Average salary: $75,400 /yearly
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- ...The Council of State and Territorial Epidemiologists is seeking a Clinical Utilization Review Nurse (RN) for a remote position focused on assessing healthcare services for medical necessity. Candidates must hold an active RN license in Alabama and have at least 3 years...SuggestedRemote work
Council Of State and Territorial Epidemiologists
Sacramento, CA2 days ago $23.76 - $51.49 per hour
...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...SuggestedHourly payWork experience placementWork at officeRemote workMolina Healthcare
Jackson, MS3 days ago- ...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...SuggestedWork at officeRemote work
Molina Healthcare
Long Beach, CA18 hours ago $45.9 - $71.4 per hour
...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, and mutual...SuggestedMinimum wageLocal areaRemote workShift workProvidence Health & Service
Portland, OR4 days ago$45.9 - $71.4 per hour
...Description Utilization Review RN - Remote The RN Care Coord-Qual Med Mgmt will provide administration of medical management programs that include: prior authorization, concurrent hospital and skilled nursing review, appeals and grievance, delegation, medical policy...SuggestedMinimum wageFull timeLocal areaRemote workShift workProvidence Service
Renton, WA3 days ago$45.9 - $71.4 per hour
...Description Utilization Review RN - Remote. The RN Care Coord‑Qual Med Mgmt will provide administration of medical management programs that include prior authorization, concurrent hospital and skilled nursing review, appeals and grievance, delegation, medical policy development...SuggestedHourly payLocal areaRemote workProvidence Health & Service
Renton, WA1 day ago- ...COMAGINE HEALTH is seeking Clinical Utilization Review Nurses (RN) for a full-time remote position focused on assessing the medical necessity of healthcare services in Alabama. Candidates must hold an active RN license and possess a BA/BS in nursing, alongside a minimum...SuggestedFull timeRemote work
COMAGINE HEALTH
Seattle, WA18 hours ago - ...Utilization Review Rn Reviews, assesses, and evaluates clinical information used to support utilization management (UM) decisions based on established clinical criteria and applies intermediate knowledge of coding and medical record research. Facilitates professional...SuggestedRemote workShift work
InstantServe LLC
Corvallis, OR2 days ago $23.76 - $51.49 per hour
...guidelines. This role, located in Mississippi City, requires an active RN license and at least 2 years of relevant experience in clinical... ...Responsibilities include analyzing service requests, conducting reviews for authorizations, and collaborating with multidisciplinary...SuggestedHourly payRemote workMolina Healthcare
Hattiesburg, MS18 hours ago$45 - $50 per hour
...Utilization Management Nurse – Medicare Remote | California RN Required | Must sit in CA We’re partnering with a mission‑driven healthcare organization seeking... ..., concurrent, and retrospective utilization reviews for Medicare members Apply evidence‑based clinical...SuggestedContract workTemporary workRemote workWork from homeActalent
Rancho Cordova, CA2 days ago$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, WA3 days ago$1,949.74 per month
...Offering Nursing Profession Registered Nurse Specialty Utilization Review Job ID 17979666 Job Title Utilization Review RN Weekly Pay $1949.74 Shift Details Shift 8 Hour Days Scheduled...SuggestedWeekly payRemote workShift workCynet Health
Eureka, CA18 hours ago$2,386 per month
...Name UNC Health Lenoir - aya Job Type Travel Offering Nursing Profession RN Specialty Utilization Review Job ID 36687645 Job Title RN - Utilization Review Weekly Pay $2386.0...SuggestedWeekly payContract workTemporary workShift workDay shiftUNC Health Lenoir - aya
Kinston, NC4 days ago$45.9 - $71.4 per hour
...Utilization Review RN - Remote The RN Care Coord-Qual Med Mgmt will provide administration of medical management programs that include: prior authorization, concurrent hospital and skilled nursing review, appeals and grievance, delegation, medical policy development...SuggestedRemote jobLocal area- ...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...SuggestedReliefRemote work3 days per week
Children's Healthcare of Atlanta
United States2 days ago $2,066 per week
