Average salary: $75,400 /yearly

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  • Travel Nurse RN - Utilization Review - $1,800 per week

    $1,800 per week

     ...NuWest Travel Nursing is seeking a travel nurse RN Utilization Review for a travel nursing job in Hanover, Maryland. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Duration: 13 weeks ~40 hours per week ~ Shift: 8 hours,... 
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    NuWest Travel Nursing

    Hanover, MD
    12 hours agonew

  • Travel Nurse RN - Utilization Review - $1,860 per week

    $1,860 per week

     ...LanceSoft is seeking a travel nurse RN Utilization Review for a travel nursing job in Torrance, California. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 03/16/2026 ~ Duration: 6 weeks ~40 hours per... 
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    LanceSoft

    Torrance, CA
    3 days ago

  • Travel Remote Utilization Review RN - $2,115 per week

    $2,115 per week

     ...Care Career is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Torrance, California. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 03/16/2026 ~ Duration: 8 weeks ~40 hours... 
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    Care Career

    Torrance, CA
    12 hours agonew

  • RN Manager, Utilization Review - Full time - Days

     ...RN Manager Be a part of a world-class academic healthcare system, Company, as an RN Manager in the Rev Cycle Department. This...  ...outside of the greater Chicagoland area. The Manager of Utilization Review (UR) provides leadership and oversight of utilization review activities... 
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    The University of Chicago Medical Center

    Harvey, IL
    3 days ago

  • Registered Nurse - RN Utilization Review / Discharge Planning

    $80 - $95 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 Oakland, California (Onsite). Please review the job description below and contact me ASAP... 
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    Pyramid Consulting, Inc

    Oakland, CA
    2 days ago

  • Case Manager RN - Utilization Review

     ...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.... 
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    The University of Miami

    United States
    14 hours ago

  • RN - Case Manager/ Utilization Review

    $75 - $90 per hour

     ...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 you are interested.... 
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    Pyramid Consulting, Inc

    Santa Clara, CA
    2 days ago

  • Preservice Review Nurse RN - Radiation Oncology - Remote

    $28.94 - $51.63 per hour

     ...performing outpatient clinical coverage review services, which require interpretation of...  ...Qualifications: ~ Current, unrestricted RN license in your state of residence ~...  ...~ Background in preservice review/utilization review/utilization management *All... 
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    UnitedHealth Group

    Tampa, FL
    1 day ago

  • Remote RN Clinical Care Reviewer

    $26.41 - $61.79 per hour

     ...provide high-quality and cost-effective care as a Remote RN Clinical Care Reviewer. In this vital role, you will assess clinical services to...  ...candidates with an active RN license and a solid background in Utilization Management. Experience with Medicare Appeals is highly... 
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    Molina Healthcare

    Austin, TX
    1 day ago

  • RN Peer Review Specialist

    $31 - $49.5 per hour

     ...31.00 - $49.50 Job Summary The Peer Review Specialist facilitates provider peer review...  ...studies and assigned routine monitoring, utilizing defined guidelines and criteria of the...  ...CNEA). Currently holds an unencumbered RN license with the State Board of Nursing where... 
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    Sanford Health

    Sioux Falls, SD
    14 hours ago

  • LCSW, LPC, LMFT - Utilization Review - Arizona

    Join Optum/UnitedHealth Group to support behavioral health and substance abuse case management through utilization reviews and care coordination. While not a member facing role, you'll help ensure they receive the right level of care at the right time. This is a fully remote... 
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    Optum

    Tucson, AZ
    4 days ago

  • Utilization Review Nurse

     ...Job Title: Utilization Review Nurse Location: Remote in IL, TX, NM, MT or OK Duration: 6+ months contract Pay: $41.50/hr on W2 #of Openings: 8 RN working in the insurance or managed care industry using medically accepted criteria to validate the medical... 
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    Innovative Systems Group

