Average salary: $94,139 /yearly

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  • Utilization Management Nurse

    $92.1k - $117.4k

     ...and engages in ongoing efforts to achieve that through equally varied and non-discriminatory means. A Brief Overview Utilization Management Nurse provides comprehensive assessment, coordination, implementation and reporting of complex clinical data. The Utilization... 
    Suggested
    Full time
    Part time
    For contractors
    Work at office
    Shift work

    Children's Hospital of Philadelphia

    Worcester, MA
    1 day ago

  • Utilization Management Nurse Consultant

    $32.01 - $68.55 per hour

     ...family and one community at a time. Position Summary Utilization Management is a 24/7 operation and work schedules will include...  ...Required Qualifications 2+ years of experience as a Registered Nurse in adult acute care/critical care setting - Must have active... 
    Suggested
    Hourly pay
    Full time
    Temporary work
    Work at office
    Local area
    Weekend work
    Afternoon shift

    CVS Health

    Connecticut
    3 days ago

  • Utilization Management Nurse

     ...Job Description Job Description Utilization Management Nurse Location : Onsite in Dubuque, IA. Also accepting remote applicants. We are looking for a nurse just like you - a nurse that thrives in a fast-paced environment, enjoys making a difference for patients... 
    Suggested
    Full time
    Work at office
    Remote work

    Cottingham & Butler

    Davenport, IA
    13 days ago

  • Utilization Management Nurse

     ...Training & development Vision insurance Outpatient Case Management West Los Angeles VAMC 11301 Wilshire Blvd Los Angeles, CA...  ...Opportunities Job Summary We are seeking a Utilization Management Nurse to join our team! As a Utilization Management Nurse on the... 
    Suggested
    For contractors
    Work at office
    Immediate start
    Relocation package
    Monday to Friday
    Flexible hours

    Presidential Staffing Solutions, LLC

    Los Angeles, CA
    4 days ago

  • Utilization Management Nurse

     ...skills to reach your full potential, HealthOne provides the means to help you achieve your goals. JOB PURPOSE The Utilization Management Nurse performs comprehensive clinical reviews of requested services utilizing clinical criteria, received through various mechanisms... 
    Suggested
    Contract work
    Temporary work
    Work at office
    Immediate start
    Flexible hours
    Night shift

    HealthOne Alliance

    Dalton, GA
    1 day ago

  • Utilization Management Nurse, Senior

     ...Your Role The Utilization Management team independently manages complex utilization and retrospective clinical reviews across multiple...  ...Your Knowledge and Experience ~ Associate Degree in Nursing required ~ Bachelor of Science in Nursing or advanced degree... 
    Suggested
    Full time
    Work at office

    Blue Shield of CA

    Rancho Cordova, CA
    3 days ago

  • Utilization Management Nurse

     ...Utilization Management Nurse Reporting to the Director of Utilization Management, the Utilization Management Nurse is responsible for ensuring that patients receive appropriate, cost-effective care by reviewing and evaluating medical services, treatments, and procedures... 
    Suggested

    ArchWell Health

    Nashville, TN
    4 days ago

  • Utilization Management Nurse

    $40 - $45 per hour

     ...Innova Solutions has a client that is immediately hiring for a Utilization Management Nurse Position type: Full Time - Contract to Hire Duration: 03 Months Contract Location: Philadelphia, PA As a Utilization Management Nurse, you will: Apply... 
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    Hourly pay
    Full time
    Contract work
    Temporary work
    Work experience placement
    Immediate start
    Worldwide
    Flexible hours

    Innova Solutions

    Philadelphia, PA
    2 days ago

  • Utilization Management Nurse

     ...is seeking a qualified healthcare professional in Oregon to coordinate utilization management and case management across medical and behavioral health services. Collaborate with physicians, nurses, social workers, and other professionals to promote quality, cost-effective... 
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    PacificSource

    Springfield, OR
    3 days ago

  • Utilization Management Nurse

     ...Humana Inc. is seeking a Health Services Lead to oversee the design, implementation, and sustainability of Utilization Management clinical programs. You will ensure clinical integrity, regulatory alignment, and governance across markets while standardizing national UM... 
    Suggested
    Remote work

