Average salary: $75,400 /yearly

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  • Utilization Review RN

     ...ROLE DESCRIPTION: This individual will utilize clinical knowledge and communication...  ...individual will defer decision to a second level reviewer. This individual interfaces with case...  ...licensure includes but is not limited to RN, LMSW, LMHC. # Successful completion of... 
    Suggested
    Temporary work
    Work at office
    Remote work
    Work from home
    Monday to Friday
    Flexible hours

    Hines & Associates Inc

    Freeport, IL
    15 days ago

  • Local Contract Nurse RN - Utilization Review

     ...Job Description Pyramid Consulting (Travel) is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Philadelphia, Pennsylvania. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Duration:... 
    Suggested
    Permanent employment
    Full time
    Contract work
    Part time
    Local area
    Remote work
    Shift work

    Pyramid Consulting (Travel)

    Philadelphia, PA
    9 days ago

  • Hospital RN - Care Coordination & Utilization Review

    $60 - $65 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 Santa Clara, CA (Onsite). Please review the job description below and contact me ASAP if you are... 
    Suggested
    Contract work
    Local area
    Immediate start

    Pyramid Consulting, Inc

    Santa Clara, CA
    1 day ago

  • RN Peer Review Specialist

     ...50 Job Summary The Peer Review Specialist facilitates provider peer review...  ...studies and assigned routine monitoring, utilizing defined guidelines and criteria of the...  ...Currently holds an unencumbered RN license with the State Board of Nursing where... 
    Suggested
    Full time
    Part time
    Work from home
    Shift work
    Day shift

    Sanford Health

    Mizpah, MN
    20 hours ago

  • Clinical Reviewer, Nurse (Medical Oncology) - 9am-6pm PST

    $32 - $37 per hour

     ...mission. Stay for the culture. The Clinical Review Nurse is responsible for performing...  ...approvals. Tasks are performed within the RN/LVN/LPN scope of practice, under the...  ...Nurse will: Perform pre-certification utilization reviews of Oncology treatment requests... 
    Suggested
    Work experience placement
    Immediate start
    Remote work
    Weekend work

    Maryland Staffing

    Annapolis, MD
    1 day ago

  • Remote RN: Medical Review & Appeals Specialist

    $65k - $85k

     ...A healthcare management firm is seeking a Medical Review and Appeals RN. This remote role involves reviewing and authorizing medical service requests, ensuring compliance with regulations, and implementing discharge planning. Candidates must have a Bachelors degree in... 
    Suggested
    Remote work

    UST HealthProof

    United States
    1 day ago

  • Review Nurse, Prior Authorization/Utilization Management

     ...a "2025 Best Place to Work and Healthiest Employer", seeks a Review Nurse. The Review Nurse conducts prior approval and precertification...  ...Georgia nursing license required Preferred: ~ Utilization Review or Prior Approval Precertification experience Alliant... 
    Suggested
    Contract work

    Alliant Health Solutions, Inc.

    Atlanta, GA
    9 days ago

  • Utilization Review Nurse

    $35 - $45.94 per hour

     ...Description Job Description Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review team. Oscar is the...  ...duties as assigned Requirements: ~ Active, unrestricted RN licensure from the United States in [state], OR, active compact... 
    Suggested
    Hourly pay
    Full time
    Remote work
    Work from home
    Home office

    Oscar Health

    Dallas, TX
    3 days ago

  • Oncology Utilization Management Registered Nurse

    $80k - $95k

     ...provide compassionate and accessible cancer care. As an Oncology Utilization Management RN, you help ensure patients receive timely and appropriate...  ...our Mission, Vision, and Core Values. Your clinical care review determinations for our hematology and oncology patients... 
    Suggested
    Remote work

    The Oncology Institute of Hope and Innovation

    Tampa, FL
    7 days ago

  • Medical Review and Appeals RN

    $65k - $85k

     ...Join to apply for the Medical Review and Appeals RN role at UST HealthProof 3 days ago Be among the first 25 applicants Who We Are...  ...acute patient care, discharge planning, case management, and utilization review, etc. Demonstrated clinical knowledge and... 
    Suggested
    Full time
    Temporary work
    Part time
    Work at office
    Local area
    Remote work
    Flexible hours

    UST HealthProof

    Aliso Viejo, CA
    4 days ago

  • Physician Reviewer - Utilization Management

    $211.2k - $277.2k

     ...Job Description Job Description Hi, we're Oscar. We're hiring a Physician Reviewer to join our Utilization Management team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members.... 
    Suggested
    Full time
    Local area
    Remote work
    Work from home
    Home office
    Weekend work

