Average salary: $75,400 /yearly
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$45.9 - $71.4 per hour
...Description Utilization Review RN - Remote Providence Health Plan caregivers are not simply valued - they're invaluable. Join our team at Providence Health Plan Partners and thrive in our culture of patient-focused, whole-person care built on understanding, commitment...SuggestedMinimum wageFull timeLocal areaRemote workShift workProvidence Health & Service
Portland, OR3 days ago- ...GENERAL SUMMARY AND PURPOSE: Provides hospital case management/utilization review and discharge planning collaboratively determining level of... ..., EDUCATION AND EXPERIENCE : Colleague must have an RN license, as defined by their primary work state (Idaho or Oregon...SuggestedFull timeLocal areaRemote workShift workDay shift
Trinity Health
Boise, ID4 days ago $60 - $65 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 San Jose, CA(Onsite). Please review the job description below and contact me ASAP if...SuggestedContract workLocal areaImmediate startShift workPyramid Consulting
San Jose, CA2 days ago$75 - $85 per hour
...Immediate need for a talented Utilization Review/Case Management RN . 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 startShift workPyramid Consulting
Santa Clara, CA3 days ago$62.7k - $100.4k
...of care. Job Summary: Clinical Care Reviewer II is responsible for processing medical... ...Completion of an accredited registered nursing (RN) degree program required Three (3)... ...or home health experience preferred Utilization Management/Utilization Review experience...SuggestedHourly payWork at officeRemote workCareSource
Boston, MA1 day 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, CA3 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
Jefferson City, MO17 hours ago- ...doesn't match every requirement. About the role The Utilization Review Nurse is responsible for reviewing and processing medical... ...Credentials: Current and active license as a Registered Nurse (RN) in the state of Ohio. Licensed Practical Nurses (LPNs) currently...SuggestedPermanent employmentCasual workWork at office
Quantum Health
Dublin, OH2 days ago - ...the Long Term Services and Supports (LTSS) Supervisor, the LTSS Reviewer is responsible for completing care and service needs reviews.... ...date that the request was received, nature of the request, utilization determination (and events leading up to the determination). Verifies...SuggestedRemote workFlexible hours
AmeriHealth Caritas
Newtown Square, PA4 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, CA3 days ago- ...Lead change, elevate outcomes, and love your Mondays as the Nurse Director Utilization Review and Case Management at an award winning hospital in the Bay Area—where your strategic vision transforms care coordination into measurable results and career-defining impact....SuggestedRemote workWeekend work
Clinical Management Consultants
Berkeley, CA4 days ago $75 - $90 per hour
...Immediate need for a talented Registered Nurse Utilization Review - Onsite-Santa Clara, CA. This is a 03+ months contract opportunity with... ...Requirements and Technology Experience: ~ Active California RN License (Required prior to start) ~2+ years of inpatient...SuggestedContract workLocal areaImmediate startRemote workPyramid Consulting
United States2 days ago- ...Travel Job 17789408 Apply Now Acute Hospital Experience by Specialty Pediatrics* ICU MS Case Management/Utilization Review Pre-Cert Review* Prior Authorizations* Retrospective Review* Admission Criteria Care coordination Concurrent...SuggestedRemote work
B2B Staffing Services
Torrance, CA1 day ago - ...ready to make a difference, consider applying for the position of Utilization Review Nurse. As a Utilization Review Nurse, you will leverage a... ..., Medicaid, or utilization management settings. Current RN license is mandatory. Working Conditions: ~ Position...SuggestedRemote work
Public Consulting Group
Boston, MA4 days 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...SuggestedFull timeContract workLocal areaRemote workShift work
InGenesis
United States1 day ago $39.29 - $62.87 per hour
...appropriate physician(s) to establish Dartmouth-Hitchcock (D-H) ambulatory and inpatient procedure list, updates and maintains list. Reviews reservation forms and the log of emergent and urgent admissions daily. Identifies areas that require intervention and education...Daily paidTemporary workWork at officeRemote workMonday to FridayShift workRotating shiftDartmouth Health
