Average salary: $75,400 /yearly
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$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,...SuggestedFor contractorsRemote workShift workWeekend work$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...SuggestedWeekly payLong term contractPermanent employmentTemporary workWork at officeRemote workShift work$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...SuggestedWeekly payFor contractorsZero hours contractRemote workShift work- ...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...SuggestedFull timeContract workWork from homeShift work
$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...SuggestedContract workLocal areaImmediate start- ...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....SuggestedFull timeTemporary workWork at officeRemote workWorldwide
$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....SuggestedContract workLocal areaImmediate startWeekend work$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...SuggestedHourly payMinimum wageFull timeWork experience placementLocal areaRemote workHome officeMonday to Friday$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...SuggestedHourly payWork experience placementWork at officeRemote workMonday to Friday$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...SuggestedFull timePart timeWork from homeShift workDay shift- 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...SuggestedRemote workMonday to Friday
- ...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...SuggestedContract workRemote work
$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...SuggestedHourly payMinimum wageFull timeWork experience placementLocal areaRemote workFlexible hours- 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...SuggestedRemote jobPermanent employmentWork experience placementReliefLocal area
- ...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...SuggestedPrice workExtra incomeFor contractorsRemote workFlexible hours
- ..., 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 payFull timeTemporary workFor contractorsLocal areaRemote workWork from home
- ...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 officeRemote work
$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 timeTemporary workWork at officeRemote workShift work$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 payContract workRemote work$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 payFull timePrivate practiceWork at officeRemote workFlexible hours$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 payFull timeWork at officeRemote workFlexible hours$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 workLocal areaRemote workFlexible hoursShift work$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 timeContract workTemporary workRemote workMonday to FridayShift work$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 contractorsRemote workShift work- ...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 timeWork at officeImmediate startRemote work
- ...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 areaRemote workFlexible hours
- ...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 areaRemote work
$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 workWork at officeWork from home$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 payFull timePart timeWork at officeRemote workFlexible hours- ...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 workWeekend work



