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$29.05 - $67.97 per hour
...healthcare provider in Dallas is seeking a Clinical Reviewer to ensure compliance in medical claim processing. The role requires an active RN license and a minimum of two years of clinical experience, including utilization review. Responsibilities include facilitating...SuggestedHourly pay- ...provider in Houston is seeking an experienced clinical nurse to support medical claim reviews and internal appeals. This role requires at least 2 years of nursing experience, including utilization review, and an active Registered Nurse license. The successful candidate will...Suggested
$29.05 - $56.64 per hour
...company is seeking a Registered Nurse to support medical claim reviews and ensure compliance with regulations. The role involves... ...should have at least two years of nursing experience, including utilization review and knowledge of coding. Competitive pay ranges from $2...SuggestedHourly pay$29.05 - $67.97 per hour
...health care provider in Fort Worth is seeking a skilled RN to provide support in medical claims and internal appeals review. The ideal candidate will have at least 2 years of clinical experience, including utilization review, as well as an active RN license....SuggestedHourly pay$75k
A healthcare services provider is looking for a Remote RN to perform inpatient utilization reviews. This role involves engaging with clinical teams to discuss medical necessity and managing multiple tasks under pressure. Candidates must hold a valid RN license and have...SuggestedRemote job$40 - $45 per hour
...healthcare staffing company is seeking an ER/ICU RN in Austin, TX. This fully remote contract... ...requires 4+ years of RN experience in utilization management and a Compact RN license.... ...Responsibilities include performing concurrent health reviews, evaluating care delivery for necessity,...SuggestedContract workRemote workActalent
Austin, TX2 days ago$2,240 per week
...GHR Healthcare - Travel is seeking a travel nurse RN Utilization Review for a travel nursing job in College Station, Texas. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 05/11/2026 ~ Duration: 13 weeks...SuggestedMonday to FridayShift workWeekend workGHR Healthcare
College Station, TX5 hours agonew- ...type and/or level. Job Summary You will review patient cases for medical necessity and establish... ...clinical documentation Experience with utilization review, discharge planning, and levels of... ...hold a valid Registered Nurse License (RN). #J-18808-Ljbffr Baylor Scott & White...SuggestedWork at officeImmediate start
$41.14 - $61.2 per hour
Job Summary and Responsibilities As our Utilization Management Professional, you will be a critical guardian of healthcare efficiency and... ...resource utilization. Every day, you will meticulously review medical records, authorize services, and prepare cases for physician...Suggested- A leading healthcare organization seeks a Utilization Management Professional in Houston, Texas. This role involves reviewing medical records, authorizing services, and ensuring quality patient care. Candidates should have a nursing background, with a minimum of 2 years...Suggested
$41.14 - $61.2 per hour
...Utilization Review RN Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit...SuggestedFull timeFor contractorsLocal area- A regional healthcare provider in Houston is seeking a Utilization Management Review Nurse. This role involves evaluating the appropriateness of medical services based on necessity and promoting quality care outcomes. The candidate must have a Bachelor's in Nursing and...SuggestedRemote jobFlexible hours
- ...Medicaid CHIP Services team. The successful candidate will handle utilization reviews and ensure proper service delivery in various programs for... ...insurance and retirement plans. If you possess a valid Texas RN license, this could be the opportunity for you. #J-18808-...SuggestedRemote jobFull time
- ...vacancies, visit or Job Title: Nurse Case Manager - Utilization Review Requisition Number: 44170 Employment Type: Full... ...Required Licensure/Certification/Specialized Training: RN licensure through the Texas State Board of Nurse Examiners....SuggestedHourly payFull timeShift workDay shift
JPS Health Network
Fort Worth, TX2 days ago $29.05 - $67.97 per hour
...San Antonio, Texas, is seeking a Clinical Reviewer to support medical claim activities. The... ...records, and resolving complaints related to utilization management. Candidates need at least 2... ...clinical nursing experience, an active RN license, and proficiency in coding. Competitive...SuggestedHourly pay$29.05 - $67.97 per hour
