Average salary: $75,400 /yearly
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$1,860 per week
...LanceSoft is seeking a travel nurse RN Utilization Review for a travel nursing job in Torrance, California. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 03/16/2026 ~ Duration: 6 weeks ~40 hours per...SuggestedWeekly payLong term contractPermanent employmentTemporary workWork at officeRemote workShift workLanceSoft
Torrance, CA3 days ago- ...part of a world-class academic healthcare system, Company, as a RN Manager in the Rev Cycle Department. This position will be... ...outside of the greater Chicagoland area. The Manager of Utilization Review (UR) provides leadership and oversight of utilization review activities...SuggestedFull timeContract workWork from homeShift work
The University of Chicago Medicine
Chicago, IL2 days ago $80 - $95 per hour
...Immediate need for a talented Registered Nurse – RN Utilization Review / Discharge Planning. This is a 06+months contract opportunity with long-term potential and is located in Oakland, California (Onsite). Please review the job description below and contact me ASAP...SuggestedContract workLocal areaImmediate startPyramid Consulting, Inc
Oakland, CA2 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, CA1 day 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 States5 days ago $75 - $90 per hour
...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 you are interested....SuggestedContract workLocal areaImmediate startWeekend workPyramid Consulting, Inc
Santa Clara, CA2 days ago$28.94 - $51.63 per hour
...performing outpatient clinical coverage review services, which require interpretation of... ...Qualifications: ~ Current, unrestricted RN license in your state of residence ~... ...~ Background in preservice review/utilization review/utilization management *All...SuggestedHourly payMinimum wageFull timeWork experience placementLocal areaRemote workHome officeMonday to FridayUnitedHealth Group
Tampa, FL1 day ago$26.41 - $61.79 per hour
...provide high-quality and cost-effective care as a Remote RN Clinical Care Reviewer. In this vital role, you will assess clinical services to... ...candidates with an active RN license and a solid background in Utilization Management. Experience with Medicare Appeals is highly...SuggestedHourly payWork experience placementWork at officeRemote workMonday to FridayMolina Healthcare
Austin, TX1 day ago$31 - $49.5 per hour
...31.00 - $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 where...SuggestedFull timePart timeWork from homeShift workDay shiftSanford Health
Sioux Falls, SD5 days ago- ...Utilization Review Advisor Inova Fairfax Medical Campus is looking for a dedicated physician advisor to join the Utilization Review Advisor team. This role will be full-time position. The Utilization Review Advisor (Advisor) position conducts timely and compliant...SuggestedFull timeRemote workFlexible hours
Inova Health System
Ashburn, VA3 days ago $20.38 per hour
...Connecting. Growing together. General Role Description The Utilization Review Specialist (LVN) is responsible for conducting medical reviews... ...Qualifications ~ Licensed Vocational Nurse ~ Active Texas RN license or multistate compact RN license ~5+ years of...SuggestedHourly payMinimum wageFull timeWork experience placementLocal areaRemote workFlexible hoursOptum
Pearland, TX24 days 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...SuggestedPrice workExtra incomeFor contractorsRemote workFlexible hours
Dane Street
United States1 day ago - ...Job Title: Utilization Review Nurse Location: Remote in IL, TX, NM, MT or OK Duration: 6+ months contract Pay: $41.50/hr on W2 #of Openings: 8 RN working in the insurance or managed care industry using medically accepted criteria to validate the medical...SuggestedContract workRemote work
Innovative Systems Group
Chicago, IL1 day ago - ..., compliant, patient‑centered care through precise and timely Utilization Review. In this role, you will apply clinical expertise and regulatory... ...Qualifications ~ Active, unrestricted Registered Nurse (RN) license in Illinois. ~5+ years of experience across varied...SuggestedBi-weekly payFull timeTemporary workFor contractorsLocal areaRemote workWork from home
- 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...SuggestedRemote jobPermanent employmentWork experience placementReliefLocal area
$106.25k
...the Future of Patient-Centered Care Attune Pharmaceuticals is seeking a detail-oriented, clinically astute Remote Utilization Review Nurse (RN) to join our expanding clinical operations team. This role offers the opportunity to work at the intersection of healthcare...Remote workFlexible hours$155 per hour
