Average salary: $75,400 /yearly
More statsGet new jobs by email
$65 - $82 per hour
...Medical Solutions Direct Hire is seeking a Registered Nurse (RN) Case Manager, Utilization Review for a nursing job in Elmsford, New York. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: ASAP Duration: Ongoing 37 hours per week...SuggestedHourly payImmediate startWork from homeShift workMedical Solutions Direct Hire
Elmsford, NY3 days ago$2,697 per week
...Supplemental Health Care is seeking a travel nurse RN Utilization Review for a travel nursing job in Boston, Massachusetts. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: ASAP Duration: 13 weeks 40 hours per week Shift: 8 hours...SuggestedFull timeContract workPart timeLocal areaImmediate startShift workSupplemental Health Care
South Boston, MA2 days ago$50 - $54 per hour
...JOB TITLE: Clinical Review RN (Medicaid Cost Outlier) GENERAL RESPONSIBILITIES: This individual will complete the full spectrum of activities related to Utilization or Quality reviews as assigned. They will utilize their knowledge and expertise of the review program...SuggestedWeekly payLong term contractWork at officeRemote workMonday to FridayFlexible hoursMedix™
Jericho, NY2 days ago$2,400 - $2,697 per week
...Non-patient Care (utilization Review) Rn Take your career to the next level with an assignment at one of New England's premier healthcare destinations! Supplemental Health Care is hiring experienced Non-patient Care (utilization Review) RNs for contract opportunities...SuggestedFull timeContract workPart timeLocal areaImmediate startShift workSupplemental Health Care
Boston, MA7 hours ago$35 - $40 per hour
...Urgent Hiring for Remote Clinical Review Nurses Review approximately 20 cases a day for... ...cases. Qualifications: 3+ years of utilization management, concurrent review, prior authorization... ...and discharge planning is must Active RN Compact License is Must If you are...SuggestedContract workTemporary workRemote workActalent
Mobile, AL2 days ago- ...RN Manager Be a part of a world-class academic healthcare system, Company, as an RN Manager in the Rev Cycle Department. This... ...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 Medical Center
Crown Point, IN4 days ago $38.49 - $47.05 per hour
...RN Utilization Management Reviewer The RN Utilization Management Reviewer is responsible for facilitating care for members who may have complex healthcare needs, authorizing medically necessary services at the right level of care to promote optimal health. This...SuggestedHourly payFull timeWork at officeRemote workFlexible hoursBlue Cross Blue Shield of Massachusetts
Hingham, MA7 hours ago$48.52 - $72.78 per hour
...divh2Registered Nurse Utilization Management (UM) Reviewer/h2pPeaceHealth is looking for a skilled and motivated Registered Nurse Utilization Management... ...management or case management/liliCredentials: Active RN license in your state of residence (WA, OR, or AK)/li/ulpReady...SuggestedFull timeLocal areaRemote workDay shiftWashington Staffing
Vancouver, WA4 days ago$54.86k - $71.25k
...individuality is noticed and valued every day. Summary The Utilization Review Registered Nurse is responsible for reviewing medical services... ...internal partners Active, unrestricted Registered Nurse (RN) license in Missouri Multistate licensure as applicable...SuggestedMinimum wageCurrently hiringLocal areaWork from homeFlexible hoursConduent Care And Quality Solutions, Inc
Jefferson City, MO7 hours 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 States4 days ago - ...Rn Case Manager The RN Case Manager is responsible for coordinating continuum of... ...for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance... ...a database system Performs chart review/audits monthly or as needed Participates...SuggestedWeekly payContract workLocal areaRemote work
Maryland Staffing
United States4 days ago - ...Location: Remote (must hold an unrestricted Massachusetts RN license) Employment Type: 5-month contract Overview: We are seeking an experienced Inpatient RN Utilization Reviewer to independently manage a clinically complex inpatient caseload across multiple care settings...SuggestedDaily paidContract workRemote workShift workWeekend work
US Tech Solutions
Boston, MA4 days ago - ...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 shift
Sanford Health
Bemidji, MN2 days ago $32 - $37 per hour
...What You'll Be Doing: The Clinical Review Nurse is responsible for performing precertification... .... Tasks are performed within the RN/LVN/LPN scope of practice, under the Medical... ...include: Perform pre-certification utilization reviews of Oncology treatment requests...SuggestedWork experience placementRemote workWeekend workColumbus Staffing
Columbus, OH2 days ago- ...orientation for 2 full weeks, Monday - Friday from 8am-4:30pm. Requirements: ~2 years of RN experience performing care for hospitalized patients ~2 years of Utilization Review (UR) experience reviewing hospital admissions for medical necessity ~ Must live within...SuggestedFull timeReliefLocal areaRemote workWork from homeMonday to FridayFlexible hoursShift work
