Average salary: $75,400 /yearly
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- ...WNS, part of Capgemini, seeks a remote Utilization Review Nurse to perform medical necessity reviews and collaborate with providers to ensure... ...strong team-oriented environment. Requirements include active RN or LVN licensure, a minimum of two years in utilization review...SuggestedWork at officeRemote work
HealthHelp
New York, NY2 days ago - ...Cleveland Clinic Health System is seeking an experienced Utilization Management RN Reviewer to work remotely with a focus on admission, concurrent and retrospective reviews. The role supports payer communications, data collection, and clinical decision-making to ensure...SuggestedWork at officeRemote work
CCF
New York, NY17 hours ago $69.39k - $88.61k
...Cincinnati Children’s is seeking an experienced Utilization Review professional for a remote role in the United States. The position supports... ...role requires a Bachelor’s degree in a related field, an active RN/Social Work/Clinical Counselor license, and 2+ years of related...SuggestedFull timeRemote workCincinnati Children's
New York, NY2 days ago$63k - $94k
...Remote Utilization Review Registered Nurse (UR RN) Are you an experienced RN looking to transition away from the bedside while still making a massive impact on patient care? We are seeking a dedicated Utilization Review Nurse to join our remote team. In this role, you...SuggestedWork at officeRemote work10 hours per weekFlexible hoursShift workWeekend workAfternoon shift3 days per weekMedix
New York, NY23 hours ago$2,772.28 per month
...Client Name Tuba City Regional Job Type Travel Offering Nursing Profession RN Specialty Utilization Review Job ID 37699865 Job Title RN - Utilization Review Weekly Pay $2772.28...SuggestedWeekly payContract workShift workTuba City Regional (Parent)
Tuba City, AZ2 days ago- ...Cincinnati Children e s Hospital Medical Center is seeking a Remote Utilization Review professional to perform admission and continued stay reviews using InterQual, ensuring medical necessity and appropriate level of care. The role collaborates with Admitting, Financial...SuggestedRemote work
Cincinnati Children's Hospital Medical Center
Cincinnati, OH17 hours ago $63.1k - $94.65k
...experience, education, certifications, and overall qualifications. *Must have current compact RN license, or be willing to obtain* Schedule Information: Our Utilization Review team provides coverage seven days a week, operating between 8:00 a.m. and 10:00 p.m. To...SuggestedTemporary workPart timeWork at officeLocal areaRemote workFlexible hoursShift work- ...Providing timely and evidence-based utilization review services, the full-time Utilization Review RN will work remotely to manage complex medical conditions, treatment planning, and recovery for injured employees while advocating for effective medical treatment. Key responsibilities...SuggestedFull timeWork experience placementRemote work
Virtual Vocations Inc
United States1 day ago - ...Community Health Network has been asked to assist a top health plan partner of ours with a need for an experienced RN Case Manager with Utilization Review/UM experience. This position is remote based and requires an activeMA RN license. (Compact RN license may be possible...SuggestedContract workRemote workMonday to FridayFlexible hours
Community Health Network
Boston, MA3 days ago $97.82k - $132.04k
...that every touchpoint is meaningful and contributes to our mission of redefining the possible in healthcare. The RN, Senior Utilization Review Quality will play an essential role in reviewing and ensuring the quality of the VUR teams’ work efforts in partnership...SuggestedFull timeTemporary workWork at officeLocal areaRemote work$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...SuggestedLocal areaImmediate startRemote workMonday to FridayShift workWeekend workPacer Group
Everett, WA2 days ago- ...RN Utilization Review Review patient medical records to assess the appropriateness and medical necessity of hospital admissions, continued stays, and services, while coordinating with providers and payers to ensure compliance with clinical guidelines, regulatory requirements...SuggestedRemote workShift workWeekend work
AMN Healthcare
United States1 day ago - ...Job Description: Ascension Texas Utilization Management Department (Fully Remote)Job Summary:• Provides health care services regarding... ...admissions, case management, discharge planning and utilization review.Responsibilities:• Reviews admissions and service requests within...SuggestedRemote work
First Connect Health
Austin, TX1 day ago - ...independently process complex grievances and conduct medical necessity reviews across inpatient, outpatient, and ancillary services. You will... ...candidates have an unrestricted USRN license, 2+ years in utilization management, and strong written/verbal communication. #J-18808...SuggestedRemote job
