Average salary: $94,139 /yearly
More statsGet new jobs by email
- ...Utilization Management Nurse We are seeking a Utilization Management Nurse to join our team! As a Utilization Management Nurse on the team, you will be responsible for reviewing patient files and treatment methods with an eye for efficiency and effectiveness. Your...SuggestedWork at officeMonday to FridayFlexible hours
Presidential Staffing Solutions LLC
Los Angeles, CA3 days ago $72.8k - $130k
...to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results... ...for remote work based on business needs. As a Sr Utilization Management Nurse in the Boston MA Regional Area, the role centers on ensuring...SuggestedMinimum wageFull timeWork experience placementCasual workLive inWork at officeLocal areaRemote workUnitedHealth Group
Boston, MA22 hours ago- ...Are you an experienced Registered Nurse (RN) – Utilization Management / Case Management (Medicare) with a desire to excel? If so, then Talent Software Services may have the job for you! Our client is seeking an experienced Registered Nurse (RN) – Utilization Management...SuggestedContract workLocal areaRemote work
TALENT Software Services
South San Francisco, CA3 days ago - ...ensuring exceptional healthcare coverage for federal employees, retirees, and their families. In your role as a Senior Nurse for Utilization Management, you will focus on prior authorization reviews and work closely with the FEP Utilization Management Manager. Your...SuggestedWork at office
Blue Shield of CA
Lodi, CA14 hours ago $73.01k - $123.16k
...JOB DESCRIPTION The Utilization Management Oversight Nurse plays a vital role in enhancing quality within the Delegation Oversight Department. This position ensures compliance with NCQA, CMS, and State Medicaid requirements, particularly focusing on delegation standards...SuggestedWork experience placementWork at officeMolina Healthcare
Long Beach, CA14 hours ago$2,046 per week
...American Medical Staffing is seeking a travel nurse RN Long Term Care (LTC) Case Manager, Utilization Review for a travel nursing job in Lebanon, Pennsylvania. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: ASAP...SuggestedWeekly payLong term contractContract workZero hours contractImmediate startWorldwideShift workAmerican Medical Staffing
Lebanon, PA3 days ago$60 - $75 per hour
...development ~ Vision insurance Outpatient Case Management West Los Angeles VAMC 11301 Wilshire Blvd Los... ...Advancement Opportunities Job Summary We are seeking a Utilization Management Nurse to join our team! As a Utilization Management Nurse on...SuggestedHourly payTemporary workFor contractorsFor subcontractorWork at officeImmediate startRelocation packageMonday to FridayFlexible hoursShift workPresidential Staffing Solutions LLC
Los Angeles, CA4 days ago- ...Your Role The Utilization Management team manages accurate and timely prior authorization and inpatient stays reviews for our members and... ...review, transplant and NICU/HROB. The Utilization Management Nurse, Consultant will report to the Manager, Utilization and Medical...SuggestedFull timeWork at office
Blue Shield of CA
Lodi, CA2 days ago $40.12 - $62.19 per hour
...Utilization Review Nurse RN - NE Utilization Review Nurse RN - NE ~Randallstown, MD ~NORTHWEST HOSPITAL ~NW CARE MANAGEMENT ~Part-time - Weekends - Weekend shifts - 8:00am-4:30pm ~RN OTHER ~95496 ~$40.12-$62.19 Experience based ~Posted...SuggestedPart timeShift workWeekend workVivian Health
Randallstown, MD3 days ago$2,125 per week
GLC On-The-Go is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Lebanon, Pennsylvania. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: ASAP Duration: 13 weeks 36 hours per week Shift: 12 hours...SuggestedWeekly payFull timeContract workReliefLocal areaImmediate startRelocation packageShift workGLC On-The-Go
Lebanon, PA3 days ago- ...Are you a bedside nurse seeking a change from the hospital setting? If you answered "yes", Alliant Health Solutions, a "2025... ...recruiting a Hybrid Review Nurse for its Prior Authorization and Utilization Management (PA/UM) team. The Review Nurse conducts prior approval and...SuggestedContract work
Alliant Health Group
Atlanta, GA1 day ago $2,456 per week
...ISC Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Lebanon, Pennsylvania. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 03/30/2026 ~ Duration: 4...SuggestedTemporary workZero hours contractImmediate startShift workVivian Health
Lebanon, PA3 days ago$23.79 - $38.86 per hour
...Job Summary Utilization Review, Utilization Management, Advocacy and Education Clinical Analysis and Data Management Clinical Care Management... ...Associate's degree (ADN) required, Bachelor of Science in Nursing (BSN), or Master's of Science in Nursing (MSN)...SuggestedWork experience placementReliefShift workNorman Regional Health System
Norman, OK14 hours ago- ...nirvanaHealth is the first to offer medical and pharmacy benefit management solutions that run on the same platform, made possible... ...and positive mindset. Job Summary: The Utilization Management (UM) Nurse will have well-developed knowledge and skills in utilization...Suggested
RxAdvance
Southborough, MA2 days ago - ...Your Role Join our innovative Utilization Management team, where your expertise will play a critical role in managing prior authorizations... ...inpatient stay reviews for our valued members. As a Senior Nurse Consultant for Utilization Management, you will ensure the application...Suggested