    Richardson, TX
    1 day ago

  • Utilization Review Spec LVN Remote - Kelsey Seybold Clinics

    $20.38 per hour

     ...Connecting. Growing together. General Role Description The Utilization Review Specialist (LVN) is responsible for conducting medical reviews...  ...Qualifications ~ Licensed Vocational Nurse ~ Active Texas RN license or multistate compact RN license ~5+ years of... 
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    Optum

    Pearland, TX
    24 days ago

  • Registered Nurse (RN) Utilization Review Nurse- PRN

    At Houston Methodist, the Utilization Review Nurse (URN) PRN position is a licensed registered nurse (RN) who comprehensively conducts point of entry and concurrent medical record review for medical necessity and level of care using nationally recognized acute care indicators... 
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    Houston Methodist

    Remote
    12 days ago

  • Physician Reviewer - Orthopedic Surgery (Utilization Review)

     ...Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are...  ...license and Workers’ Compensation Board Certification to conduct Utilization Reviews. This is a fully remote, non-clinical role offering... 
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    Dane Street

    United States
    1 day ago

  • Clinical Care Manager- Utilization Review Nurse

     ..., compliant, patient‑centered care through precise and timely Utilization Review. In this role, you will apply clinical expertise and regulatory...  ...Qualifications ~ Active, unrestricted Registered Nurse (RN) license in Illinois. ~5+ years of experience across varied... 
    Bi-weekly pay
    Full time
    Temporary work
    For contractors
    Local area
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    Guidehealth

    Peoria, IL
    19 days ago

  • Medical Review Nurse (RN) (Michigan Provider Post Appeals)

     ...support for medical claim and internal appeals review activities - ensuring alignment with...  ...Resolves escalated complaints regarding utilization management and long-term services and supports...  ...and experience. Registered Nurse (RN). License must be active and unrestricted... 
    Work at office
    Remote work

    Molina Healthcare

    United States
    22 hours ago

  • Behavioral Health Utilization Management Clinician - Fully Remote LMSW, LCSW, LMHC

    $86.5k

     ...Behavioral Health Utilization Management Clinician - Fully Remote LMSW, LCSW, LMHC Job Ref: TE0057 Category: Behavioral...  ...costs through timely prospective, concurrent, and retrospective review activities. Work Shifts 9:00 AM- 5:00 PM Duties & Responsibilities... 
    Full time
    Temporary work
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    MetroPlus Health Plan

    United States
    14 hours ago

  • Psychiatrist Utilization Reviewer (Contract)

    $155 per hour

     ...Join our dynamic team as a Psychiatrist Utilization Reviewer! This is a fantastic opportunity for a skilled psychiatrist looking to make an impact in the field of behavioral health services. This contract position offers flexibility and the chance to work remotely within... 
    Hourly pay
    Contract work
    Remote work

    Community Health Plan of Washington

    Bellevue, WA
    1 day ago

  • Registered Nurse Clinical Reviewer IDR

    $50 per hour

     ...Registered Nurse Clinical Reviewer / IDR - Remote to Office-Based,  Jericho, NY (\#25302)...  ...in Nursing or a graduate of an approved RN program Licensure: Current New York State...  ...review setting; 1-3 years in acute care utilization review/appeals Technical Skills:... 
    Hourly pay
    Full time
    Private practice
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    Remote work
    Flexible hours

    GreenLife Healthcare Staffing

    Jericho, NY
    14 hours ago

  • Registered Nurse Clinical Reviewer / IDR

    $50 per hour

     ...About the Job Registered Nurse Clinical Reviewer / IDR - Jericho, NY (#25310) Location:...  ...in Nursing or a graduate of an approved RN program. Licensure: Current New York...  ...1-3 years of experience in acute care utilization review/ appeals background. Technical... 
    Hourly pay
    Full time
    Work at office
    Remote work
    Flexible hours

    GreenLife Healthcare Staffing

    Jericho, NY
    14 hours ago

  • Clinical Reviewer - RN (SCA - Remote)