...for a skilled clinical nurse to support medical claims and internal appeals review activities. The ideal candidate will have at least 2 years of clinical nursing experience, including utilization review. Responsibilities include facilitating medical reviews, coding, and...Hourly pay- ...the Tilman J. Fertitta Family College of Medicine at the University of Houston. Job Profile Job Summary The Utilization Management Review Nurse (UMRN) performs technical and administrative work required to evaluate the necessity, appropriateness, and efficiency...Work experience placementWork at officeRemote workFlexible hoursWeekend work
Harris Health System
Houston, TX3 days ago $41.14 - $61.2 per hour
A leading healthcare organization in Houston is seeking a Utilization Management Professional to ensure quality and efficiency in healthcare services. The role involves critical decision-making, regulatory compliance, and resource utilization management. Candidates must...Hourly pay$2,240 per week
...GHR Healthcare - Travel is seeking a travel nurse RN Utilization Review for a travel nursing job in College Station, Texas. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 05/11/2026 ~ Duration: 13 weeks ~40 hours...Weekly payContract workTemporary workFor contractorsShift workDay shiftGHR Healthcare - Travel
College Station, TX13 hours agonew- ...providing training in healthcare services. Interns will conduct clinical reviews, communicate with healthcare providers, and ensure compliance with regulations. Candidates must hold an active RN license and have at least two years of behavioral health experience. The position...Remote jobInternshipWeekday work
- A leading behavioral health network in Texas is seeking a full-time UR Coordinator to implement the utilization review process. Responsibilities include monitoring client documentation for compliance, gathering information for insurance, and conducting peer reviews. The...Remote jobFull time
- A healthcare organization in McKinney, Texas, is seeking a Utilization Review Specialist to ensure patients receive necessary care while adhering to managed care regulations. The ideal candidate will possess a bachelor's degree, preferably a master's, alongside a clinical...
- As a Utilization Review Specialist at Collin Springs-Changes Plano, you will be part of a dedicated team focused on making communities healthier. Your expertise will help ensure that patients receive the care they need while maintaining compliance with managed care requirements...Temporary workPart timeRelief
$18 - $20 per hour
A national insurance and claims service provider in Austin, Texas is seeking a Utilization Review Coordinator to manage utilization review requests and support clinical staff. The ideal candidate will have a High School diploma, two years of administrative experience,...Hourly pay- ...Assists in the coordination of the appropriate utilization of services and resources of patient care... ...of all aspects of concurrent review process for individual cases. Coordinates... ...Certification/Skills Registered Nurse (RN) State Licensure or Nurse Licensure Compact...Permanent employmentFull timeFor contractors
$41.14 - $61.2 per hour
A healthcare organization in Houston is seeking a Utilization Management Professional. In this role, you will ensure quality healthcare delivery through meticulous review of medical records and service authorization. Candidates must be a graduate of an accredited nursing...Hourly pay- ...Responsible for the maintaining the knowledge and skill set related to utilization review, care coordination, performance improvement and professional... .../Registration/Licensure Must have current, valid RN license or temporary RN license from the Texas Board of Nursing...Full timeTemporary workMonday to FridayShift work
Parkland Health and Hospital System
Dallas, TX4 days ago - ...Job Title: Utilization Review Nurse Location: Remote in IL, TX, NM, MT or OK Duration: 6+ months contract (possible extension) Pay: $41.... ...as appropriate. Qualifications: • Current unrestricted RN license. Multi-State License Preferred • Bachelor’s degree in...Contract workLocal areaRemote work
Innovative Systems Group
Richardson, TX22 hours ago - ...Utilization Review Specialist Collin Springs-Changes Plano is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care...Temporary workPart timeRelief
$40 per hour
...time remote Candidates must be based in TX. RN working in the insurance or managed care... ...for performing initial, concurrent review activities; discharge care coordination for... ...guidelines. Provides information regarding utilization management requirements and operational procedures...Remote jobFull timeContract workWork at office
