Average salary: $75,400 /yearly
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$2,652 per week
...Registered Nurse (RN) | Utilization Review Location: Tuba City, AZ Agency: Convergence Medical Staffing Pay: $2,652 per week Shift Information: Days - 5 days x 8 hours Contract Duration: 13 Weeks Start Date: 9/7/2026 About the Position...SuggestedWeekly payFull timeContract workTemporary workShift workDay shiftTravelNurseSource
Tuba City, AZ1 day ago$2,652 per week
...Registered Nurse (RN) | Utilization Review Location: Tuba City, AZ Agency: Convergence Medical Staffing Pay: $2,652 per week Shift Information: Days - 5 days x 8 hours Contract Duration: 13 Weeks Start Date: 9/7/2026 About the Position...SuggestedWeekly payFull timeContract workTemporary workShift workDay shiftConvergence Medical Staffing
Tuba City, AZ1 day ago$2,520 per week
...Registered Nurse (RN) | Utilization Review Location: Fairfield, CA Agency: Core Medical Group Pay: $2,520 per week Shift Information: Days - 5 days x 8 hours Contract Duration: 8 Weeks Start Date: 9/5/2026 About the Position TravelNurseSource...SuggestedHourly payWeekly payDaily paidPermanent employmentFull timeContract workTemporary workRelocationShift workTravelNurseSource
Fairfield, CA1 day ago- ...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...SuggestedFull timeRemote work
COMAGINE HEALTH
Sacramento, CA2 days ago - ...TurningPoint Healthcare Solutions is hiring a Utilization Review Nurse to work remotely. The ideal candidate must hold a valid LPN or RN license and possess strong critical thinking and clinical expertise. Responsibilities include performing initial clinical reviews,...SuggestedRemote work
TurningPoint Healthcare Solutions
Florida, NY3 days ago $63k - $65k
...National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance RN Utilization Review As a nurse at Sedgwick, you can build a meaningful and rewarding career while advocating for patients in a nontraditional...SuggestedWork experience placementLocal areaRemote workFlexible hoursSedgwick
Nashville, TN3 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...SuggestedWeekly payRemote workShift workProvidence Health and Services
Eureka, CA2 days ago- ...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...SuggestedReliefRemote workShift workWeekend work3 days per week
Children's Healthcare of Atlanta
Brookhaven, GA2 hours agonew - ...Job Description Quick Job Details: Setting: Fully Remote – Utilization Review Schedule: Full-Time, Monday–Friday Hours: Standard... ...hours Patient Volume: N/A Job Requirements: Active RN license with Multi-State/Compact license required Minimum 2...SuggestedRemote jobFull timeMonday to Friday
HealthPlus Staffing
Fort Lauderdale, FL26 days ago $65 per hour
...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 (58) | 08:00 16:30 PAY DETAILS (72 HOURS / 2 WEEKS) Pay Rate: $65/hr Description: Start date: ASAP Shift: 5x8 Days...SuggestedHourly payLocal areaImmediate startRemote workMonday to FridayShift workWeekend work- ...and Responsibilities Responsible for the review of medical records for appropriate admission... ...reviewer and the Care Coordination staff utilizing evidence-based guidelines and critical... ...in lieu of 1 year experience. California RN license. AHA BLS Ability to pass annual Inter...SuggestedRemote work
$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 shift- ...Responsible for providing telephonic and e-referral case review and authorization of services utilizing established mental health and substance abuse medical... ...Counseling required. • Current unrestricted State of Michigan clinical license (RN, LMSW, LP, LPC, or LLP) required....SuggestedFull timeRemote workWork from homeShift workWeekend workAfternoon shift
MRINetwork
United States4 days ago - ...Job Title Utilization Review/Case Management – Nurse Department Case Management (Quality) Hours & Shift Requirements Full time position. Hybrid (combination of in person and remote considered) General Summary The Utilization Review/Case Management Nurse is directly responsible...SuggestedFull timeRemote workShift work
Gibson Area Hospital
Gibson City, IL4 days ago $30 - $38 per hour
...A healthcare organization is seeking a part-time Utilization Review Nurse RN to conduct assessments and reviews for medical necessity of treatment requests. This role involves working 28 hours per week with responsibilities such as providing reviews for pre-certification...SuggestedHourly payPart timeRemote workSanta Barbara Cottage Hospital
New York, NY4 days ago$32 - $48 per hour
