Average salary: $119,200 /yearly
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$40.12 - $62.19 per hour
...Utilization Review Nurse RN ~Baltimore, MD ~SINAI HOSPITAL ~UTILIZATION REVIEW ~Full-time w/Weekend Commitment - Day shift - 8:00am-4:30pm ~RN OTHER ~96812 ~$40.12-$62.19 Experience based ~Posted: July 2, 2026 Apply Now Save...SuggestedFull timeShift workWeekend workDay shift$50.14 - $77.83 per hour
...Description Utilization Review RN at Providence Health Plaza. Utilization Management covers 7 days/week, including holidays. This posting is not for a specific job vacancy. It serves to establish a place for current or future interested applicants to apply for...SuggestedMinimum wageFull timePart timeLocal areaShift workDay shift$40.12 - $62.19 per hour
...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: Yesterday Apply Now Save...SuggestedPart timeShift workWeekend work- ...Tennessee, Texas, Utah, Virginia, West Virginia, or Wisconsin. Our ideal candidate will have the following experience: Health plan utilization management Medicare and Medicaid rules and regulations and health plan benefit structure and policy. Data analysis to...SuggestedRemote work
- ...Utilization Review Nurse Your passion belongs at UNC Health. Join more than 56000 teammates working together to improve the health and well-being of the communities we serve across North Carolina. Summary: This position facilitates utilization management processes...Suggested
- Utilization Review Rn Travel profession RN. Weekly pay $2360 - $2460. Shift: 5 x 8 days. Scheduled hours: 40. Start date: 09/07/2026. End date: 12/07/2026. Duration: 13 weeks. Location: Tuba City, AZ. Converdia HealthSuggestedWeekly payShift work
- ...Utilization Review Nurse We have openings in our Omaha, Nebraska office for Utilization Review Nurses. The Utilization Review Nurse ensures all aspects of an injured worker's treatment are effective, efficient, and in accordance with applicable legal requirements....SuggestedPermanent employmentFull timeWork at officeWork from home2 days per week
- ...recommendations to meet QM objectives. Responsibilities: Reviews documentation and evaluates Potential Quality of Care issues... ...Nurse in state of residence ~ Must have prior authorization utilization experience ~ Experience with Medcompass Skills: MUST...Suggested
- ...admission through discharge. Serves as liaison to on-site external reviewers. Uses Midas for recording reviews and tracking denials.... ...applicable field of study required Six months psychiatric utilization review either for hospital or external review organization...SuggestedLocal areaFlexible hours
- ...Utilization Review Nurse As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership...SuggestedWork at officeShift workNight shiftRotating shift
- ...Utilization Review Specialist | Remote | Full-Time Banyan Treatment Centers is seeking an experienced and detail-driven Utilization Review Specialist to join our corporate team. In this remote role, you'll manage a caseload of 5075 patients, conducting admission and...SuggestedFull timeTemporary workRemote work
- ...verification of benefits for incoming patients. Coordinates the utilization management functions of a patient caseload through... ...with the interdisciplinary treatment team and performance of reviews, with external review organizations/managed care companies. Discuss...SuggestedLocal area
- ...RN Utilization Management St. Charles Health System The Utilization Management (UM) Department promotes and provides a centralized... ...performing a variety of concurrent and retrospective UM-related reviews and functions and for ensuring that appropriate data is...SuggestedLocal areaShift work
$18 per hour
...Travel Offering Nursing Profession Nursing Profession RN Specialty Utilization Review Regular Pay Rate $18 Shift Details Shift 12 hour days Job Order Details Start Date 08/01/2026 End Date 09/03/2026 Duration 5 Week(s) Client Details City Camden State ME Magnet MedicalSuggestedShift work- ...Utilization Review RN Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission...SuggestedFull timeShift work
- ...to be treated. Position Summary Performs medical record review for severity of illness and intensity of service; liaison function... ...(RN) licensure BSN preferred. 2-5 years previous Utilization Review experience preferred. Current CPR Relevant hospital...Shift workWeekend work
- ...Utilization Management Reviewer Mental Health Resource Center is a not-for-profit Florida corporation that provides a wide range of mental health and behavioral health care services to the community such as 24-hour emergency services, inpatient psychiatric services...Full timeWork at officeMonday to Friday
- ...range of behavioral health problems. As a part of our continued success and growth, we are seeking qualified applicants for a Utilization Review Manager. Position Description The Utilization Manager is responsible for directing and overseeing the Utilization Program...Local area
- ...UMC's nursing professionalism, teamwork, and superiority in patient care. Position Summary: Reviews patient admissions for appropriateness, efficiency of resource utilization and compliance with third party payer requirements. Duties include analyzing medical charts,...Work at officeShift workWeekend work
$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...Full time- Beyond Blue Job Posting Title: Utilization Management Reviewer Requisition Number: R-000002878 Department Name: Supervisor, Utilization Review Work Location: UK Chandler Hospital, Pavilion A Grade Level: 11 Type of Position: Regular Position Time Status: Full time Link...Full timePart timeWork experience placementReliefInternshipShift work
$55 per hour
...message the job poster from Akkodis Akkodis is hiring a Concurrent Review Nurse to support our client in the Healthcare space. Location:... ...or clinic setting. Preferred: Experience in case management, utilization management, or discharge planning. Experience working in a...Full timeContract workTemporary workLocal areaRemote work- Job Title With level of care screening criteria such as MCG or Interqual, CMS regulations as related to hospital admissions, utilization management or utilization review, and interfacing with health care payers/regulatory agencies. AMN Healthcare
- ...California Job Summary and Responsibilities Responsible for the review of medical records for appropriate admission status and... ...second level physician reviewer and the Care Coordination staff utilizing evidence-based guidelines and critical thinking. Collaborates with...Remote work
$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...Hourly payLocal areaImmediate startRemote workMonday to FridayShift workWeekend work- ...ensure the appropriateness for the corresponding level of care utilizing evidence-based criteria. Responsibilities: Uses a collaborative... ...of Care, Discharge Planning, and Case Management. Reviews the appropriateness of Severity Index/Intensity of Service for...Contract workWork experience placementFlexible hours
$81.12k - $115.94k
...MD. Facility: Ascension Saint Agnes Hospital Department: Utilization Management Schedule: Day-Shift | Full-Time | Monday-Friday... ...Make An Impact In This Role Advocate for appropriate care by reviewing admissions and service requests to ensure every patient...Full timeLocal areaRemote workMonday to FridayWeekend workDay shift- ..., treatment, and length of stay in hospital to comply with government and insurance company reimbursement policies. Performs utilization review and management, including quality review, case review for third party payers’ requirements. Ensures optimal reimbursement from...Work at office
- ...Registered Nurse-Utilization Review A Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since...Local area
- ...Full-Time Utilization Management Physician Reviewer This full-time role is responsible for provisioning accurate and timely coverage determinations for inpatient and outpatient services by applying utilization management (UM) criteria, clinical judgment, and internal...Full time