Average salary: $75,400 /yearly
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$2,170 per week
...Registered Nurse (RN) | Utilization Review Location: Portales, NM Agency: Core Medical Group Pay: $2,170 per week Shift Information: Days - 5 days x 8 hours Contract Duration: 13 Weeks Start Date: 7/13/2026 About the Position TravelNurseSource...SuggestedHourly payWeekly payDaily paidPermanent employmentFull timeContract workTemporary workRelocationShift workTravelNurseSource
Portales, NM3 days ago$50 per hour
...an experienced Registered Nurse Clinical Reviewer for a fully remote position with an hourly... ...of $50. This role involves conducting utilization reviews and ensuring healthcare documentation... ...should have an active New York State RN license and 1-3 years of experience in acute...SuggestedHourly payRemote workGreenLife Healthcare Staffing
New York, NY14 hours ago$30 - $34 per hour
A healthcare services company is seeking an experienced Utilization Review Nurse to work remotely. The ideal candidate must hold an active LVN license in California and have experience in outpatient utilization management. Responsibilities include approving or denying...SuggestedRemote jobHourly pay- Molina Healthcare seeks a Telephonic Care Review Clinician (RN) to support Medicare inpatient utilization management. You will verify medical necessity, review admissions and ongoing services against guidelines, and partner with providers, case management, and care coordination...SuggestedRemote jobMonday to FridayFlexible hours
- ...Plan in Boston is looking for an Inpatient Utilization Management Clinician to evaluate inpatient... .... The ideal candidate will have an active RN license, a bachelor's degree in nursing, and at least 2 years of utilization review experience. Join WellSense in helping our...SuggestedRemote work
Well Sense Health Plan
Boston, MA4 days ago - ...Utilization Review Specialist The Utilization Review Specialist is responsible for the assessment and review of the healthcare delivery system with a concentration on tasks that promote cost-effective quality care and cost containment in accordance with various federal...SuggestedRemote jobWeekly payContract workWork at officeLocal area
- ...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 States4 days ago - TurningPoint Healthcare Solutions is hiring a Utilization Review Nurse to work remotely. The ideal candidate must hold a valid LPN or RN license and possess strong critical thinking and clinical expertise. Responsibilities include performing initial clinical reviews, assisting...SuggestedRemote job
$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, WA5 days ago- Comagine Health is looking for a Clinical Utilization Review Nurse (RN) to perform remote assessments on the medical necessity of healthcare services. This full‑time position involves managing utilization reviews and ensuring compliance with clinical policies for quality...SuggestedRemote jobFull time
- ...Summary Whitecap Search Healthcare Partners is seeking a dedicated RN for a Utilization Review & Quality Improvement role at a community hospital. Function This position focuses on utilization review responsibilities, working closely with physicians to analyze patient...SuggestedHourly payRemote work
WhiteCap Search
New York, NY5 days ago $1,760.52 per week
...TRS Healthcare is seeking an experienced Utilization Review Registered Nurse for an exciting Travel Nursing job in Pocatello, ID. Shift: 5x8 hr... ...Minimum Requirements Include: ~2 years of recent experience as a RN ~1 year of recent experience specializing in Utilization...SuggestedContract workRelocation packageShift workTRS Healthcare
Pocatello, ID10 days ago$51.43 - $79.84 per hour
...Description - This is a remote role. You MUST live in the state of Washington (WA) to be considered. Care Manager RN, Per diem / On call, Day shift. The Utilization Review (UR) Nurse has a strong clinical background blended with knowledge and skills in Utilization Management (...SuggestedDaily paidLive inRemote workShift workDay shift$65 per hour
...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 (58) | 08:00 16:30 PAY DETAILS (72 HOURS / 2 WEEKS) Pay Rate: $65/hr Description: Start date: ASAP Shift: 5x8 Days...SuggestedHourly payLocal areaImmediate startRemote workMonday to FridayShift workWeekend work- ...Responsible for providing telephonic and e-referral case review and authorization of services utilizing established mental health and substance abuse medical... ...Counseling required. • Current unrestricted State of Michigan clinical license (RN, LMSW, LP, LPC, or LLP) required....SuggestedFull timeRemote workWork from homeShift workWeekend workAfternoon shift
MRINetwork