...Join our dynamic team as a Psychiatrist Utilization Reviewer! This is a fantastic opportunity for a skilled psychiatrist looking to make an impact in the field of behavioral health services. This contract position offers flexibility and the chance to work remotely within...Hourly payContract workRemote workCommunity Health Plan of Washington
Bellevue, WA1 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 - ...support for medical claim and internal appeals review activities - ensuring alignment with... ...Resolves escalated complaints regarding utilization management and long-term services and supports... ...and experience. Registered Nurse (RN). License must be active and unrestricted...Work at officeRemote work
Molina Healthcare
United States8 hours ago $50 per hour
...Registered Nurse Clinical Reviewer / IDR - Remote to Office-Based, Jericho, NY (\#25302)... ...in Nursing or a graduate of an approved RN program Licensure: Current New York State... ...review setting; 1-3 years in acute care utilization review/appeals Technical Skills:...Hourly payFull timePrivate practiceWork at officeRemote workFlexible hoursGreenLife Healthcare Staffing
Jericho, NY5 days ago$50 per hour
...About the Job Registered Nurse Clinical Reviewer / IDR - Jericho, NY (#25310) Location:... ...in Nursing or a graduate of an approved RN program. Licensure: Current New York... ...1-3 years of experience in acute care utilization review/ appeals background. Technical...Hourly payFull timeWork at officeRemote workFlexible hoursGreenLife Healthcare Staffing
Jericho, NY5 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 workLocal areaRemote workFlexible hoursShift workAcentra Health
McLean, VA2 days ago- ...Role Overview: The Clinical Appeals Reviewer is responsible for processing appeals and... ...Present cases to committees when necessary Utilize InterQual criteria and apply them to... ...Current and unrestricted Registered Nurse (RN) licensure or compact state licensure...Local areaRemote workFlexible hours
AmeriHealth Caritas
Newtown Square, PA5 days ago - ...Position Title: Appeal & Grievance Clinical Reviewer Location: Remote in AZ or surrounding state with compact license Assignment... ..., onbase and HRP (any or all). Similar skill set may be utilization management Description: Maintains a...Full timeWork at officeImmediate startRemote work
Spectraforce Technologies
Phoenix, AZ1 day ago $29.05 - $67.97 per hour
...support for medical claim and internal appeals review activities ensuring alignment with... ...Resolves escalated complaints regarding utilization management and long-term services and supports... ...and experience. Registered Nurse (RN). License must be active and unrestricted...Hourly payWork experience placementWork at officeRemote workPhoenix Staffing Services
United States5 days ago- ...Position Title:Medical Reviewer - Oncology Work Location: Remote Assignment Duration: 12 months Job Overview Medical Review... ...using platforms such as Veeva PromoMats and/or MedComms; utilize CRM knowledge when beneficial. Rapidly learn and master new...Local areaRemote work
Spectraforce Technologies
Mettawa, IL8 hours ago $76.12k - $114.18k
...Point32Health ( . Job Summary Under the supervision of the Utilization Management Supervisor, the Behavioral Health (BH) Utilization... ...(UM) Clinician is responsible for conducting benefit coverage reviews and utilization management according to applicable regulatory...Contract workWork at officeWork from homePoint32Health
Canton, MA5 days ago- ...health system located north of Philadelphia, Pennsylvania, is seeking a Family Medicine physician to work in a non-clinical utilization review setting. Opportunity Highlights ~ Daytime Monday through Friday position. Potential to work remotely part of the time. ~...Permanent employmentPart timeRemote workMonday to Friday
Enterprise Medical Recruiting
Birmingham, AL3 days ago $50 per hour
...RN Clinical Reviewer / IDR - Remote to Office-Based Setting - Jericho, NY (#25310) Location: Hybrid (Remote to Office-Based) - Jericho... ...setting. Must have 1-3 years of experience in acute care utilization review/ appeals background. Technical Skills:...Hourly payFull timeTemporary workPrivate practiceWork at officeRemote workFlexible hours$32 - $48 per hour
...analyzing and synthesizing of data to maximize utilization of data in clinical decision-making,... ..., maintain grant and contract files, review contracts, develops progress reports, and... ...critical care. Currently holds an unencumbered RN license with the State Board of Nursing...Full timeContract workPart timeWork at officeWork from homeShift workDay shiftSanford Health
Fargo, ND4 days ago