    Oscar Health

    Tampa, FL
    8 days ago

  • Clinical Reviewer (SCA) - Remote

    $28.37 - $39.19 per hour

     ...Acentra Health is looking for a Clinical Reviewer (SCA) to join our growing team. Job...  ...Summary: The purpose of this position is to utilize clinical expertise during beneficiary...  ...Qualifications Active unrestricted LPN, RN or Social Worker or other applicable... 
    Suggested
    Contract work
    Work at office
    Local area
    Remote work
    Flexible hours

    Acentra Health

    McLean, VA
    1 day ago

  • Travel Nurse RN - Oncology Med Surg

     ...American Traveler is seeking a travel nurse RN Oncology Med Surg for a travel nursing...  ...weekend, holiday, or on-call requirements ~ Utilizes Epic EMR and Omnicell medication...  ...obtaining vital signs and weight, completing review of systems and medication reconciliation... 
    Suggested
    Daily paid
    Permanent employment
    Contract work
    Immediate start
    Shift work
    Day shift

    American Traveler

    Rapid City, SD
    2 days ago

  • Registered Nurse RN PCU Oncology

    $10k

     ...semi-private rooms with the capability of utilizing up to 16 remote cardiac monitors which...  ..., cultural and discharge planning needs. Reviews patient history and physical with patient...  ...QUALIFICATIONS Must possess a current, valid RN license in state of practice, temporary/... 
    Suggested
    Hourly pay
    Price work
    Temporary work
    Part time
    Interim role
    Remote work
    Relocation package
    Flexible hours
    Shift work
    Night shift
    Weekend work

    Banner Health

    Sun City, AZ
    a month ago

  • RN, Registered Nurse- Pre-Certification Pharmacy Review

     ...About the role The Pre-Certification Review Nurse – Pharmacy is responsible for reviewing...  ...processing coverage determinations and utilization management reviews for specialty...  ...and Active license as a Registered Nurse (RN) in the state of Ohio. Licensed Practical... 
    Suggested
    Permanent employment
    Full time
    Casual work
    Work at office

    quantum-health

    Dublin, OH
    3 days ago

  • Utilization Management Clinician I (RN)

     ...work environment. About the Role The Level I Utilization Management Clinician performs utilization review for medical or behavioral health requests using utilization...  .... Have a current, unrestricted license as an RN or LPN. Have at least two years clinical... 
    Full time
    Temporary work
    Part time
    Work at office
    Remote work
    Trial period
    All shifts
    Flexible hours

    Community Health Plan of Washington

    Seattle, WA
    8 days ago

  • Clinical Review Nurse - Remote

     ...Description ARC Group is recruiting for CLINICAL REVIEW NURSE REMOTE (GEORGIA RESIDENTS ONLY)...  ...determine coverage, medical necessity, utilization, and appropriateness of care per policy...  ...Valid, unrestricted Registered Nurse (RN) license Preferred Qualifications Inpatient... 
    Remote job
    Permanent employment
    Full time
    Work at office
    Local area

    ARC Group

    Jacksonville, GA
    29 days ago

  • Clinical Review Nurse - Remote

     ...Description Job Description CLINICAL REVIEW NURSE - REMOTE ARC Group has multiple...  ...decisions on the coverage, medical necessity, utilization and appropriateness of care per national...  ...* Valid unrestricted Registered Nurse (RN) license PREFERRED QUALIFICATIONS *... 
    Remote job
    Permanent employment
    Work at office
    Local area

    ARC Group

    Jacksonville, FL
    29 days ago

  • Registered Nurse (RN) - Manager, Cardiac Stepdown

     ...North Cal is seeking a Registered Nurse (RN) Manager, Cardiac Stepdown for a nursing...  ...Patient Care Services, the Shift Manager utilizes the nursing process and organizational/ leadership...  ...Utilizes observation techniques, chart review, and patient interviews to evaluate staff... 
    Temporary work
    Part time
    Relocation package
    Flexible hours
    Shift work

    Tenet North Cal

    Modesto, CA
    14 days ago

  • Supervisory Public Utilities Specialist

     ...Officer (K). A successful candidate in the Supervisory Public Utilities Specialist position will serve as the manager of the Customer...  ...these questions is not scored or rated. Your answers will be reviewed by the hiring manager and agency leadership if you are referred... 
    Full time
    Part time
    Work at office
    Remote work
    Flexible hours

    Bonneville Power

    Portland, OR
    4 days ago

  • Registered Nurse RN Emergency Department

     ...skills to make it happen. ED experienced RN with BSN is highly preferred. This is a full...  ...0 AM. You will also have the opportunity utilize our self-scheduling tool for shift and...  ..., cultural and discharge planning needs. Reviews patient history and physical with patient... 
    Price work
    Full time
    Temporary work
    Interim role
    Remote work
    Shift work
    Night shift
    Weekend work
    Afternoon shift