...Supplemental Health Care is seeking a travel nurse RN Utilization Review for a travel nursing job in Kinston, North Carolina. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: ASAP ~ Duration: 13 weeks...Weekly payFull timeContract workLocal areaImmediate startShift workSupplemental Health Care
Kinston, NC1 day ago- ...Providence Health & Services is hiring a Utilization Review RN for a remote position focused on administering medical management programs, including prior authorization and review processes. Candidates must have a strong clinical nursing background with 5 years of experience...Remote work
Providence Health & Service
Renton, WA1 day ago - Humana is offering a Utilization Management Behavioral Health Registered Nurse (RN) Internship for transitioning military service members and military spouses. This role involves conducting clinical reviews, communicating with healthcare providers, and ensuring documentation...InternshipRemote work
Humana
Jackson, MS4 days ago - ...A leading healthcare organization is seeking a remote RN to ensure appropriate administration of hospital resources and quality care. Responsibilities include reviewing patient care levels and utilizing Interqual Criteria for inpatient hospitalizations. The ideal candidate...Remote work
BJC HealthCare
Saint Louis, MO4 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...Contract workLocal areaImmediate startPyramid Consulting
San Jose, CA1 day 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....Contract workLocal areaImmediate startShift workPyramid Consulting
Santa Clara, CA18 hours ago$45 - $50 per hour
...Utilization Management Nurse Medicare Remote | California RN Required | Must sit in CA We're partnering with a mission-driven healthcare organization seeking... ..., concurrent, and retrospective utilization reviews for Medicare members Apply evidence-based clinical...Contract workTemporary workRemote workWork from home$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...Hourly payLocal areaImmediate startRemote workMonday to FridayShift workWeekend work- ...A major healthcare organization is seeking a registered nurse for a remote position focused on utilization review. Candidates should have 2 years of experience in a hospital setting and expertise in evaluating medical necessity. Responsibilities include assessing care...Remote work
BJC HealthCare
Kansas City, MO18 hours ago $49.34 - $76.59 per hour
...A leading healthcare organization is seeking a Utilization Review RN for a fully remote role in Oregon. Candidates must hold an Oregon Registered Nurse License and have at least 5 years of clinical nursing experience, particularly in collaboration with physicians. This...Remote workProvidence Health & Service
Portland, OR4 days ago$47.06k - $70.24k
...A healthcare solutions provider is seeking a Utilization Review Nurse in Fort Worth, TX. This remote role involves analyzing medical bill appropriateness... ...with claims examiners. Candidates must have a current RN license and at least four years of clinical experience,...Remote workCare Options For Kids
Fort Worth, TX4 days ago- ...Experienced Utilization Review Registered Nurse Inova Healthsystem is looking for a dedicated Experienced Utilization Review Registered Nurse... ...the nation. The Utilization Review (UR) Registered Nurse (RN) 1 PRN uses utilization management techniques to determine the...ReliefRemote workFlexible hoursWeekend workDay shift
Inova Health System
United States2 days ago $32 - $48 per hour
...RN-Utilization Review/Case Manage Nurse - RFT Gibson City, IL 60936 Overview Salary Range $32.00 - $48.00 Hourly Position Type Full Time Description JOB TITLE: Utilization Review/Case Management – Nurse DEPARTMENT: Case Management (Quality) HOURS &...Hourly payFull timeWork at officeRemote workShift workGibson Area Hospital
Gibson City, IL3 days ago- ...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. # Must have Mental Health...Temporary workWork at officeRemote workWork from homeMonday to FridayFlexible hours
Hines & Associates Inc
Rockford, IL9 days ago $35 - $45 per hour
...Position: RN / Utilization Review Nurse Location: Sacramento, CA (ON-SITE) Employment Type: Potential contract to hire Pay Range: $35.00 – $45.00/hour (Paid Weekly) Schedule: Monday – Friday, Standard Business Hours Position Summary We are seeking an experienced...Weekly payContract workWork at officeRemote workMonday to FridayCanon Recruiting Group
Sacramento, CA2 days ago