United States4 days ago - ...completing pre-screening assessments of prospective patients. Ensures completion of appropriate clinical review of all applicable patients as stated in system utilization management plan. Oversees Clinical Review Specialist as indicated. Maintains necessary documentation...ReliefRemote workWeekend work3 days per week
- ...position. Candidates must have strong clinical documentation skills and be eligible for DoD background clearance. This role involves reviewing medical records, identifying quality issues, and supporting quality improvement initiatives while collaborating with Medical...Remote work
TEEMA Solutions Group
Phoenix, AZ2 days ago - American Traveler is seeking an experienced RN Case Manager for a 13‑week acute inpatient care coordination position requiring... ...discharge needs Collaborates with physicians, nursing staff, utilization review, and the broader care team to develop and document appropriate...Local areaShift workDay shift
- Medica is seeking a Remote Utilization Review RN to review and document member case history for approval of coverage. Requires RN or LPN licensure and a Bachelor’s degree or equivalent experience, with 5+ years of post-degree experience. The role involves analyzing trends...Remote job
- ...Provides support for clinical member services review assessment processes. Responsible for... ...the Molina care model. Adheres to utilization management (UM) policies and procedures.... ...education and experience. Registered Nurse (RN). License must be active and unrestricted...Remote job
$65k - $85k
...Santa Barbara Cottage Hospital is seeking a Utilization Review Specialist (RN) for a remote position, specifically for candidates based in Florida. The ideal candidate will possess a valid Florida RN License and certifications in OASIS and coding. The role involves thorough...Remote workSanta Barbara Cottage Hospital
New York, NY2 days ago- Overview American Traveler is hiring an experienced RN for a Case Management/Care Coordination position in an acute care hospital... ...Office required Experience with discharge planning and utilization review required Copy of a valid driver's license required for consideration...Daily paidFull timePart timeCasual workReliefWork at officeWeekend workDay shift
- ...Job Title Utilization Review/Case Management – Nurse Department Case Management (Quality) Hours & Shift Requirements Full time position. Hybrid (combination of in person and remote considered) General Summary The Utilization Review/Case Management Nurse is directly responsible...Full timeRemote workShift work
Gibson Area Hospital
Gibson City, IL4 days ago $80 - $95 per hour
...Hospital RN Care Coordination & Utilization Review 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...Contract workLocal areaImmediate start- ...COMAGINE HEALTH is seeking a Clinical Utilization Review Nurse (RN) for a full-time remote position focused on assessing healthcare services' necessity and quality. Candidates must possess a BA/BS in Nursing and a current RN license specific to New Mexico. The role involves...Full timeRemote work
Comagine Health
Albuquerque, NM4 days ago - ...WNS, part of Capgemini, is seeking a remote RN/LPN for utilization review in the United States. The role involves assessing medical necessity, resolving escalations, and maintaining HIPAA-compliant documentation with HealthHelp policies. Requires active nursing license...Work at officeRemote work
HealthHelp
Houston, TX2 days ago $65k
HealthHelp - A WNS Company is seeking a skilled nurse for utilization review positions. The role involves performing clinical reviews to determine... ...salary starting at $65,000 for LVN/LPN and $75,000 for RN, along with comprehensive benefits. #J-18808-Ljbffr HealthHelp...Remote job- ...respected healthcare organizations in the world. Utilization Management (UM) Specialists perform UM activities, such as admission review, concurrent review, retrospective chart... ...state licensure as a Registered Nurse (RN) Basic Life Support (BLS) certification through...Hourly payFull timeReliefWork at officeRemote workWeekend work
Cleveland Clinic
Fort Lauderdale, FL1 day ago - Johns Hopkins Health Plans, part of Johns Hopkins Medicine, seeks a Utilization Review Registered Nurse to ensure appropriate care and authorizations for members. The role blends clinical assessment with managed care principles and requires clear communication with providers...Remote job
$70k - $75k
Guidehealth seeks an experienced Utilization Management Registered Nurse to perform UR activities and document cases per federal, state,... ...medical directors and providers while ensuring timely, compliant reviews. Remote work option; salary range $70,000-$75,000 annually....Remote job
