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
California, MO21 hours ago- Ensemble Health Partners is seeking Senior Virtual Utilization Review Specialists to join their remote team in the United States. This role involves... ...or equivalent nursing experience, possess current LPN or RN compact licensure, and have strong communication and clinical...SuggestedRemote job
$50 per hour
...an experienced Registered Nurse Clinical Reviewer for a fully remote position with an hourly... ...of $50. This role involves conducting utilization reviews and ensuring healthcare documentation... ...should have an active New York State RN license and 1-3 years of experience in acute...SuggestedRemote jobHourly pay$35 - $45 per hour
...Registered Nurse (RN) | Utilization Review Location: Corpus Christi, TX Agency: Mindlance Health Pay: $35 to $45 per hour Shift Information: Days - 5 days x 8 hours Contract Duration: 3 Months Start Date: ASAP About the Position TravelNurseSource...SuggestedHourly payFull timeContract workImmediate startRemote workShift work3 days per weekTravelNurseSource
Corpus Christi, TX10 days ago$35 - $45 per hour
...Registered Nurse (RN) | Utilization Review Location: Corpus Christi, TX Agency: Mindlance Health Pay: $35 to $45 per hour Shift Information: Days - 5 days x 8 hours Contract Duration: 3 Months Start Date: ASAP About the Position Day...SuggestedHourly payFull timeContract workImmediate startRemote workShift work3 days per weekMindlance Health
Corpus Christi, TX10 days ago- ...other health care professionals regarding utilization management and quality requirements.... ...continuum appropriately. Medical necessity reviews for designated services are completed for... ...related work Required ~ Registered Nurse (RN) - State of Michigan Upon Hire required...SuggestedFull timeRemote workMonday to FridayShift workWeekend work
Corewell Health
United States1 day ago $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...SuggestedMinimum wageLocal areaRemote workShift workProvidence Health & Service
Portland, OR4 days ago- ...COMAGINE HEALTH is seeking Clinical Utilization Review Nurses (RN) for a full-time remote position focused on assessing the medical necessity of healthcare services in Alabama. Candidates must hold an active RN license and possess a BA/BS in nursing, alongside a minimum...SuggestedFull timeRemote work
COMAGINE HEALTH
Seattle, WA21 hours ago $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...SuggestedHourly payLocal areaRemote workProvidence Health & Service
Renton, WA1 day ago- ...Providence Health Plan Group is seeking an RN Utilization Review for a remote, per diem position in Los Angeles. You will be responsible for conducting utilization reviews across Southern California ministries and require a strong clinical background. Ideal candidates...SuggestedDaily paidRemote work
Providence Health Plan Group
Los Angeles, CA2 days ago - ...Providence is seeking an experienced RN for Utilization Review to provide essential patient care while working remotely in Irvine, California. This role involves conducting clinical reviews and managing utilization efficiently in a dynamic regulatory environment. The...SuggestedDaily paidRemote work
Providence Service
Irvine, CA21 hours ago - ...Providence Health & Services is seeking an RN Utilization Review for a part-time remote position. This role focuses on conducting clinical reviews and utilization reviews across Southern California ministries, requiring effective problem-solving and decision-making skills...SuggestedPart timeRemote work
Providence Health & Service
Mission Hills, CA1 day ago $57.28 - $88.92 per hour
...Providence Health Plan Group is seeking an RN for Utilization Review, working full-time in a remote position. The role involves conducting clinical reviews and managing utilization reviews across various health plans in Southern California. Required qualifications include...SuggestedHourly payFull timeRemote workProvidence Health Plan Group
Irvine, CA1 day ago- TurningPoint Healthcare Solutions is seeking a Utilization Review Nurse to join their team in a fully remote role. The ideal candidate must be a Licensed Nurse Practitioner (LPN) or Registered Nurse (RN) with strong critical thinking skills and attention to detail. The...SuggestedRemote job
- P3 Health Partners is looking for an RN Concurrent Review nurse to guide utilization management efforts in our mission-driven organization. This role offers hybrid or fully remote arrangements, with major responsibilities in telephonic review and collaboration with provider...SuggestedRemote job
- ...patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient’s resources and right... ...of benefits May oversee work delegated to Central Utilization Review LVN/LPN Case Manager and/or Central Utilization Authorization...Work at officeRemote work
Santa Barbara Cottage Hospital
New York, NY2 days ago - Village Center for Care, Inc. is seeking a self-motivated RN for the role of Utilization Review Nurse in a full-time, hybrid position located in the New York Tri-State Area. The successful candidate will be responsible for assessing member needs and ensuring high-quality...Remote jobFull time
- Children's Healthcare of Atlanta, Inc. is seeking a qualified registered nurse to join their utilization review team. This remote position requires an active Georgia RN license and experience in a healthcare setting, preferably with pediatrics. Responsibilities include...Remote job
$75k
HealthHelp - A WNS Company in Houston, Texas, is looking for a Registered Nurse (RN) to perform concurrent inpatient utilization reviews. The role requires a BSN and current nursing license, with preference for those with two years of inpatient clinical nursing experience...Remote jobMonday to Friday$9.51k - $11.34k
...learn more about us. We especially encourage veterans to apply utilizing CalVet's Veterans Hiring Preference (please refer to the... ...Position #(s): 577-148-8165-006 Working Title: Utilization Review RN Classification: REGISTERED NURSE (MAND) $9,510.00...Permanent employmentFull timeWork at officeRemote workMonday to FridayShift workCalifornia Correctional Health Care Services
Fresno, CA4 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...Local areaImmediate startRemote workMonday to FridayShift workWeekend workPacer Group
Everett, WA3 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...Weekly payRemote workShift workCynet Health
Eureka, CA21 hours ago- ...OverviewDescription – 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 (...Daily paidLive inRemote workShift workDay shift
Providence Swedish Medical Center
Seattle, WA4 days ago - ...Responsibilities Conducts admission and continued stay reviews per the Care Coordination Utilization Review guidelines to ensure that the hospitalization is... ...review outcomes. Collaborates with facility RN Care Coordinators to ensure progression of care. Engages...Remote work
CHI Health
United States2 days ago - ...Utilization Review Nurse Participates as a member of a multidisciplinary team in completing pre-screening assessments of prospective patients. Ensures completion of appropriate clinical review of all applicable patients as stated in system utilization management plan...ReliefRemote workWeekend work3 days per week
Children's Healthcare of Atlanta
United States2 days ago - ...Healthcare, Inc. is hiring a full-time Licensed Medical Review Nurse to conduct reviews of medical documentation while working... ...least 2 years of clinical nursing experience, including utilization review, and a valid RN license in Florida or Kentucky. Strong analytical skills...Full timeRemote work
Molina Healthcare
New York, NY2 days ago - ...CVS Health is looking for a highly skilled Utilization Management Nurse (RN) for a remote position. In this role, you will ensure patients receive appropriate healthcare services through reviews of clinical cases and collaboration with providers. The ideal candidate will...Remote work
Freelanceshop
New York, NY21 hours 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...Remote work
BJC HealthCare
Saint Louis, MO4 days ago $25.08 - $51.49 per hour
...Provides support for clinical member services review assessment processes. Responsible for... ...the Molina care model. • Adheres to utilization management (UM) policies and procedures.... ...education and experience. • Registered Nurse (RN). License must be active and unrestricted...Hourly payWork experience placementWork at officeRemote workMolina Healthcare
Louisville, KY3 hours agonew$80 - $95 per hour
...Hospital RN – Care Coordination & Utilization Review 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...Contract workLocal areaImmediate startPyramid Consulting
San Jose, CA1 day ago
