Average salary: $75,400 /yearly

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  • Local Contract Nurse Level III RN - Utilization Review

     ...Job Description Pyramid Consulting is seeking a local contract nurse RN Utilization Review Level III for a local contract nursing job in Philadelphia, Pennsylvania. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date... 
    Suggested
    Permanent employment
    Contract work
    Local area
    Remote work
    Worldwide
    Shift work

    Pyramid Consulting

    Philadelphia, PA
    15 days ago

  • Local Contract Nurse RN - Utilization Review

     ...Job Description Pyramid Consulting (Travel) is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Philadelphia, Pennsylvania. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Duration:... 
    Suggested
    Permanent employment
    Full time
    Contract work
    Part time
    Local area
    Remote work
    Shift work

    Pyramid Consulting (Travel)

    Philadelphia, PA
    19 days ago

  • Utilization Manager Registered Nurse (RN) Reviewer - MA only!

    $72.48k - $108.72k

     ...Nurse Utilization Management Reviewer Position Summary: Reporting to the Manager Utilization Management, the Nurse Utilization Management Reviewer...  ...): Bachelor's Degree Required Licensing (must have): RN Desired Licensing (nice to have): CCM (Certified Case Manager... 
    Suggested
    Work at office
    Local area
    Remote work
    Home office

    Boston Staffing

    Boston, MA
    3 days ago

  • RN Utilization Review Part- time Day

    $56.44 - $87.63 per hour

     ...RN Utilization Review Part- time Day at Providence Health and Services summary: The part-time RN Utilization Review nurse conducts clinical reviews and utilization management to ensure medical necessity and patient status accuracy in a healthcare setting. This remote... 
    Suggested
    Minimum wage
    Full time
    Part time
    Local area
    Remote work
    Shift work
    Day shift

    Providence Health and Services

    Mission Hills, CA
    4 days ago

  • Care Manager RN - Utilization Review

    $39.72 - $61.66 per hour

     ...Care Manager RN - Utilization Review at Providence Health and Services summary: The Care Manager RN - Utilization Review at Providence St. Patrick Hospital provides patient-centric care management for at-risk acute care patients, focusing on assessment, care coordination... 
    Suggested
    Minimum wage
    Part time
    Local area
    Remote work
    Shift work

    Providence Health and Services

    Proctor, MT
    3 days ago

  • Care Manager RN - Utilization Review

    $39.72 - $61.66 per hour

     ...Care Manager RN - Utilization Review at Providence Health and Services summary: The Care Manager RN - Utilization Review provides patient-centered care management services in an acute care setting, focusing on assessment, coordination, discharge planning, and resource... 
    Suggested
    Minimum wage
    Full time
    Part time
    Local area
    Remote work
    Shift work

    Providence Health and Services

    Polson, MT
    5 days ago

  • Part-Time Utilization Review Nurse (Remote Nevada RN)

    $40k - $45k

     ...Part-Time Utilization Review Nurse Remote (Nevada License Required) Location: Remote (Reporting to Carson City, NV) Schedule: MondayFriday...  ...(Required) Active, unrestricted Nevada nursing license (RN). Nursing degree (Associate's or Bachelor's). Prior... 
    Suggested
    Part time
    Work at office
    Remote work
    Flexible hours
    Shift work

    CCMSI

    United States
    4 days ago

  • Utilization Manager Reviewer, RN (Multiple Openings!)

     ...coordinating, integrating, and monitoring the utilization of physical health (PH) medical and...  ...appropriate cases to the Medical Director for review. Refer to and work closely with Case...  ...Levels Associates degree and active NYS RN license required. Bachelors degree... 
    Suggested
    Contract work
    Live in
    Work at office
    Remote work

    Univera Healthcare

    Utica, NY
    2 days ago

  • Registered Nurse, Transplant Utilization Review

     ...you to apply – even if your experience doesn’t match every requirement. About the role The Registered Nurse (RN) - Transplant Utilization Review is responsible for reviewing and processing medical service requests for members of Quantum Health’s employer groups... 
    Suggested
    Permanent employment
    Casual work
    Work at office

    quantum-health

    Dublin, OH
    43 minutes agonew

  • Registered Nurse (RN) - Utilization Review, Per Diem

    $79.75k - $127.59k

     ...appropriate physician(s) to establish Dartmouth-Hitchcock (D-H) ambulatory and inpatient procedure list, updates and maintains list. Reviews reservation forms and the log of emergent and urgent admissions daily. Identifies areas that require intervention and education... 
    Suggested
    Daily paid
    Temporary work
    Work at office
    Remote work
    Rotating shift