Lebanon, NH2 days ago$2,066 per week
...Supplemental Health Care is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Kinston, North Carolina. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: ASAP ~ Duration...Weekly payFull timeContract workLocal areaImmediate startShift workSupplemental Health Care
Kinston, NC1 hour agonew$38.46 - $48 per hour
.... Job Summary The Clinical Review Nurse evaluates medical records and clinical... ...of nursing • Active, unrestricted RN or LVN/LPN license • Must hold a current... ...more years of Appeals and Grievances and/or Utilization Management experience within a Health...Hourly payWork at officeRemote workClever Care Health Plan
Huntington Beach, CA4 days ago- ...a "2025 Best Place to Work and Healthiest Employer", seeks a Review Nurse. The Review Nurseconducts prior approval and precertification... ...Georgia nursing license required Preferred: ~ Utilization Review or Prior Approval Precertification experience Alliant...Contract work
Alliant Health Solutions
Atlanta, GA4 days ago $40 per hour
...Job Description Job Description Description: Job Title: Utilization Review Nurse (Remote) Pay Rate: $40/hr. Job Type: Full-Time,... ...nursing or related field. Licensure: Active, unrestricted RN license to practice within the applicable U.S. state(s) or territory...Remote jobFull timeMonday to Friday$76k - $85k
...sector. To learn more, visit . PCG is currently seeking a Utilization Review Nurse. The Utilization nurse will also be responsible for utilizing... ...environment, Medicaid or hospital utilization management RN required Working Conditions ~ Remote The above is...For contractorsH1bWork at officeLocal areaRemote workPublic Consulting Group
Sacramento, CA3 days ago$2,800 per week
...HonorVet Technologies is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Orange, California. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 04/27/2026 ~ Duration:...Contract workRemote workMonday to FridayShift workHonorVet Technologies
Orange, CA2 days 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... ...: For Health Net of California: RN license required ** Must be licensed...Hourly payFull timePart timeWork at officeRemote workFlexible hoursCentene Corporation
Sacramento, CA2 days ago$33.6 - $51.39 per hour
...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...Hourly payFull timeWork experience placementReliefLocal areaRemote workWork from homeMonday to FridayFlexible hoursShift workBJC HealthCare
Saint Louis, MO3 days ago- ...in making a difference at Umpqua Health. Position Title: Utilization Review Nurse Department: Umpqua Health Status: Full Time, Exempt... ...QUALIFICATIONS Licensure: Active, unrestricted Registered Nurse (RN), BSN (Bachelor of Science in Nursing, MSN (Master of Science...Full timeWork at officeLocal areaRemote workMonday to FridayFlexible hours
Umpqua Health
Roseburg, OR1 day ago $4,801.16 - $7,761.5 per month
...the Benefits of Working at HHS webpage. Functional Title: Utilization Review Nurse Job Title: Nurse II Agency: Health & Human Services... ...Certifications Must be licensed as a professional nurse (RN)in good standing in the state of Texas or a state that recognizes...Full timeTemporary workPart timeWork at officeRemote workShift workDay shiftTexas Health and Human Services Commission
Brenham, TX4 days ago$38.91 - $60.31 per hour
...Building AMC, CO, Aurora Department: UCH Utilization Management Work Schedule: Full Time, 8... ...and compliance. Responsibilities: Reviews admissions and service requests within... ...~ State licensure as a Registered Nurse (RN). ~3 years of relevant experience....Full timeTemporary workLocal areaRemote workFlexible hoursShift workUCHealth
Parker, CO17 hours 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 workExtra incomeFor contractorsRemote workFlexible hours
Dane Street
United States2 days ago $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 officeLocal areaRemote workVisa sponsorshipWork visaPrime Therapeutics
United States1 day ago- ...Candidate must be highly proficient in EPIC and InterQual, with demonstrated experience using both systems for clinical review and medical necessity determination. This position is in person (no remote) Monday through Friday with no weekends or holidays. Pre-approved...Contract workRemote workMonday to Friday
Windsor Healthcare Recruitment Group, Inc.
Orange, CA2 days ago
