Average salary: $75,400 /yearly
More statsGet new jobs by email
$1,880 per week
...GQR Healthcare is seeking a travel nurse RN Utilization Review for a travel nursing job in Baltimore, Maryland. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Duration: 13 weeks ~40 hours per week ~ Shift: 8 hours, days...SuggestedFor contractorsRemote workShift workWeekend work$2,520 per week
...United Staffing Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Jackson, Mississippi. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 01/26/2026 ~ Duration...SuggestedWeekly payPermanent employmentContract workTemporary workLocal areaRemote workShift workWeekend workUnited Staffing Solutions
Jackson, MS4 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, Inc
San Jose, CA2 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....SuggestedFull timeTemporary workWork at officeRemote workWorldwide
The University of Miami
United States19 hours ago - ...Immediate need for a talented RN - Case Manager/ Utilization Review. 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 youare interested. Job ID:...SuggestedContract workLocal areaImmediate startWeekend work
Pyramid Consulting
Santa Clara, CA1 day ago - ...Saturday and Sunday.) ** The Case Manager RN UR/Bed Planner reflects the mission,... ...provide direct patient care. Chart review is used to assess for appropriate level of... ...departments. Evaluates and analyzes quality/utilization cases, admission/discharge criteria,...SuggestedCasual workLocal areaRemote workRelocation packageWeekend work
Northwestern Memorial Healthcare
Lake Forest, IL3 days ago $81.29k - $122.03k
...package to secure your future. ResponsibilitiesThe Registered Nurse (RN) Case Manager works within an interdisciplinary team to... ...care throughout the continuum of care by ensuring appropriate utilization management, care coordination, resource utilization, and clinical...SuggestedRemote workFlexible hoursWeekend workMayo Clinic
Eau Claire, WI15 hours agonew$38.46 - $43.27 per hour
...As the Clinical Reviewer, you will be responsible for the review and processing of all requests... ...not limited to: Performing case reviews utilizing regulatory guidelines criteria and... ...Registered Nurse, required (open to any RN state license). Graduate of a School of Nursing...SuggestedHourly payFull timeFor contractorsWork at officeRemote work1 day per weekIPRO
Jericho, NY3 days ago$28.37 - $38 per hour
...public sector.Job Summary and Responsibilities Acentra Health is looking for a Clinical Reviewer RN - PRN to join our growing team. Job Summary: The purpose of this position is to utilize clinical expertise to review medical records against appropriate criteria in...SuggestedContract workReliefWork at officeLocal areaRemote workFlexible hoursWeekend workAfternoon shiftAcentra Health
McLean, VA15 hours agonew$60 per hour
...extensionLocation: Remote (must hold an unrestricted Massachusetts RN license)*Note: Candidate must hold an unrestricted... ...required.Overview:We are seeking an experienced Inpatient RN Utilization Reviewer to independently manage a clinically complex inpatient caseload...SuggestedDaily paidContract workRemote workShift workWeekend workUS Tech Solutions
Canton, MA4 days ago$50 per hour
...RN Clinical Reviewer / IDR - Remote to Office-Based Setting - Jericho, NY (#25309) Location: Hybrid (Remote to Office-Based) - Jericho... ...setting. Must have 1-3 years of experience in acute care utilization review/ appeals background. Technical Skills:...SuggestedHourly payFull timePrivate practiceWork at officeRemote workFlexible hoursGreenLife Healthcare Staffing
Jericho, NY1 day ago- ...RN / Medical Reviewer / Remote Job Details Professional Discipline : Registered Nurse Specialty : Utilization Review Employment Type : Full Time City : Columbia State : SC Pay Range : Job Description...SuggestedFull timeContract workLocal areaRemote workShift work
InGenesis
United States19 hours ago $28.37 - $39.19 per hour
...Responsibilities Acentra Health is looking for a Clinical Reviewer - RN (Remote U.S.) to join our growing team. Job Summary:... ...maintaining secured files, and adhering to HIPAA policies. Utilize proper telephone etiquette and judicious use of other verbal and...SuggestedContract workWork experience placementWork at officeLocal areaRemote workMonday to FridayFlexible hoursAcentra Health
McLean, VA1 day ago$31 - $49.5 per hour
...0 - $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...SuggestedFull timePart timeWork from homeShift workDay shiftSanford Health
Sioux Falls, SD19 hours ago$27.02 - $48.55 per hour
...Position Purpose: Performs concurrent reviews, including determining member's overall health... ...health management systems according to utilization management policies and guidelines... ...Certification: ~ For Health Net of California: RN license required ~** Must be licensed...SuggestedHourly payFull timePart timeWork at officeRemote workFlexible hoursCentene Corporation
Sacramento, CA1 day ago- ...experienced professional Registered Nurse (RN) responsible for excellence in the... ...nursing process as a problem solving model; utilizing their knowledge and experience to anticipate... ...for a specific patient population. # Reviews all orders on patients and communicates changes...Hourly payDaily paidShift work