    New Hampshire Staffing

    West Lebanon, NH
    2 days ago

  • Utilization Review Specialist- Clinical Reviewer

    $59.6k - $85.1k

     ...continuous learning, and career development.   Summary As a Utilization Review Specialist- Clinical Reviewer  at Gainwell, you can contribute...  ...other health care experience preferred Active license as RN or LPN in the United States Essential Functions Ability... 
    Suggested
    Full time
    Work experience placement
    Remote work
    Flexible hours

    Gainwell Technologies LLC

    Kansas
    7 days ago

  • Clinical Reviewer, Nurse (Medical Oncology)

    $32 - $37 per hour

     ...What You'll Be Doing: The Clinical Review Nurse is responsible for performing precertification...  .... Tasks are performed within the RN/LVN/LPN scope of practice, under the Medical...  ...include: Perform pre-certification utilization reviews of Oncology treatment requests... 
    Suggested
    Work experience placement
    Remote work
    Weekend work

    North Carolina Staffing

    Raleigh, NC
    5 days ago

  • Clinical Reviewer, Nurse (Medical Oncology)

    $32 - $37 per hour

     ...What You'll Be Doing The Clinical Review Nurse is responsible for performing precertification...  .... Tasks are performed within the RN/LVN/LPN scope of practice, under the Medical...  .... Perform pre-certification utilization reviews of Oncology treatment requests... 
    Suggested
    Work experience placement
    Remote work
    Weekend work

    Tennessee Staffing

    Nashville, TN
    4 days ago

  • Utilization Review Nurse

     ...Job Description Job Title: Quality Review Specialist Location: Remote in IL, TX, NM, OK Duration: December 2025 to May 20...  ...Bachelor Degree OR 4 years in health care experience. 5 years utilization management, appeals, claims and mainframe system experience.... 
    Suggested
    Contract work
    Remote work
    Shift work
    Weekend work

    Innovative Systems Group

    Chicago, IL
    26 days ago

  • Utilization Review Nurse

     ...Job Description Position Title: Utilization Review Nurse Location: Fully Remote Position Summary The Utilization Review Nurse serves...  ..., or vocational nursing. Current, active nursing license (RN, LPN, or LVN) in good standing with the Arizona Board of... 
    Suggested
    Remote work
    Flexible hours
    Weekend work

    IntePros

    Phoenix, AZ
    22 days ago

  • Utilization Review Nurse- Remote

    $65k - $78k

     ...Utilization Review Nurse It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges....  ...feedback, and stay updated on clinical guidelines. Maintain RN license and meet continuing education requirements. What... 
    Full time
    Contract work
    Work at office
    Remote work
    Work from home
    Flexible hours

    IntelyCare

    Nags Head, NC
    3 days ago

  • UTILIZATION MANAGEMENT RN

     ...Job Description Job Description UTILIZATION MANAGEMENT RN There’s no place like Liberty Health Come explore career opportunities...  ...Management with the Utilization Management Reports to be reviewed by Executive Leadership. Ability to contribute to the UM... 
    Work at office
    Remote work

    Liberty Health

    Wilmington, NC
    9 days ago

  • Utilization Review Nurse (PRN)

     ...Utilization Review Nurse Responsible for utilization review work for emergency admissions and continued stay reviews. Responsibilities:...  ...Qualifications: Required Current and unrestricted RN license. At least 3 years clinical experience in acute care... 
    16 hours
    Relief
    Work at office
    Remote work
    Shift work
    Weekend work
    Afternoon shift

    Netsmart

    New Haven, CT
    2 days ago

  • RN Peer Review Specialist

     ...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... 
    Full time
    Part time
    Work from home
    Shift work
    Day shift

    Sanford Health

    Tenstrike, MN
    7 hours ago

  • Utilization Review Physician Advisor- (MD/DO)

     ...Inova Fairfax Medical Campus is looking for a dedicated physician advisor to join the Utilization Review Advisor team. This role will be full-time on-site position. This role is available as a remote/ hybrid position The Utilization Review Physician Advisor (Advisor... 
    Full time
    Remote work
    Flexible hours

