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
$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 DC23 hours 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 jobMinimum wageLocal areaShift work$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- ...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....SuggestedWork 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...SuggestedContract workLocal areaImmediate startPyramid Consulting
San Jose, CA5 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....SuggestedContract workLocal areaImmediate startShift workPyramid Consulting
Santa Clara, 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...SuggestedMinimum wageFull timeRemote workShift workDay shiftProvidence Service
Irvine, CA4 days ago$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 job- ...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...SuggestedFull 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...SuggestedContract workRemote workMonday to FridayFlexible hours
$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 (...Daily paidLive inRemote workShift workDay shift$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$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$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,...Remote jobContract work$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
- A leading healthcare organization is seeking a Utilization Management Nurse, Consultant in Rancho Cordova, CA. This role involves conducting utilization reviews and ensuring compliance with medical guidelines. Ideal candidates will possess a BS in Nursing and have significant...Remote work
- 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 job
$30.37 - $59.21 per hour
...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....Hourly payWork experience placementWork at officeRemote workShift workWeekend work- A regional healthcare provider in Houston is seeking a Utilization Management Review Nurse. This role involves evaluating the appropriateness of medical services based on necessity and promoting quality care outcomes. The candidate must have a Bachelor's in Nursing and...Remote jobFlexible hours
$75 - $90 per hour
...Immediate need for a talented RN Case Manager - Utilization Review - Onsite-Santa Clara, CA. This is a 03+ months contract opportunity with long-term potential and is located in U.S(Remote) . Please review the job description below and contact me ASAP if you are...Contract workLocal areaImmediate startRemote workPyramid Consulting
United States2 days ago$39.32 - $48.06 per hour
...Ready to help us transform healthcare? Bring your true colors to blue. The Role The RN Utilization Management Reviewer is responsible for facilitating care for members who may have complex healthcare needs, authorizing medically necessary services at the right level...Hourly payWork at officeRemote workFlexible hoursShift workBlue Cross Blue Shield of Massachusetts
Hingham, MA5 days ago- ...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....Full timeTemporary workWork at officeRemote workWorldwide
The University of Miami
United States2 days ago
