Average salary: $75,400 /yearly

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  • $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... 
    Suggested
    For contractors
    Remote work
    Shift work
    Weekend work

    GQR Healthcare

    Baltimore, MD
    5 days ago
  • $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... 
    Suggested
    Weekly pay
    Permanent employment
    Contract work
    Temporary work
    Local area
    Remote work
    Shift work
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    United Staffing Solutions

    Jackson, MS
    4 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... 
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    Contract work
    Local area
    Immediate start

    Pyramid Consulting, Inc

    San Jose, CA
    2 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.... 
    Suggested
    Full time
    Temporary work
    Work at office
    Remote work
    Worldwide

    The University of Miami

    United States
    19 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:... 
    Suggested
    Contract work
    Local area
    Immediate start
    Weekend work

    Pyramid Consulting

    Santa Clara, CA
    1 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,... 
    Suggested
    Casual work
    Local area
    Remote work
    Relocation package
    Weekend work

    Northwestern Memorial Healthcare

    Lake Forest, IL
    3 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... 
    Suggested
    Remote work
    Flexible hours
    Weekend work

    Mayo Clinic

    Eau Claire, WI
    15 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... 
    Suggested
    Hourly pay
    Full time
    For contractors
    Work at office
    Remote work
    1 day per week

    IPRO

    Jericho, NY
    3 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... 
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    Contract work
    Relief
    Work at office
    Local area
    Remote work
    Flexible hours
    Weekend work
    Afternoon shift

    Acentra Health

    McLean, VA
    15 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... 
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    Daily paid
    Contract work
    Remote work
    Shift work
    Weekend work

    US Tech Solutions

    Canton, MA
    4 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:... 
    Suggested
    Hourly pay
    Full time
    Private practice
    Work at office
    Remote work
    Flexible hours

    GreenLife Healthcare Staffing

    Jericho, NY
    1 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... 
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    Full time
    Contract work
    Local area
    Remote work
    Shift work

    InGenesis

    United States
    19 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... 
    Suggested
    Contract work
    Work experience placement
    Work at office
    Local area
    Remote work
    Monday to Friday
    Flexible hours

    Acentra Health

    McLean, VA
    1 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... 
    Suggested
    Full time
    Part time
    Work from home
    Shift work
    Day shift

    Sanford Health

    Sioux Falls, SD
    19 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... 
    Suggested
    Hourly pay
    Full time
    Part time
    Work at office
    Remote work
    Flexible hours

    Centene Corporation

    Sacramento, CA
    1 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 pay
    Daily paid
    Shift work

    Martin Luther King, Jr. Community Hospital

    Whittier, CA
    19 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 time
    Remote work

    IntePros

    Philadelphia, PA
    1 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 work
    Flexible hours
    Weekend work

    IntePros

    Phoenix, AZ
    1 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 time
    Part time
    Remote work
    Shift work

    Medical Review Institute

    New York, NY
    19 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 job
    Permanent employment
    Work experience placement
    Relief
    Local area

    Houston Methodist

    Remote
    a month ago
  •  ...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 contractors
    Work at office
    Local area
    Remote work

    BlueCross BlueShield of South Carolina

    Myrtle Beach, SC
    3 days ago
  • 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 employment
    Remote work
    Flexible hours

    Dane Street

    Grand Rapids, MI
    15 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 employment
    Full time
    Contract work
    For contractors
    Immediate start
    Remote work

    WPS Health Solutions

    Newark, NJ
    15 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 office
    Local area
    Remote work
    Visa sponsorship
    Work visa

    Prime Therapeutics

    United States
    1 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 work
    Extra income
    For contractors
    Remote work
    Flexible hours

    Dane Street

    United States
    1 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 office
    Remote work
    Shift work

    MetroPlusHealth

    United States
    4 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 pay
    Full time
    Work at office
    Local area
    Work from home
    Day shift

    ChristianaCare

    Wilmington, DE
    19 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 placement
    Work at office
    Remote work
    Flexible hours
    Night shift

    NTT DATA, Inc.

    Philippines
    11 days ago
  • $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 work
    Local area
    Remote work
    Flexible hours
    Shift work

    Acentra Health

    McLean, VA
    2 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 time
    Temporary work
    Local area
    Remote work
    Flexible hours
    Shift work
    Night shift

    UCHealth

    Peyton, CO
    19 hours ago