Average salary: $75,400 /yearly
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$35 per hour
A health solutions company is seeking a licensed LPN or RN Clinical Reviewer to work remotely. This role involves reviewing medical records... ...clinical experience, specifically in Prior Authorization and Utilization Review. The position also requires maintaining solid...SuggestedRemote jobHourly payWeekend work$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...SuggestedRemote jobHourly pay- A healthcare organization is seeking Clinical Utilization Review Nurses (RN) for a remote position to assess healthcare services in line with Alabama Medicaid requirements. Candidates must possess a BA/BS in Nursing, an active RN license in Alabama, and at least 3 years...SuggestedRemote job
- A healthcare organization in Washington D.C. is seeking a Clinical Utilization Review Nurse (RN) for a remote position. This full-time PRN role involves assessing medical necessity and quality of healthcare services through utilization reviews. The ideal candidate will...SuggestedRemote jobFull timeReliefWeekend workAfternoon shift
$45.9k - $102.1k
...health care service corporation in Chicago is seeking a qualified LPN for a telecommute role focused on pre-authorization reviews and utilization management. The ideal candidate will have at least 3 years of clinical experience, effective communication skills, and the...SuggestedRemote workHCSC
Chicago, IL3 days ago$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 shiftProvidence Swedish Medical Center
Seattle, WA3 days ago$2,316 per month
...MedStar Family Choice - DC Job Type Travel Offering Nursing Profession RN Specialty Utilization Review Job ID 20439944 Weekly Pay $2316.0 Shift Details Shift 08:00 AM - 04:30 PM...SuggestedHourly payWeekly payPermanent employmentShift workMedStar Family Choice - DC
Washington DC1 day ago$40 - $45 per hour
...healthcare staffing company is seeking an ER/ICU RN in Austin, TX. This fully remote contract... ...requires 4+ years of RN experience in utilization management and a Compact RN license.... ...Responsibilities include performing concurrent health reviews, evaluating care delivery for necessity,...SuggestedContract workRemote workActalent
Austin, TX1 day ago$28.94 - $51.63 per hour
A health services organization is seeking a Utilization Review Nurse, RN in California to ensure appropriate inpatient care management. Responsibilities include reviewing hospital admission criteria, documenting decisions, and working remotely within the U.S. Candidates...SuggestedRemote jobHourly pay$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$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...SuggestedHourly payDaily paidRemote workShift workDay shiftProvidence Service
Irvine, CA3 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...SuggestedHourly payDaily paidRemote workProvidence Service
Irvine, CA3 days ago$56.44 - $87.63 per hour
...Overview RN Utilization Review at Irvine, CA. This position is Full-time and will work Remote 8-hour, Day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA ministries. Conduct clinical reviews and review medical records...SuggestedFull timeRemote workShift workDay shiftProvidence Health & Service
Irvine, CA1 day ago- ...A leading healthcare organization is seeking a remote RN to ensure appropriate administration of hospital resources and quality care. Responsibilities include reviewing patient care levels and utilizing Interqual Criteria for inpatient hospitalizations. The ideal candidate...SuggestedRemote work
BJC HealthCare
Saint Louis, MO3 days ago - ...provides support for clinical member services review assessment processes. Responsible for... ...must have an active and valid CALIFORNIA RN license and must be willing to work the... ...promote the Molina care model. • Adheres to utilization management (UM) policies and procedures....Work at officeRemote workShift workWeekend work
Molina Healthcare
United States2 days ago $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...Contract workLocal areaImmediate startPyramid Consulting
Sunnyvale, CA4 days ago$56.44 - $87.63 per hour
...Description RN Utilization Review at Irvine, CA. This position is Full- time and will work Remote 8-hour, Day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA ministries. Conduct clinical reviews and review medical...Minimum wageFull timeRemote workShift workDay shiftProvidence Service
Irvine, CA4 days ago$75 - $85 per hour
...Immediate need for a talented Utilization Review/Case Management RN . 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 you are interested....Contract workLocal areaImmediate startShift workPyramid Consulting
Santa Clara, CA4 days ago- ...General Summary and Purpose Provides hospital case management/utilization review and discharge planning collaboratively determining level of care... ..., Knowledge, Education and Experience Colleague must have an RN license, as defined by their primary work state (Idaho or...Full timeLocal areaRemote workShift workDay shift
- ...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 workRemote workMonday to FridayFlexible hours
$47.06k - $70.24k
...A healthcare solutions provider is seeking a Utilization Review Nurse in Fort Worth, TX. This remote role involves analyzing medical bill appropriateness... ...with claims examiners. Candidates must have a current RN license and at least four years of clinical experience,...Remote workCare Options For Kids
Fort Worth, TX3 days ago$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$2,331 - $2,561 per week
Aya Healthcare has an immediate opening for the following position: Utilization Review Registered Nurse in Washington, DC. Job Details Profession: Registered Nurse Pay: $2331.00 to $2561.00 weekly Assignment Length: 13 weeks Shift: Days Schedule: 5, 8-Hour 08:00...Local areaImmediate startRelocationShift work$76k - $85k
...A leading public sector solutions provider is seeking a Utilization Review Nurse based in Atlanta, GA. The role involves conducting healthcare... ...medical management software daily. Candidates should have an RN credential, 2 years of nursing experience and experience in a...Remote workPublic Consulting Group
Atlanta, GA1 day ago$90.87 - $154.33 per hour
...A healthcare organization seeks a Physician Clinical Reviewer in Gastroenterology to provide medical review for service requests remotely... ...chance to impact patient care and work collaboratively in a utilization management team while enjoying a competitive salary ranging...Remote workPrime Therapeutics
Saint Paul, MN3 days ago$54.86k - $71.25k
...Job Description Summary The Utilization Review Registered Nurse is responsible for reviewing medical services to ensure they meet evidence... ...internal partners Active, unrestricted Registered Nurse (RN) license in Missouri Multistate licensure as applicable...Minimum wageCurrently hiringLocal areaRemote workWork from homeFlexible hoursConduent
United States4 days ago$62.7k - $100.4k
...of care. Job Summary: Clinical Care Reviewer II is responsible for processing medical... ...Completion of an accredited registered nursing (RN) degree program required Three (3)... ...or home health experience preferred Utilization Management/Utilization Review experience...Hourly payWork at officeRemote workDiversityJobs Inc
Boston, MA16 days ago- ...Inova Healthsystem is looking for a dedicated Experienced Utilization Review Registered Nurse to join the team. This role will be PRN (as needed... ...nation. The Utilization Review (UR) Registered Nurse (RN) 1 PRN uses utilization management techniques to determine the...ReliefRemote workFlexible hoursWeekend workDay shift
Inova Health System
Fairfax, VA2 days ago - 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
