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, MO1 day ago- ...Industrial Asset Management Council, Inc is looking for a Remote RN to join their team. The role requires 2 years of RN experience and Utilization Review expertise, supporting various units in a clinical review capacity. This work-from-home position offers flexible scheduling...SuggestedRemote workWork from homeFlexible hours
Industrial Asset Management Council
Kansas City, MO4 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, WA1 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 work
Alumni Ventures
Florida, NY4 days ago $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...SuggestedHourly payRemote workGreenLife Healthcare Staffing
New York, NY4 days ago$60.2k - $107.4k
...Stryker Corporation is looking for a Utilization Review Nurse, RN, based in California. As part of this role, you'll manage inpatient utilization efficiently while adhering to clinical guidelines. The position offers the flexibility of remote work within the U.S., alongside...SuggestedRemote workStryker
Sacramento, CA4 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...SuggestedFull timeRemote work
Village Center for Care, Inc.
New York, NY5 days ago $45 - $50 per hour
...for a dedicated Registered Nurse Clinical Reviewer for a fully remote position in New York. This role involves conducting utilization and quality reviews and contributing to clinical... ...nursing programs with an active New York RN license. #J-18808-Ljbffr kozmetickesluzby....SuggestedRemote jobHourly pay- ...Job Description We are seeking an experienced Utilization Review Nurse to join our team in a hybrid role based in Uniondale, Long Island, Nassau... ...and care coordination meetings. Qualifications Active RN license in the state of New York. Minimum of 2 years of experience...SuggestedWork at officeRemote workMonday to FridayFlexible hours
6AM City
New York, NY5 days ago $2,700 per week
...Lancesoft is seeking an experienced Utilization Review Registered Nurse for an exciting Travel Nursing job in Everett, WA. Shift: 5x8 hr days... ...Years of Experience Required: 1 year Certs Required: BLS, WA RN License About Lancesoft: LanceSoft’s mission is to establish...SuggestedLocal areaImmediate startRemote workMonday to FridayShift workWeekend workLanceSoft
Everett, WA4 days ago$51.43 - $79.84 per hour
...– 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, WA5 days ago$75k
...Hospital is seeking a dedicated Registered Nurse for inpatient utilization review responsibilities. This role requires performing medical... ...teams to make informed decisions. Candidates must hold an active RN license and have experience in acute care settings. The starting...SuggestedRemote workSanta Barbara Cottage Hospital
New York, NY3 days ago$2,210 per week
...) ROLE DESCRIPTION: This individual will utilize clinical knowledge and communication skills... ...will defer decision to a second level reviewer. This individual interfaces with case managers... ...licensure includes but is not limited to RN, LMSW, LMHC. Successful completion of UR...SuggestedFull timeTemporary workPart timeCasual workWork at officeRemote workWork from homeAll shiftsMonday to FridayFlexible hoursHines
Freeport, IL5 days ago$75k
...WNS Global Services is seeking a fully remote Utilization Review Nurse to perform inpatient reviews and ensure compliance with medical necessity... ...effectively with physicians. The ideal candidate has an RN license, at least two years of experience in acute care, and proficiency...SuggestedWork at officeRemote workWNS Global Services
Houston, TX1 day ago- ...is offering a remote internship opportunity for a Utilization Management Behavioral Health Registered Nurse (RN). This role is part of the DOW SkillBridge Internship... ...military spouses. Interns will conduct clinical reviews, communicate with providers, and document findings...SuggestedInternshipRemote work
Humana
Phoenix, AZ1 day 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, NY1 day ago - ...A healthcare staffing firm is seeking a skilled Utilization Review RN to join their team. This fully remote position requires a valid PA RN license and prior experience in insurance utilization review. Responsibilities include conducting clinical reviews, applying evidence...Remote work
IntePros
