Average salary: $75,400 /yearly
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- ...The Council of State and Territorial Epidemiologists is seeking a Clinical Utilization Review Nurse (RN) for a remote position focused on assessing healthcare services for medical necessity. Candidates must hold an active RN license in Alabama and have at least 3 years...SuggestedRemote work
Council Of State and Territorial Epidemiologists
Sacramento, CA2 days ago - ...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...SuggestedWork at officeRemote work
Molina Healthcare
United States1 day ago - ...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...SuggestedWork at officeRemote work
Molina Healthcare
Long Beach, CA15 hours ago - Council of State and Territorial Epidemiologists is hiring a Clinical Utilization Review Nurse (RN) to work remotely while assessing the medical necessity of healthcare services. This role requires an active RN license in Alabama and a minimum of 3 years direct patient...SuggestedRemote jobWork from home
- 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
- The Council of State and Territorial Epidemiologists is seeking Clinical Utilization Review Nurses (RN) in Alabama to assess healthcare services' medical necessity. This full-time remote role involves applying Medicaid guidelines, completing reviews, and coordinating with...SuggestedRemote jobFull timeFlexible hours
$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- ...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, WA15 hours 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- ...Utilization Review Rn Reviews, assesses, and evaluates clinical information used to support utilization management (UM) decisions based on established clinical criteria and applies intermediate knowledge of coding and medical record research. Facilitates professional...SuggestedRemote workShift work
InstantServe LLC
Corvallis, OR2 days 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...SuggestedMinimum wageFull timeLocal areaRemote workShift workProvidence Service
United States3 days ago- ...The Council of State and Territorial Epidemiologists seeks a Clinical Utilization Review Nurse (RN) for a full-time remote role assessing healthcare service necessity and quality. This position requires an active RN license in Alabama and a BA/BS in Nursing, along with...SuggestedFull timeRemote work
Council Of State and Territorial Epidemiologists
Albuquerque, NM3 days ago $23.76 - $51.49 per hour
...guidelines. This role, located in Mississippi City, requires an active RN license and at least 2 years of relevant experience in clinical... ...Responsibilities include analyzing service requests, conducting reviews for authorizations, and collaborating with multidisciplinary...SuggestedHourly payRemote workMolina Healthcare
Hattiesburg, MS15 hours ago$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...SuggestedRemote jobMonday to Friday$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 (...SuggestedDaily paidLive inRemote workShift workDay shiftProvidence Swedish Medical Center
Seattle, WA4 days ago- 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...Remote jobFull timeReliefWeekend workAfternoon shift
$45 - $50 per hour
...Utilization Management Nurse - Medicare Remote | California RN Required | Must sit in CA We're partnering with a missiondriven healthcare organization seeking... ..., concurrent, and retrospective utilization reviews for Medicare members Apply evidencebased clinical...Contract workTemporary workRemote workWork from homeActalent
Mather, CA1 day 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, CA15 hours 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- The Council of State and Territorial Epidemiologists is seeking Clinical Utilization Review Nurses (RN) based in Alabama for a remote, full-time position. This role involves assessing the medical necessity of healthcare services and ensuring compliance with Alabama Medicaid...Remote jobFull timeWork from home
- ...FTE/Hours per pay period: .9 Department: Utilization Management Shift: Monday-Friday, 11:30... ...UnityPoint Health is seeking an RN Utilization Management Specialist to join... ...Responsibilities Performs utilization management reviews using established criteria to confirm...Daily paidTemporary workRemote workMonday to FridayShift work
UnityPoint Health
West Des Moines, IA3 days ago $75k
HealthHelp - A WNS Company seeks a qualified RN for remote inpatient utilization review. The role involves clinical collaboration, ensuring compliance with medical necessity criteria. A minimum of two years in acute care and an active RN license are required. Benefits...Remote job- 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
$2,386 per month
...Name UNC Health Lenoir - aya Job Type Travel Offering Nursing Profession RN Specialty Utilization Review Job ID 36687645 Job Title RN - Utilization Review Weekly Pay $2386.0...Weekly payContract workTemporary workShift workDay shiftUNC Health Lenoir - aya
Kinston, NC4 days ago$45.9 - $71.4 per hour
...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...Remote jobLocal area$75k
A healthcare services provider is looking for a Remote RN to perform inpatient utilization reviews. This role involves engaging with clinical teams to discuss medical necessity and managing multiple tasks under pressure. Candidates must hold a valid RN license and have...Remote job- ...completing pre-screening assessments of prospective patients. Ensures completion of appropriate clinical review of all applicable patients as stated in system utilization management plan. Oversees Clinical Review Specialist as indicated. Maintains necessary documentation...ReliefRemote work3 days per week
Children's Healthcare of Atlanta
United States1 day ago $2,066 per week
...Supplemental Health Care is seeking a travel nurse RN Utilization Review for a travel nursing job in Kinston, North Carolina. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: ASAP ~ Duration: 13 weeks...Weekly payFull timeContract workLocal areaImmediate startShift workSupplemental Health Care
Kinston, NC1 day 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 $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...Contract workLocal areaImmediate startPyramid Consulting
Sunnyvale, CA15 hours ago