    Banner Health

    Gilbert, AZ
    a month ago

  • Dialysis Registered Nurse, RN

    $52 - $55 per hour

     ...founded over 30 years ago by a Dialysis RN who believes everyone is entitled to excellent...  ...as a resource for staff. You will be utilizing your assessment skills, technical skills,...  ...based on current knowledge; consistently reviews and evaluates priorities as changes occur... 
    Hourly pay
    Work at office
    Immediate start
    Remote work
    Shift work

    Rendevor Dialysis

    Hillsboro, IL
    9 days ago

  • Registered Nurse (RN)- CVICU

    $33 - $59 per hour

     ...Immediate need for a talented Registered Nurse (RN)- CVICU . This is a Full-time, Day and...  ...in Augusta, Georgia (Onsite) . Please review the job description below and contact me...  ...requirements Assist in resource utilization and care coordination across the continuum... 
    Full time
    Contract work
    Local area
    Immediate start
    Night shift
    Day shift

    Pyramid Consulting, Inc

    Augusta, GA
    2 days ago

  • Part-Time Dialysis Registered Nurse, RN

    $48 - $50 per hour

     ...founded over 30 years ago by a Dialysis RN who believes everyone is entitled to excellent...  ...as a resource for staff. You will be utilizing your assessment skills, technical skills,...  ...based on current knowledge; consistently reviews and evaluates priorities as changes occur... 
    Hourly pay
    Part time
    Work at office
    Immediate start
    Remote work
    Monday to Friday
    Shift work

    Rendevor Dialysis

    Nashville, TN
    27 days ago

  • Experienced Registered Nurse (RN) - Operating Room Circulator

    $33 - $59 per hour

     ...talented Experienced Registered Nurse (RN) - Operating Room Circulator . This is a...  ...in Austell, Georgia (Onsite) . Please review the job description below and contact me...  ...practice outcomes and ensure efficient resource utilization. Key Requirements and Technology... 
    Full time
    Contract work
    Local area
    Immediate start
    Relocation package
    Day shift

    Pyramid Consulting, Inc

    Austell, GA
    3 days ago

  • Physician / Surgery - General / Vermont / Permanent / Physician Reviewer - General Surgery (Utilizat

     ...Description Dane Street, a leading national provider of Utilization Review (UR) and Independent Review Organization (IRO) services, is expanding our panel of physician reviewers. We are seeking Board-Certified General Surgeons with an active Louisiana medical license... 
    Permanent employment
    Remote work
    Flexible hours

    Dane Street

    Frederick, MD
    2 days ago

  • Registered Nurse Clinical Reviewer / IDR

    $50 per hour

     ...Registered Nurse Clinical Reviewer / IDR Location: Remote to Office-Based, Jericho, NY Employment Type: Full-time Hourly Rate: $50/hr About Greenlife Healthcare Staffing: Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated... 
    Hourly pay
    Full time
    Private practice
    Work at office
    Remote work

    GreenLife Healthcare Staffing

    Westbury, NY
    2 days ago

  • Graduate Nurse-Full-time - RN - Surgery II

     ...Graduate Nurse - RN - Surgery II Essential Job Responsibilities/Expectations 1....  ...Telephone/Verbal Orders, Acknowledging Orders, Reviewing Standing Orders and Order Sets, Scanning...  ...Pharmacy, and Review of ED Record. ~ Utilizing the Electronic Medical Record (EMR) for:... 
    Hourly pay
    Full time
    Shift work

    McLeod Health

    Florence, SC
    1 day ago

  • RN Surgical First Assistant

    $45.05 - $69.82 per hour

     ...~ State licensure as a Registered Nurse (RN). ~2 years of perioperative nursing experience...  ...of scope practice in direct patient care utilizing the nursing process Values a...  ...experience, skills and cost of living. Market reviews: All UCHealth positions are reviewed... 
    Temporary work
    Relief
    Local area
    Remote work
    Flexible hours
    Shift work
    Weekend work

    UCHealth

    Denver, CO
    20 hours ago

  • Registered Nurse - Case Manager/ Utilization Manager

    $60 - $65 per hour

     ...talented Registered Nurse – Case Manager/ Utilization Manager . This is a 03+ Months Contract...  ...in Santa Clara, CA (Onsite) . Please review the job description below and contact me...  ...Nursing (ADN) required Active California RN License (Required) BLS Certification (Required... 
    Contract work
    Local area
    Immediate start
    Weekend work

    Pyramid Consulting, Inc

    Santa Clara, CA
    2 days ago