    Humana

    New York, NY
    3 days ago

  • Travel Registered Nurse Utilization Management Job

    $2,298 - $2,435 per week

    Overview Registered Nurse - Utilization Management in a Skilled Nursing Facility setting. Albuquerque, New Mexico. Start date 08/03/2026 for a 13-week travel assignment. Weekly pay range $2,298 to $2,435 per week. Guaranteed 40 hours per week. Shift: 5x8 days (8-hour... 
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    Weekly pay
    Daily paid
    Ongoing contract
    Contract work
    Temporary work
    Local area
    Flexible hours
    Shift work
    Day shift

    Health Force

    Albuquerque, NM
    2 days ago

  • Travel Registered Nurse Utilization Management Job

    $2,200 - $2,357 per week

    Overview Registered Nurse – Utilization Management in Franklin, New Hampshire. This travel temporary assignment starts on 08/11/2026 for 10 weeks. Weekly pay ranges from $2,200 to $2,357 per week with 40 guaranteed hours each week. Shift: 5x8 Days. Setting: skilled... 
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    Weekly pay
    Daily paid
    Ongoing contract
    Contract work
    Temporary work
    Casual work
    Local area
    Flexible hours
    Shift work

    TLC NURSING SERVICES

    Franklin, NH
    2 days ago

  • Utilization Management Nurse

     ...CVS Health is seeking a Utilization Management Nurse Consultant (Clinical Precertification RN) for Medicare, with remote, full-time weekday schedule. You will review cases, determine coverage using guidelines, and coordinate care to ensure appropriate treatment. The role... 
    Suggested
    Full time
    Remote work
    Weekday work

    4062 Aetna Resources, LLC

    Wausau, WI
    2 days ago

  • Utilization Management Registered Nurse

    $57.29 - $81.72 per hour

     ...Job Summary: The Utilization Management Nurse supports the case management department by providing a variety of utilization management functions including but not limited to daily screening of patient admission relative to specified criteria, active involvement in... 
    Suggested
    Full time
    Work experience placement

    Valley Children's Healthcare

    Madera, CA
    1 day ago

  • Utilization Management Nurse

    $34 - $55 per hour

     ...for clinical, financial, and resource utilization information. Provides intervention and...  ...records days authorized in EPIC 2. Denial Management : Monitors and identifies patterns...  ...initiatives Participates in nursing unit and department clinical outcome projects... 
    Suggested
    Full time

    Luminis Health

    Annapolis, MD
    4 days ago

  • Utilization Management Registered Nurse (RN) - Remote

    $70k - $75k

     ...embedded Healthguides™ and a centralized Managed Service Organization to build stronger...  ...path!! Job Description The Utilization Management Registered Nurseis responsible...  ...and education consistent with current nursing practice standards and the Illinois Nurse... 
    Bi-weekly pay
    Full time
    Temporary work
    For contractors
    Local area
    Remote work
    Work from home

    Guidehealth

    United States
    5 days ago

  • Utilization Management Nurse, Senior

     ...Job Title Utilization Management Team Leader Job Description The Utilization Management team independently manages complex utilization...  ...Your knowledge and experience: ~ Associate Degree in Nursing required ~ Bachelor of Science in Nursing or advanced... 
    Full time
    Contract work
    Part time
    Work at office
    Local area
    Work from home
    Home office
    Weekend work
    Afternoon shift
    2 days per week

    Blue Shield Of California

    Rancho Cordova, CA
    1 day ago

  • Utilization Management Nurse

    $7.5k

     ...LPN Licensed Practical Nurse - Utilization Mgmt Reviewer - Case Management - Full Time Cortland, NY, United States Job Description This position is eligible for up to $15,000.00 Sign on Bonus for those that are eligible. ($7,500.00 for those with less than one year of... 
    Full time
    Work at office
    Relocation package
    Shift work

    Guthrie Enterprise

    Potsdam, NY
    3 days ago

  • Utilization Management Nurse

    $26.01 - $62.32 per hour

     ...us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. Utilization Management Nurse Consultant Clinical Precertification RN (Medicare) Remote | Full-Time | Weekday Schedule Are you a Registered Nurse... 
    Hourly pay
    Full time
    Temporary work
    Work at office
    Local area
    Remote work
    Monday to Friday
    Afternoon shift
    Weekday work