Blue Shield of CA
Woodland Hills, CA2 days ago - ...planning. Self-directed in goal setting for managing complex client situations. Assesses,... ...Community Care (CC) Coordinator Registered Nurse (RN) is responsible for executing a... ...planning, and critical thinking skills. The Utilization Management/Discharge Coordinator is...Permanent employmentFull timeTemporary workPart timeSeasonal workWork at officeImmediate startRemote workRelocation packageMonday to Friday
VETERANS HEALTH ADMINISTRATION
El Paso, TX4 days ago - ...Job Details Searching for Interim Case/Utilization Management Nurse Leaders interested in one of our Nationwide Interim Opportunities! Case/Utilization Management Leaders Are in High Demand! We're seeking leaders who have a Case/Utilization Management background...Interim roleImmediate startFlexible hours
AMN Healthcare
Lenexa, KS1 day ago - ...Job Description Job Description Registered Nurse - Utilization Management Location: Seymour Johnson AFB, NC 27531 SITE OF SERVICE Seymour Johnson Air Force Base, NC. This position provides utilization management nursing services supporting the military...For contractorsMonday to FridayShift work
Luke Staffing
Goldsboro, NCa month ago $36.57 - $51.96 per hour
Career Opportunities with Matrix Providers Matrix Providers is hiring a Registered Nurse - Utilization Management to join our team of talented professionals who provide health care services to our Military Service Members and their families in at Buckley AFB, Aurora,...Hourly payFull timeContract workWork at office- ...or a military spouse, and you must obtain eligibility to participate in these DOW sponsored programs. The Utilization Management Behavioral Health Registered Nurse (RN) Intern will report to a manager of the National Medicaid team. You will utilize training and engage...Full timeFor contractorsApprenticeshipWork experience placementInternshipRemote workWork from homeHome officeWeekday work
- Summary The Utilization Management (UM) Registered Nurse (RN) is responsible and accountable for all elements of the nursing process when providing consultation for the coordination of care focused on self-management - interprofessional collaboration and customer satisfaction...Permanent employmentTemporary workLocal areaImmediate startRemote workRelocation packageMonday to Friday
- ...leads to tomorrows cures for conditions such as heart failure, cancer and other diseases. The role you'll contribute The Utilization Management nurse uses clinical expertise to review patient records in the emergency department setting and provide a recommended level of...Full timeLocal areaShift workNight shift
- A health management organization located in Tulsa, Oklahoma, is looking for a clinical reviewer to join their Utilization Management Team. The role involves assessing utilization requests and implementing care coordination for high-risk members. Candidates must have a...
- Overview About The Role BHPS provides Utilization Management services to its clients. The Utilization Management Nurse performs medical necessity and benefit review requests in accordance with national standards, contractual requirements, and a member’s benefit coverage...Contract workWork at officeRemote workFlexible hours
- ...mission to transform healthcare delivery and make a meaningful difference in the lives of our members. Summary: The Utilization Management Appeals Review Nurse is responsible for conducting comprehensive clinical and regulatory reviews of hospital admission appeals,...
- A healthcare administration company is seeking a Utilization Management Nurse to conduct clinical reviews and collaborate with healthcare partners while working remotely. The ideal candidate must be a current Licensed Practical Nurse, skilled in utilization review processes...Remote job
$72k
...Description We are seeking a Clinical Care Manager who is passionate about advancing high‑... ...care through precise and timely Utilization Review. In this role, you will apply clinical... ...education and growth aligned with Illinois nursing regulations and contemporary clinical...Bi-weekly payFull timeTemporary workFor contractorsLocal areaRemote workWork from home$83k - $99k
...balance, and the ability to contribute to something important, find out more about us at: Role and Responsibilities The Utilization Management Nurse collaborates with external entities such as Brokers, Group Contacts, and Stop Loss supports to provide updated...Full timeWork at officeRemote workFlexible hours$28.61 - $56.06 per hour
...Primary Responsibilities Performs all functions of an UM Nurse Consistently exhibits behavior and communication skills that... ...policies and procedures, standardization requirements set by the Utilization Management and by the UM Compliance department Implements and maintains...Remote jobHourly payMinimum wageFull timePart timeWork experience placementLocal areaRelocation packageNight shiftDay shift- ...pay range $45.00/yr - $52.00/yr Delivery Manager - Healthcare, Client Relationship Manager, VMS/MSPHiring Locums & Physicians/Nurses/Allied/Professional Coder Across with... ...explanation. Poor Computer Skills Summary : The Utilization Management team reviews the inpatient...Contract workTemporary workLocumWork at officeHome officeShift work