BJC
Saint Louis, MO2 days ago - ...Utilization Management Find your calling at Mercy! Overview Utilization Management for the assigned inpatient Care Management population... .... Preferred Experience: Care Management or Utilization Review experience, Preferred Certifications: Case Management or Utilization...ReliefRemote work
Mercy
Wildwood, MO3 days ago - ...Registered Nurse – Utilization Review Location: Fully remote (PA RN License or Compact including PA Required), Must Reside in PA, NJ, or DE Employment type: Contract to full-time hire Position Overview: We are seeking a skilled and detail-oriented Utilization Review RN...Full timeContract workRemote work
IntePros
Pittsburgh, PA7 hours ago $58.66k - $142.45k
...Utilization Management Clinical Manager Mass General Brigham relies on a wide range of professionals... ..., to determine the need for physician review as well as complete determinations... ...: ~ Massachusetts Registered Nurse (RN) license required Experience:...Remote workShift workIntelyCare
Somerville, MA7 hours ago- ..."Great Place to Work" since 2015. Position Summary The Utilization Review Nurse is responsible for ensuring the receipt of high quality,... ...nursing preferred Licensure/certification ~ Compact RN license Experience ~3+ years of clinical nursing...Work at officeRemote workWeekend work
Martins Point Health Care
Portland, ME3 days ago $34 - $51 per hour
...through evidenced based practice, improved care outcomes, efficient utilization of health services, and appropriate level of care for patients... ...clinical experience preferred. Currently holds an unencumbered RN license with the State Board of Nursing where the practice of...Full timePart timeWork experience placementWork from homeMonday to FridayShift workWeekend workDay shiftSouth Dakota Staffing
Rapid City, SD7 hours ago$108k
...Experienced Utilization Review Nurse UW Medical Center has an outstanding opportunity for an experienced Utilization Review Nurse to join our team. Work schedule includes fully remote/work from home, availability to work day shifts during Pacific Standard Time, and...Full timeWork experience placementRemote workWork from homeShift workDay shift1 day per weekIntelyCare
Seattle, WA2 days ago- ...) ROLE DESCRIPTION: This individual will utilize clinical knowledge and communication skills... ...will defer decision to a second level reviewer. This individual interfaces with case managers... ...licensure includes but is not limited to RN, LMSW, LMHC. * Successful completion of...Temporary workWork at officeRemote workWork from homeMonday to FridayFlexible hours
Hines and Associates
Elgin, IL14 hours 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...Full timeRemote workFlexible hours
Inova Health System
Ashburn, VA2 days ago - ...onsite as needed for meetings and training. Typical day will be reviewing clinical for pre-certifications for durable medical equipment,... ...reviews using established criteria sets and/or performs utilization management of professional, inpatient or outpatient, facility...Contract workFor contractorsRemote workMonday to Friday
US Tech Solutions
Columbia, SC1 day ago $28.94 - $51.63 per hour
...case is assigned to the appropriate team for review (e.g., Medicare, Medicaid, Commercial) -... ...additional research * Identify and utilize appropriate resources to conduct non-clinical... ...interested in. Required Qualifications: * Valid RN license in Hawaii * 3+ years of RN...Hourly payMinimum wageFull timeWork experience placementWork at officeLocal areaRemote workUnitedHealth Group
Honolulu, HI2 days ago- ...Physician Reviewer Opportunity Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel... ...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
Washington DC3 days ago $3,102 per week
...American Traveler is seeking a travel nurse RN Med Surg for a travel nursing job in Bozeman, Montana. Job Description & Requirements... ...Traveler is seeking an experienced RN Case Manager with utilization review expertise and a current MT or compact RN license....Daily paidFor contractorsShift workWeekend workDay shiftAmerican Traveler
Bozeman, MT1 day ago$50 per hour
...RN Clinical Reviewer / IDR - Remote to Office-Based Setting - Jericho, NY Location: Hybrid (Remote to Office-Based) - Jericho, NY Employment Type: Full-time Hourly Rate: For remote, it's $50/hr, and as soon as the candidate transitions into an office-based position...Hourly payFull timePrivate practiceWork at officeRemote workGreenLife Healthcare Staffing
Westbury, NY3 days ago$28.9 - $35.45 per hour
A leading healthcare solutions provider based in Columbus, Ohio, is seeking Virtual Utilization Review Specialists to join their team. Full-time and flexible positions are available, focusing on optimizing patient care and resource utilization. Candidates must possess...Remote jobHourly payFull timeFlexible hours- Role Name: Medical Reviewer I Location: Columbia, SC 29229 Work Environment: Remote (After... ...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...Contract workFor contractorsRemote work
Spectraforce Technologies
West Columbia, SC2 days ago