    Hispanic Alliance for Career Enhancement

    Wausau, WI
    3 days ago

  • Utilization Management Nurse

     ...CVS Health Corporation is seeking a Utilization Management Nurse Consultant for a fully remote role. You will assess and coordinate care options, apply clinical criteria to determine coverage, and communicate with providers to ensure appropriate services for members.... 
    Work at office
    Remote work

    CVS Health

    Lansing, MI
    3 days ago

  • Utilization Management Registered Nurse

     ...TITLE: Utilization Management Registered Nurse REPORTS TO: FLSA STAUTS: Exempt LOCATION: On-Site in the District of Columbia SUMMARY The multi-state Registered Nurse (RN), currently licensed and in good standing in the District of Columbia, Maryland... 
    For contractors
    Local area

    RAR Hospitality

    Washington DC
    2 days ago

  • Utilization Management Nurse

    $70.95k - $106.42k

     ...responded to in ways that fully develop and utilize each person’s talents and strengths. Collaborate closely with physicians, nurses, social workers and a wide range of...  ...resources available. Provide utilization management (UM) services which promote quality, cost‑... 
    Contract work
    Work experience placement
    Work at office

    PacificSource

    Sunriver, OR
    3 days ago

  • Sr. Utilization Management Nurse - Field RN

     ...reimbursement, and high-quality patient care across skilled nursing and long-term care settings in Massachusetts. This is a...  ...3+ years of clinical nursing experience ~ Experience in utilization management, medical record review, or long-term care ~ Strong understanding... 
    Remote work
    Weekend work
    Weekday work

    Optum

    Boston, MA
    1 day ago

  • Utilization Management Nurse, Senior

     ...for contract compliance, industry billing standards, medical necessity and hospital acquired conditions/never events. The Utilization Management Nurse, Senior will report to the Senior Manager, Facility Compliance Review. In this role you will be reviewing medical... 
    Contract work

    Blue Shield Of California

    Los Angeles, CA
    2 days ago

  • Utilization Management Registered Nurse

     ...Utilization Management Registered Nurse (UM RN) We're seeking a dedicated and detail-oriented Utilization Management Registered Nurse (UM RN) to join our growing healthcare team. In this role, you'll perform both inpatient and outpatient utilization reviews while supporting... 
    Remote work

    Appworks

    United States
    2 days ago

  • Utilization Management Nurse

     ...Humana Inc. is seeking a Compliance Nurse 2 to review utilization management activities and documentation, ensuring adherence to policies and regulations while preventing fraud, waste, and abuse. The role involves data analysis, independent judgment, and interpreting... 

    Humana

    Montpelier, VT
    1 day ago

  • Utilization Management Nurse

     ...pay range $45.00/yr - $52.00/yr Delivery Manager - Healthcare, Client Relationship Manager, VMS/MSPHiring Locums & Physicians/Nurses/Allied/Professional Coder Across with Best...  .... Poor Computer Skills Summary : The Utilization Management team reviews the inpatient stays... 
    Contract work
    Temporary work
    Locum
    Work at office
    Home office
    Shift work

    Pacer Staffing

    Rancho Cordova, CA
    4 days ago

  • Utilization Management Nurse

     ...The Hispanic Alliance for Career Enhancement is seeking a Registered Nurse for a role focused on Utilization Management. Candidates should have at least 2 years of experience in acute or critical care settings and possess a valid RN license. This full-time position includes... 
    Full time
    Immediate start

    Hispanic Alliance for Career Enhancement

    Nashville, TN
    3 days ago

  • Utilization Management Nurse

    $32.76 - $57.47 per hour

     ...Assists ED staff with understanding and utilization of benefits enhancement. Other duties...  ...Knowledge and understanding of utilization management criteria [Required] Excellent analysis,...  ...[Required] Education: Associate's of Nursing [Required] Bachelor's of Nursing [... 
    Full time
    Work experience placement
    Work at office
    Local area
    Shift work
    Night shift

    Case Management Society of America Inc

    Daytona Beach, FL
    3 days ago

  • Utilization Management Nurse

     ...University Wexner Medical Center is seeking a Clinical Finance Case Manager - RN to secure complex pre-authorizations and prevent denials....  ...for assigned payers, with responsibilities spanning Appeals, Utilization Management, and collaboration with Legal and Medical... 

    Ohio State University

    New York, NY
    3 days ago