...RN-Utilization Review/Case Manage Nurse - RFT Hot Job Gibson City, IL 60936 Overview Salary Range $32.00 - $48.00 Hourly Position Type Full Time Description **SIGN-ON BONUS: $5,000 FOR A 2 YEAR COMMITMENT** JOB TITLE: UTILIZATION REVIEW/CASE MANAGEMENT...Hourly payFull timeWork at officeRemote workRelocation packageShift workGibson Area Hospital
Gibson City, IL20 hours ago- ...Seeking a part-time Utilization Review Nurse RN, the candidate will perform medical-necessity reviews and level-of-care determinations, ensuring compliance with established guidelines while working up to 28 hours per week, including weekends. Key responsibilities Conduct...Part timeRemote work
Virtual Vocations Inc
United States4 days 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, NY4 days ago- ...Description Job Description Quick Job Details: Setting: Fully Remote – Utilization Review Schedule: Full-Time, Monday–Friday Hours: Standard Business Hours Job Requirements: Active RN license with Multi-State/Compact License required Minimum 2 years...Remote jobFull timeMonday to Friday
HealthPlus Staffing
Fort Lauderdale, FL8 days ago - ...Job Description Job Description The utilization review and management (UM) component program ensures that external healthcare services provided across MedTrust/MedHealth contracted facilities are medically necessary, clinically appropriate, evidence-based, and delivered...Full timeWork at officeRemote work
MedTrust LLC
Oklahoma City, OK17 days ago - ...facility in California is seeking experienced nursing professionals to review medical records and ensure appropriate admission status. The role... ...patient admissions. Candidates must have a valid California RN license and at least two years of clinical experience or a Master...Remote work
Santa Barbara Cottage Hospital
New York, NY1 day ago - ...SSM Health in the United States seeks a registered nurse for utilization management to evaluate medical necessity of hospital admissions... ...The role supports day shift operations, requires two years of RN experience, and involves coordinating with payors, physicians,...Remote workDay shift
Socket
New York, NY20 hours ago - A healthcare staffing agency is seeking a Utilization Management RN to work remotely from PA, DE, or NJ. The role involves assessing clinical information, determining medical necessity for services, and collaborating with providers. Candidates should have at least three...Remote workFlexible hoursWeekend workDay shift
The Judge Group, LLC
New York, NY2 days ago - ...Partners is seeking a licensed Practical Nurse (LPN/LVN) experienced in managed care UM to perform pre-service and post-service utilization reviews and appeals for DMEPOS, working with our Medical Director in a NCQA-compliant UM program. You will review benefit and medical...Remote work
Santa Barbara Cottage Hospital
New York, NY4 days ago - Enlyte is seeking a qualified Utilization Reviewer who can work remotely from home. The ideal candidate performs utilization review on workers’ compensation related prospective, concurrent, and retrospective treatment referrals. The role requires clinical judgment to ensure...Remote workWork from home
Genex Services, LLC
New York, NY3 days ago - ...Job Description Job Description Remote Utilization Review Registered Nurse (UR RN) Location: Remote (Texas RN License or Compact License Required) Company: Nexus Health Systems Employment Type: Full-Time Make an Impact from Anywhere Nexus Health Systems...Remote jobFull timeWork at office
Nexus Health Systems Ltd
Houston, TX13 days ago - Brighton Health Plan Solutions is seeking an Utilization Management Nurse to perform medical necessity and benefit reviews remotely. The role requires current LPN licensure and expertise in CMS/MCG criteria with experience in inpatient/outpatient reviews. The successful...Remote job
- WNS, part of Capgemini, is seeking a remote RN/LPN for utilization review in the United States. The role involves assessing medical necessity, resolving escalations, and maintaining HIPAA-compliant documentation with HealthHelp policies. Requires active nursing license...Remote jobWork at office
$65k - $85k
...Job Description Job Description Utilization Review Specialist (RN) – Remote $65K–$85K | OASIS & Coding Certified | Florida RN License Required Concierge Home Care | Remote Opportunity | Growth Opportunities | Increased Earning Potential At Concierge Home...Remote jobMonday to FridayWeekday work- NeighborHealth’s SCO RN UM Reviewer role is based in East Boston within the Senior Care Options team. You will review clinical appeals and service authorization needs to ensure medical necessity aligns with CMS standards and organizational determinations. The role requires...Remote job
