Average salary: $119,479 /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$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- ...Utilization Review Specialist The Utilization Review (UR) Specialist has well-developed knowledge and skills in areas of utilization management (UM), medical necessity, and patient status determination. This individual supports the UM program by developing and/or maintaining...SuggestedNight shift
- ...Description Job Description As Wyoming Valley Behavioral Health continues to expand, we’re excited to add an experienced full-time Utilization Review Representative to our growing Utilization Review department. The person will be responsible for reviewing and analyzing...SuggestedDaily paidFull timeFlexible hours
- ...Utilization Management Specialist Proactively monitor utilization of services for patients to optimize reimbursement for the facility... ...organizations and the facility professional clinical staff. Conduct reviews, in accordance with certification requirements, of insurance...SuggestedWork at office
$25 - $38.95 per hour
...intensive outpatient services. Responsibilities Coordinates and reviews all medical records, as assigned to caseload. Actively... ...status of both open and closed accounts for multiple levels of Utilization Review and Case Management reporting. Able to work...SuggestedFull timeWork experience placementLocal areaShift work- ...Clinica Review Nurse Travel offering nursing profession RN specialty utilization review. Regular pay rate $63. Shifts per week 5. Scheduled hours 40. Start date 06/19/2026. End date 09/18/2026. Duration 13 weeks. City Uniondale, State NY, Zip Code 11556. RC HealthcareSuggestedShift work
- ...RN - Utilization Review Utilization review nurses perform frequent case reviews, check medical records, speak with patients and care providers regarding treatment, and respond to the plan of care. They also make recommendations regarding the appropriateness of care...Suggested
- Overview Title: Clinical Review Nurse - Prior Authorization Review Location: Fully Remote (PST Time Zone - WA/OR Resident) Duration... ...Clinical Review Nurse for Prior Authorization Review to join our Utilization Management team. In this role, you will conduct concurrent and...SuggestedContract workRemote work
$51.43 - $79.84 per hour
...remote role. You MUST live in the state of Washington (WA) to be considered. Care Manager RN, Per diem / On call, Day shift. The Utilization Review (UR) Nurse has a strong clinical background blended with knowledge and skills in Utilization Management (UM), medical...SuggestedDaily paidLive inRemote workShift workDay shift- ...medication management, case management, and counseling. Job Summary Mental Health Resource Center is looking for a Utilization Management Reviewer to monitor the utilization of clinical services provided at Mental Health Resource Center (MHRC), using predetermined...SuggestedFull timeMonday to FridayFlexible hours
- ...medical necessity and appropriateness of the treatment plan . This position is responsible for performing accurate and timely medical review of claims suspended for medical necessity, contract interpretation, pricing; and to initiate and/or respond to correspondence from...SuggestedFull timeContract workRemote work
- Responsibilities Utilization Review Manager (URM) Position: Full-Time Shift: Daytime For over 60 years, Calvary Healing Center has provided a full continuum of care, specializing in addiction treatment for adults across the Phoenix area and Nationwide. Calvary’s proven...SuggestedFull timeLocal areaShift work
- Currently seeking a Utilization Management RN . Please see details and qualifications below: Position is remote - candidate must reside... ...outpatient services. You’ll use advanced clinical judgment to review medical records, validate care plans, and authorize services that...SuggestedImmediate startRemote workWeekend workDay shift
- ...Utilization Review RN 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 Utilization Review RN at Providence Oregon...SuggestedFull timePart timeLocal areaDay shift
- Overview The Vice President of Utilization Review (VP of UR) provides strategic and operational leadership for the enterprise-wide Utilization Review function across all behavioral health service lines and levels of care. This executive leader is responsible for developing...Contract workWork at officeLocal area
$25 - $35 per hour
Harbor Oaks Hospital is looking for a Utilization Review Manager to join our team! Harbor Oaks Hospital, New Baltimore's leading Mental Health and Addiction Treatment Center is seeking a passionate Utilization Review Manager to work at our facility in New Baltimore, MI...Hourly payFull timeMonday to FridayDay shift- ...Member Transportation Reviewer The primary responsibility of this role consists of reviewing member transportation requests that are over the contractual mileage guidelines. Essential Functions Reviewing and making approval/denial determinations for all member...Flexible hours
- ...Job Description Job Description What you will be doing? The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced Revenue Solutions and is responsible for overseeing and coordinating all aspects of utilization review and...Work at officeLocal area
- ...exceptional services and/or placement waivers are secured and reviewed, with all deadlines met. Negotiate and communicate with parties... ...and youth through the adoption process. Experience with utilization management in behavioral and/or medical healthcare. Experience...Contract work
$21 - $26 per hour
...ensuring clients receive timely and medically necessary care. Position Overview: We are seeking a detail-oriented, proactive Utilization Review (UR) Coordinator to support insurance authorization processes across all levels of care — including Detox, Residential, PHP,...Hourly payFull time- ...Behavioral to continue to take applications so that we can ensure there is no disruption in patient care if a vacancy occurs. Utilization Review / Case Manager Freedom Behavioral Hospital of Magnolia Magnolia, Mississippi Freedom Behavioral Hospital of Magnolia...Full timeLocal area
$62.41k
...Clinical Coordinator - Utilization Review Annual Salary: $62,406 Work Schedule: Monday - Friday 8:30 am - 5:00 pm The Hampton - Newport News Community Services Board (CSB) is hiring a Clinical Coordinator - Utilization Review for the Region 5 Reinvestment Initiative...Full timeMonday to FridayFlexible hours- ...Utilization Physician Reviewer At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians...ReliefRemote workShift workWeekend work
- ...Drug Utilization Review Pharmacist Ensure Safe and Effective Use of Medications A confidential managed care organization is seeking a skilled Drug Utilization Review (DUR) Pharmacist to support quality prescribing and improve patient outcomes. This role is ideal for...Remote work
- ...The role ensures appropriate administration of plan benefits by reviewing clinical information and assessing medical necessity under... ...include a current RN/LPN license, at least 2 years of clinical or utilization review experience, and ability to work within licensure in...Remote jobFull time
$42.18 - $51.56 per hour
The Role Ready to help us transform healthcare? Bring your true colors to blue. The Physical Therapy Utilization Management Reviewer is responsible for evaluating the appropriateness and medical necessity of outpatient rehabilitation and other services within scope of practice...Hourly payFull timeWork at officeFlexible hoursShift work- ...Utilization Review Registered Nurse (UR RN) The Utilization Review Registered Nurse (UR RN) is a key contributor to the delivery of appropriate, efficient, and cost-effective patient care. Working collaboratively within a multidisciplinary team, the UR RN conducts comprehensive...Work at officeRemote work
$30.64 - $45.8 per hour
...CA Utilization Review Nurse I The Utilization Review Nurse gathers demographic and clinical information on prospective, concurrent and retrospective in-patient admissions and out-patient treatment, certifies the medical necessity and assigns an appropriate length of...Hourly payMinimum wageFull timeWork at officeLocal areaRemote workFlexible hours- ...Job Description Job Description Quick Job Details: Setting: Fully Remote – Utilization Review Schedule: Full-Time, Monday–Friday Hours: Standard business hours Patient Volume: N/A Job Requirements: Active RN license with Multi-State/Compact license...Remote jobFull timeMonday to Friday