    $28 - $32 per hour

     ...Job Summary and Responsibilities Acentra seeks a Clinical Reviewer to join our growing team. Job Summary: The purpose of...  ...Required Qualifications/Experience: Active unrestricted RN or, or other applicable State and/or Compact State clinical license... 
    Contract work
    Local area
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    Acentra Health

    McLean, VA
    2 days ago

  • Remote Utilization Management Case Manager (LCSW, LPC, LMFT, or RN)

    $37.16 per hour

     ...Job Title: Remote Utilization Management Case Manager Pay: $37.16 an hr | Bi-weekly Job Type: Remote Active RN License (AZ or Compact) — must be unrestricted. This position is...  ...guidelines, and documentation requirements. - Reviews medical records, analyzes clinical data,... 
    Full time
    Contract work
    Temporary work
    Remote work
    Monday to Friday
    Shift work

    A-Line Staffing Solutions

    Phoenix, AZ
    3 days ago

  • Travel Remote Utilization Review RN - $1,849 per week

    $1,849 per week

     ...Host Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Torrance, California. Job Description & Requirements ~ Specialty: Case Management ~ Discipline: RN ~ Start Date: 03/16/2026 ~ Duration: 8 weeks ~40 hours per week... 
    For contractors
    Remote work
    Shift work

    Host Healthcare

    Torrance, CA
    12 hours agonew

  • Appeal & Grievance Clinical Reviewer

     ...Position Title: Appeal & Grievance Clinical Reviewer Location: Remote in AZ or surrounding state with compact license Assignment...  ..., onbase and HRP (any or all). Similar skill set may be utilization management Description: Maintains a... 
    Full time
    Work at office
    Immediate start
    Remote work

    Spectraforce Technologies

    Phoenix, AZ
    1 day ago

  • Clinical Appeals Reviewer

     ...Role Overview: The Clinical Appeals Reviewer is responsible for processing appeals and...  ...Present cases to committees when necessary Utilize InterQual criteria and apply them to...  ...Current and unrestricted Registered Nurse (RN) licensure or compact state licensure... 
    Local area
    Remote work
    Flexible hours

    AmeriHealth Caritas

    Newtown Square, PA
    14 hours ago

  • Medical Reviewer - Oncology

     ...Position Title:Medical Reviewer - Oncology Work Location: Remote Assignment Duration: 12 months Job Overview Medical Review...  ...using platforms such as Veeva PromoMats and/or MedComms; utilize CRM knowledge when beneficial. Rapidly learn and master new... 
    Local area
    Remote work

    Spectraforce Technologies

    Mettawa, IL
    22 hours ago

  • Clinical Reviewer, Behavioral Health

    $76.12k - $114.18k

     ...Point32Health ( . Job Summary Under the supervision of the Utilization Management Supervisor, the Behavioral Health (BH) Utilization...  ...(UM) Clinician is responsible for conducting benefit coverage reviews and utilization management according to applicable regulatory... 
    Contract work
    Work at office
    Work from home

    Point32Health

    Canton, MA
    14 hours ago

  • Clinical Review Nurse - Concurrent Review

    $27.02 - $48.55 per hour

     ...Position Purpose: Performs concurrent reviews, including determining member's overall health...  ...health management systems according to utilization management policies and guidelines...  ...Nurse - State Licensure required * RN preferred - compact license Location... 
    Hourly pay
    Full time
    Part time
    Work at office
    Remote work
    Flexible hours

    Centene Corporation

    Austin, TX
    4 days ago

  • Clinical Review Nurse - Concurrent Review

     ...Position Title: Clinical Review Nurse - Concurrent Review Work Location: Remote, Compact...  ...health management systems according to utilization management policies and guidelines...  ...Licensure Required: Compact Nursing License-RN, LPN, LVN. Preferred: Years of... 
    Remote work
    Weekend work

    Spectraforce Technologies

    Houston, TX
    2 days ago