$76k
NTT DATA is seeking a BPO Clinical Review Specialist in the United States, with remote work available... ...residents. The role requires an active RN license (Florida or Compact) and at least 3 years of appeals, utilization management, or clinical review experience. Salary...SuggestedRemote job- Sedgwick is seeking a Telecommuter RN for Utilization Review in Michigan. This full-time role focuses on evidence-based review of treatment plans, analyzing medical records, and coordinating with providers and claims teams. The position emphasizes accuracy, adherence to...Remote jobFull time
- Alignment Health is seeking an experienced inpatient review nurse to join the remote utilization management team. You will review inpatients with complex medical needs and coordinate care across physicians, facilities, and community providers, ensuring appropriate and cost...Remote job
- HonorHealth in Phoenix is seeking an Utilization Review RN Specialist to review and monitor utilization, ensuring medically necessary care and appropriate discharge planning within Medicare, AHCCCS, Self-pay, and other payer guidelines. The ideal candidate has an RN license...Remote job
- ...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...Work at officeRemote work
MedTrust LLC
Oklahoma City, OK13 days ago $81.95k - $110.24k
...ensure that every touchpoint is meaningful and contributes to our mission of redefining the possible in healthcare. The Lead Utilization Review RN is a key contributor to the overall financial, quality, and clinical performance of the organization. The Lead UR supports...Full timeWork at officeLocal areaRemote work$63.1k - $94.65k
...Description We are seeking a Registered Nurse to perform hospital utilization reviews, assess medical necessity, and support appropriate levels of... ...by leadership. Required Skills: Current unrestricted RN license required; RN compact license preferred Minimum of...Temporary workWork at officeLocal areaRemote workShift workAfternoon shiftMedix
Evendale, OH15 days ago- ...Medix™ seeks an experienced Utilization Review Nurse Specialist for a fully remote role in the United States. You will evaluate medical necessity, determine level-of-care decisions, and collaborate with physicians, interdisciplinary teams, and commercial carriers to optimize...Remote work
Medix
Austin, TX4 days ago $63.1k - $90k
...healthcare organization to hire Registered Nurses for a fully remote Utilization Review team. The role offers a base salary of $63,100–$90,000 per... ...annual bonus and up to 20% combined differential. The RN will review medical necessity, collaborate with physicians and...Remote workShift workMedix™
Ohio6 hours agonew- ...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...Contract workRemote workMonday to FridayFlexible hours
$1,636 - $1,866 per week
Aya Healthcare has an immediate opening for the following position: Utilization Review Registered Nurse in Torrance, CA. We\'ll work with you to build the healthcare career of your dreams. Whether you want a job close to home or across the country, we\'ve got you. Job...Weekly payLocal areaImmediate startRelocationShift workNight shiftWeekend work- ...HealthEdge Software, Inc. seeks an experienced Utilization Review RN to perform prospective, concurrent and retrospective reviews across inpatient and outpatient services, ensuring medical necessity and appropriate levels of care. The role includes coordinating care...Remote work
HealthEdge
New York, NY17 hours ago - ...Remote Full Time Days And Every Other Weekend RN Case Manager -Utilization ReviewJoin our team as a remote full time days and every other weekend RN Case Manager -Utilization Review at INTEGRIS Health, Oklahoma City, OK.Get to Know Your Team:INTEGRIS Health, Oklahoma's...Full timeWork at officeRemote workShift workWeekend work
INTEGRIS Health
Oklahoma City, OK1 day ago - American Traveler is hiring an experienced Case Management RN for a Level II Trauma Center, requiring prior travel experience and... ...3 years Responsibilities Acute hospital Case Management/Utilization Review role 5x8 day shift schedule from 7:30 AM to 4:00 PM 13-week...Daily paidPermanent employmentContract workLocal areaWeekend workDay shift
- Medix is seeking a Remote Utilization Review Registered Nurse (UR RN) to bridge clinical care and hospital operations from a remote setting. Join a team optimizing patient care while safeguarding revenue integrity, with a compressed 4-day week, remote flexibility, and...Remote jobFlexible hoursShift work
- American Traveler is hiring an experienced RN Case Manager for an inpatient care management position requiring acute hospital discharge... ...Responsibilities Hospital-based inpatient Case Management/Utilization Review role Day shift schedule, 8:00 AM to 4:00 PM, 37.5 hours per...Summer holidayLocal areaDay shift