New York, NY5 days ago - ...Medix™ is seeking an experienced RN for a Utilization Review role, allowing you to work from the comfort of home. In this contract-to-hire position, you'll review inpatient treatment plans and communicate with medical teams to ensure appropriate care levels. Ideal candidates...Contract workRemote workWork from home
Medix
New York, NY1 day ago $75k
WNS is seeking a Registered Nurse for the role of Utilization Review Specialist. The position involves conducting inpatient utilization reviews... ...documentation standards. Successful candidates must possess an active RN license and have at least two years of acute care experience....Remote job- Mass General Brigham is seeking a Peer-to-Peer Utilization Review Nurse to join the Central Utilization Management team. This role involves evaluating... ...candidate will have a Bachelor's of Science in Nursing, an RN license, and extensive experience in clinical nursing and...Remote jobFlexible hours
- Comagine Health is looking for a Clinical Utilization Review Nurse (RN) to perform remote assessments on the medical necessity of healthcare services. This full‑time position involves managing utilization reviews and ensuring compliance with clinical policies for quality...Remote jobFull time
$69.38k - $92.28k
...MVP Health Care seeks a Professional Concurrent Review RN to ensure members receive appropriate care while navigating the healthcare... ...Ideal candidates are experienced RNs looking to transition into utilization management, requiring strong clinical judgment and excellent communication...Remote workMVP Health Care
Schenectady, NY4 days ago- ...Humana is offering a remote internship for a Utilization Management Behavioral Health Registered Nurse (RN) Intern. This role supports the National Medicaid team, focusing on clinical reviews and patient care. Candidates must be transitioning military service members...InternshipWork at officeRemote workWeekday work
Humana
New York, NY4 days ago - ...BJC HealthCare (New) is seeking a remote RN with Utilization Review experience. This role involves evaluating the appropriateness and efficiency of hospital resources to ensure quality patient care. Candidates must have 2 years of RN experience and live within one hour...Remote work
BJC HealthCare
Kansas City, MO2 days ago $57.28 - $88.92 per hour
...Description RN Utilization Review - Remote. This position is Per Diem and will work 8-hour, Day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA ministries. Conduct clinical reviews and review medical records...Daily paidMinimum wageLocal areaRemote workShift workDay shiftProvidence Service
Mission Hills, CA4 days ago- ...focused benefits Wellness incentives Ongoing mentorship, development, and leadership programs... and more! Description The Utilization Review (UR) Specialist is a Registered Nurse responsible for conducting thorough medical necessity reviews to assist with determining...Work at officeRemote work
- ...Harris Health System, Inc. is seeking a Utilization Management Review Nurse (UMRN) in Bellaire, TX. This position involves evaluating medical service... ...include a Bachelor’s in Nursing and being a licensed RN in Texas, alongside significant experience in healthcare settings...Remote workFlexible hours
Harris Health System
Bellaire, TX4 days ago $23.76 - $51.49 per hour
...Molina Healthcare is seeking a Registered Nurse (RN) to support clinical member services review and assessment processes. This role involves analyzing... ...hourly pay range between $23.76 and $51.49 and requires adherence to utilization management policies. #J-18808-LjbffrHourly payRemote workMolina Healthcare
Nevada, IA2 days ago- ...NeuroPsychiatric Hospitals is seeking a Utilization Review Nurse (RN) to coordinate patient services across multiple hospitals. The role supports pastoral healthcare by reviewing patient documentation for compliance, planning discharges, and collaborating with teams for...Remote work
NeuroPsychiatric Hospitals
Indiana, PA1 day ago $30 - $38 per hour
...lives. Learn even more about the work that drives us at personifyhealth.com. Responsibilities Job Summary We are seeking Utilization Review Nurse RN to join our team on a part‑time basis, working a minimum of 28 hours per week. The Utilization Review Nurse will provide...Hourly payFull timePart timeWork at officeRemote workMonday to FridayWeekend workSanta Barbara Cottage Hospital
New York, NY3 days ago
