is Part time and will work 8-hour, Day shifts.Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA ministries. Conduct clinical reviews and review...SuggestedPart timeLocal areaRemote workDay shift
Providence Health & Service
Irvine, CA2 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...SuggestedRemote workShift workWeekend work
AMN Healthcare
United States23 hours ago $1,852.26 per month
...Corporate Center Job Type Travel Offering Nursing Profession Registered Nurse (RN) Specialty Utilization Review Job ID 38069155 Job Title Registered Nurse (RN) - Utilization Review Weekly Pay...SuggestedWeekly payContract workLocal areaRemote workMonday to FridayShift workWeekend worktalent4health
Fort Myers, FL11 hours agonew- ...seniors and their families. The following Job Description will also apply at Broward Pace Program sites. Job Title: Utilization Review RN Job Summary The Utilization RN is responsible for conducting prospective, concurrent, and retrospective clinical reviews...SuggestedFull timePart timeWork at officeLocal areaRemote workWeekend workAfternoon shift
Miami Jewish Health
Miami, FL2 days ago - ...Job Description Job Description The utilization review and management (UM) component program ensures that external healthcare services provided across MedTrust/MedHealth contracted facilities are medically necessary, clinically appropriate, evidence-based, and delivered...Work at officeRemote work
MedTrust LLC
Oklahoma City, OK7 days ago $63.1k - $94.65k
...certifications, and overall qualifications. *Must have current compact RN license, or be willing to obtain* NICU and/or Pediatric... ...highly encouraged to apply. Schedule Information: Our Utilization Review team provides coverage seven days a week, operating between 8:...Temporary workWork at officeLocal areaRemote workFlexible hoursShift workEnsemble Health Partners
United States3 days ago- ...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 workRemote workShift workWeekend work
Trinity Clinics AMN
Fort Myers, FL23 hours ago $40.12 - $62.19 per hour
...Sinai Hospital's Utilization Review operates as a distinct specialty service line of physician advisors, nurses, and support staff who ensure... ...position. Responsibilities: The Utilization Review RN reviews the medical record by applying utilization review criteria...Full timeRemote workLIFEBRIDGE HEALTH SYSTEM
Baltimore, MD3 days ago- ...Description Job Description Quick Job Details: Setting: Fully Remote – Utilization Review Schedule: Full-Time, Monday–Friday Hours: Standard Business Hours Job Requirements: Active RN license with Multi-State/Compact License required Minimum 2 years...Full timeRemote workMonday to Friday
HealthPlus Staffing
Fort Lauderdale, FL29 days ago - ...facility in California is seeking experienced nursing professionals to review medical records and ensure appropriate admission status. The role... ...patient admissions. Candidates must have a valid California RN license and at least two years of clinical experience or a Master...Remote work
Santa Barbara Cottage Hospital
United States4 days ago - ...PRN Utilization Management RN Reviewer NE Join Cleveland Clinic Weston Hospital's team of caregivers that remain on the leading edge of technology and education, all while consistently providing patient-centered healthcare. As part of Cleveland Clinic's Florida region...Full timeReliefWork at officeRemote workWeekend work
Cleveland Clinic
Fort Lauderdale, FL2 days ago - ...Position Summary: The RN Integrated Care Coordinator (UM) provides comprehensive care coordination services and is responsible... ...ensure Evry Health is a reliable and trusted parter in member care. Rotating weekend hours are required to address utilization review cases....Full time
Evry Health
Remote8 days ago - ...A healthcare staffing agency is seeking a Utilization Management RN to work remotely from PA, DE, or NJ. The role involves assessing clinical information, determining medical necessity for services, and collaborating with providers. Candidates should have at least three...Remote workFlexible hoursWeekend workDay shift
The Judge Group
United States4 days ago - ...City/State: Arizona, Arizona Department Name: Utilization Mgmt Work Shift: Day Job Category: Clinical Care... ...moments to be had in the Grand Canyon State. As an RN Utilization Management Care Reviewer, you will be an important part of the Banner Plans &...Full timeRemote workMonday to FridayShift work
Banner Health
Phoenix, AZ7 days ago - ...Overview In this remote position, you will be responsible for utilization management, working Monday through Friday from 8 AM to 4:30 PM, with a rotation every fifth weekend. You will need to have experience with providers and hold a CCM/CMCN certification. Familiarity...Weekly payRemote workMonday to FridayWeekend work
Slate Healthcare
Fort Myers, FL1 day ago - ...Registered Nurse - Utilization Review About Company Bestica: We at Bestica believe our success is a direct result of hard work and outstanding employee dedication. Our environment is dynamic, friendly, and collaborative. We foster a positive culture, where innovation...Remote work
Bestica Healthcare
United States1 day ago - ...Clinical ReviewerCandidate must be highly proficient in EPIC and InterQual, with demonstrated experience using both systems for clinical review and medical necessity determination. This position is in person (with possibility to be remote) Monday through Friday with no...Contract workRemote workMonday to FridayDay shift
Windsor Healthcare Recruitment Group
Orange, CA1 day ago - ...Description Job Description: Manager of Clinical Utilization Management - Denial ComplianceLocation:... ...staff, managing daily tasks, performance reviews, and any necessary disciplinary actions.2... ...accredited Registered Nursing Program; RN preferred.2. Minimum of five years in...Permanent employmentFull timeTemporary workRemote workFlexible hours
Vivo HealthStaff
Burbank, CA23 days ago - ...Utilization Management NurseLocation: Partially Remote, with onsite coverage required in Baltimore, MD.Facility: Ascension Saint Agnes... ...ll Make An Impact In This RoleAdvocate for appropriate care by reviewing admissions and service requests to ensure every patient receives...Full timeLocal areaRemote workMonday to FridayWeekend workDay shift
IntelyCare
Baltimore, MD3 days ago