    Inova Health System

    Fairfax, VA
    5 days ago

  • Travel Nurse RN - Oncology Med Surg

     ...American Traveler is seeking a travel nurse RN Oncology Med Surg for a travel nursing...  ...weekend, holiday, or on-call requirements ~ Utilizes Epic EMR and Omnicell medication...  ...obtaining vital signs and weight, completing review of systems and medication reconciliation... 
    Daily paid
    Permanent employment
    Contract work
    Shift work
    Day shift

    American Traveler

    Rapid City, SD
    12 days ago

  • Utilization Review RN - *Per-diem/Day*

     ...Provide prospective, retrospective, and concurrent utilization reviews for our LA ministries. Conduct clinical reviews and review medical records...  ...and patient status determination. The Utilization Management RN must effectively and efficiently manage a diverse workload in... 
    Daily paid
    Local area
    Remote work
    Shift work

    Providence Health & Services

    Mission Hills, CA
    more than 2 months ago

  • Care Review Clinician (RN)

    $26.41 - $61.79 per hour

     ...Description For this position we are seeking a (RN) Registered Nurse who must hold a compact...  ...RN with experience with appeals, claims review, and medical coding. \n   \n JOB...  ...the Molina care model.  • Adheres to utilization management (UM) policies and procedures.... 
    Hourly pay
    Work experience placement
    Work at office
    Remote work
    Home office
    Monday to Friday

    Molina Healthcare

    Cedar Rapids, IA
    17 days ago

  • Physician Reviewer - Orthopedic Surgery (Utilization Review) NY

     ...Description Dane Street, a leading Independent Review Organization (IRO) and national provider of Utilization Review (UR) services, is currently expanding our physician panel. We are seeking Board-Certified Orthopedic Spine Surgeons with an active New York medical... 
    Extra income
    Contract work
    For contractors
    Remote work
    Flexible hours

    Dane Street

    New York, NY
    4 days ago

  • Physician Reviewer - Physical Medicine and Rehabilitation (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... 
    Price work
    Extra income
    For contractors
    Remote work
    Flexible hours

    Dane Street

    New York, NY
    4 days ago

  • Physician Reviewer - Orthopedic Spine Surgery (Utilization Review) MS

     ...Description Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician...  ...Spine experience preferred) licensed in Mississippi to perform Utilization Reviews . This is a non-clinical, fully remote role designed... 
    Price work
    Extra income
    For contractors
    Remote work

    Dane Street

    Drew, MS
    2 days ago

  • Occupational Medicine Physician - Utilization Reviewer (MUST be licensed in New

     ...Dane Street, a nationally recognized Independent Review Organization (IRO) and a leading provider of Utilization Review (UR) services, is expanding our panel of expert physicians. We are currently seeking Board-Certified Occupational Medicine Physicians with an active... 
    Extra income
    Contract work
    Remote work
    Flexible hours

    Dane Street

    New York, NY
    4 days ago

  • IBR Clinical Appeals Reviewer - Remote

    $34.23 - $61.15 per hour

     ...Growing together. The Itemized Bill Review(IBR) Clinical Appeals Reviewer will analyze...  ...for clients and the business unit. Must utilize expertise in auditing to review and provide...  ...nursing degree Unrestricted RN (registered nurse) license Minimum two... 
    Hourly pay
    Minimum wage
    Full time
    Work experience placement
    Live in
    Local area
    Remote work
    Monday to Friday

    Optum

    Plymouth, MN
    5 days ago

  • Travel Nurse RN - ICU - Intensive Care Unit

     ...American Traveler is seeking a travel nurse RN ICU - Intensive Care Unit for a travel...  ...with float priority given to travelers ~ Utilizes Epic EMR, Alaris IV pumps, Omnicell, and...  ...monitors ~ No on-call required ~ RNs review and chart on telemetry strips as part of... 
    Daily paid
    Shift work
    Night shift
    Weekend work

    American Traveler

    Yakima, WA
    9 days ago

  • RN Concurrent Review - Kelsey Seybold Clinic

    $58.8k - $105k

     ...Connecting. Growing together. The Concurrent Review Case Manager is responsible for...  ...Associate Degree in Nursing or higher ~ Texas RN License ~5+ years of nursing experience...  ..., 2+ years of Case Management/Utilization Review experience ~ Proven program development... 
    Minimum wage
    Full time
    Work experience placement
    Local area
    Remote work

    Ohioleaguefornursing

    Houston, TX
    4 days ago