Martin Luther King, Jr. Community Hospital
Whittier, CA19 hours ago - ...Job Title: Utilization Management RN Location: Remote – must reside within the PA/NJ/DE tri-state area for potential conversion to full-time... ...members’ clinical conditions through detailed medical record review to determine medical necessity for services. Using advanced...Full timeRemote work
IntePros
Philadelphia, PA1 day ago - ...Position Title: Utilization Review Nurse Location: Fully Remote Position Summary The Utilization Review Nurse serves as a key liaison... ...practical, or vocational nursing. Current, active nursing license (RN, LPN, or LVN), Compact Minimum of two (2) years of general...Remote workFlexible hoursWeekend work
IntePros
Phoenix, AZ1 day ago - ...Medical Director (Physician Advisor) Full-Time | Remote (U.S.-Based) Medical Review Institute of America (MRIoA) is a nationally recognized leader in utilization management and clinical review services, delivering evidence-based solutions for more than 43 years . We are...Full timePart timeRemote workShift work
Medical Review Institute
New York, NY19 hours ago - At Houston Methodist, the Utilization Review Nurse (URN) PRN position is a licensed registered nurse (RN) who comprehensively conducts point of entry and concurrent medical record review for medical necessity and level of care using nationally recognized acute care indicators...Remote jobPermanent employmentWork experience placementReliefLocal area
- ...Reference Number: R1049001 Summary Performs medical reviews using established criteria sets and/or performs utilization management of professional, inpatient or... ...Licenses and Certificates: Active, unrestricted RN licensure from the United States and in the state...For contractorsWork at officeLocal areaRemote work
BlueCross BlueShield of South Carolina
Myrtle Beach, SC3 days ago Physician / Surgery - Plastic / Vermont / Permanent / Plastic Surgeon - Utilization Review Physician
Dane Street , a nationally recognized Independent Review Organization (IRO) and leading provider of Utilization Review (UR) services, is expanding its panel of physician reviewers. We are currently seeking Board-Certified Plastic Surgeons with an active Louisiana medical...Permanent employmentRemote workFlexible hoursDane Street
Grand Rapids, MI15 hours agonew$66k - $68k
...facilitate the timely completion of medically reviewed redeterminations. Salary Range: $66,000 -... ...'s Degree in Nursing (BSN). Active RN license in good standing for applicable state... ...review processes such as Appeals and Utilization Review. Solid computer skills, with proficiency...Permanent employmentFull timeContract workFor contractorsImmediate startRemote workWPS Health Solutions
Newark, NJ15 hours agonew$90.87 - $154.33 per hour
...career? Come build the future of pharmacy with us. Job Posting Title Physician Clinical Reviewer -Family Practice- REMOTE Job Description Key member of the utilization management team, and provides timely medical review of service requests that do not...Work at officeLocal areaRemote workVisa sponsorshipWork visaPrime Therapeutics
United States1 day ago- ...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 workExtra incomeFor contractorsRemote workFlexible hours
Dane Street
United States1 day ago - ...proud of what you do every day. The Behavioral Health Utilization Management (BH UM) Clinician is responsible for conducting... ...costs through timely prospective, concurrent, and retrospective review activities. Work Shifts 9:00 AM- 5:00 PM...Work at officeRemote workShift work
MetroPlusHealth
United States4 days ago $38.22 - $61.16 per hour
...learning needs of specific patient population. Utilizes Teach Back methodology to ensure... ...professional and personal development goals and reviews with management team on a regular basis.... ...Nursing. Two years’ experience as a RN, physician office experience preferred....Hourly payFull timeWork at officeLocal areaWork from homeDay shiftChristianaCare
Wilmington, DE19 hours ago- ...you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Utilization Review Nurse Manager (USRN) to join our team in Manila, National Capital Region (PH-00), Philippines (PH). Roles and Responsibilities...Work experience placementWork at officeRemote workFlexible hoursNight shift
$28 - $32 per hour
...Job Summary and Responsibilities Acentra seeks a Clinical Reviewer to join our growing team. Job Summary: The purpose of... ...Required Qualifications/Experience: Active unrestricted RN or, or other applicable State and/or Compact State clinical license...Contract workLocal areaRemote workFlexible hoursShift workAcentra Health
McLean, VA2 days ago$35.29 - $54.71 per hour
.... State licensure as a Registered Nurse (RN). + 6 months of ICU or PCU (Progressive... ...of scope practice in direct patient care utilizing the nursing process + Values a multidisciplinary... ..., skills and cost of living. + Market reviews: All UCHealth positions are reviewed...Full timeTemporary workLocal areaRemote workFlexible hoursShift workNight shift
