Average salary: $119,479 /yearly
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$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- ...Job Description Job Description Description: Job Title: Utilization Review Manager Location: Chicago Job Type: Full-Time Reports to: Director of Revenue Cycle Manager; In Direct Reporting to Chief Clinical Officer Direct Reports: none, subject...SuggestedFull timeWork at office
GRO Community
Chicago, IL21 days ago - ...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
- ...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
- 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
- ...tobacco‑free campus. Job Summary and Responsibilities As our Utilization Management Nurse, you will be a critical guardian of healthcare... ...resource utilization. Every day, you will meticulously review medical records, authorize services, and prepare cases for physician...Suggested
$35 - $43 per hour
Base pay range $35.00/hr - $43.00/hr Job Title Clinical Review Nurse - Concurrent Review Location: Remote (California only - must reside... ...The Clinical Review Nurse - Concurrent Review will perform utilization management functions to ensure members receive the right care...SuggestedRemote work- ...Utilization Review Nurse (Ur Nurse) Join our team at Cobalt Benefits Group and start an exciting new career in employee benefits solutions. As a Utilization Review Nurse (UR Nurse), you'll play an important role in helping us offer customized, self-funded insurance...SuggestedFull timeTemporary workSummer workWork at officeFlexible hours
$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- ...Utilization Review Pharmacist Shape the drug benefit landscapeanalyze and optimize medication use. Key Responsibilities: Review prescribing trends and propose cost-saving alternatives. Maintain evidence-based formularies across multiple payers. Conduct...Suggested
- ...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
- Insight Global is looking for a Utilization Review Registered Nurse to sit remotely with one of their large health insurance clients. This person will be responsible for evaluating 3.5 patient care cases per hour (both inpatient and outpatient) and collaborating with doctors...SuggestedHourly payRemote work
$20 - $30 per hour
...the behavioral health industry by delivering exceptional care, utilizing state-of-the-art facilities, and prioritizing the well-being of... ...Exempt Travel Requirement: None Responsibilities Utilization Review on Behalf of the Clinics: Prescreen referrals to project/...SuggestedRemote work$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...SuggestedHourly payFull timeMonday to FridayDay shift$35 - $45 per hour
Base pay range $35.00/hr - $45.00/hr Direct message the job poster from IntePros IntePros is seeking a Remote Utilization Review Nurse serves as a key clinical liaison, coordinating resources and services to meet patients’ needs while ensuring compliance with federal...SuggestedContract workRemote workWeekend work- ...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...Full 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...Full 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...Immediate startRemote workWeekend workDay shift
$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$18k
...Responsibilities Under the general direction of the Director of Care Management, performs criteria-based concurrent and retrospective utilization review to support and encourage the efficient and effective use of resources; promote quality patient care; assist with patient care...Full timePart timeLive out- ...Utilization Review Analyst Eagleville Hospital, an independent substance use and behavioral health treatment and educational organization serving the community for more than a century, provides innovative compassionate care to those seeking treatment for stigmatized...Work at office
$25.7 - $32.13 per hour
...Job Title Utilization Review Tech Job Description The Utilization review tech essentially works to coordinate the utilization review and appeals process as part of the denial management initiatives. Utilization review tech is responsible for coordinating phone...Full timeWork at officeLocal areaShift work$38.11 - $98.61 per hour
...'re making a difference in people's lives. Position Summary In conjunction with the admitting/attending physician, the Utilization Review RN assists in determining the appropriate admission status based on the regulatory and reimbursement requirements of various...Hourly payLocal areaShift work- ...Job Description Job Description Job Description – Utilization Review Nurse Position Summary The Utilization Review Nurse is responsible for reviewing patient admissions and ongoing hospital stays to ensure the delivery of medically necessary, appropriate, and...Full timeCasual workWork at officeShift work
Lancesoft INC
Las Vegas, NV21 days ago - ...Utilization Review Specialist The Utilization Review Specialist is responsible for the assessment and review of the healthcare delivery system with a concentration on tasks that promote cost-effective quality care and cost containment in accordance with various federal...Remote jobWeekly payContract workWork at officeLocal area
- ...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
$24.03 - $24.75 per hour
...Utilization Review Specialist (51718) Henderson - 1711 Whitney Mesa - Henderson, NV 89014 Overview Salary Range $24.03 - $24.75 Hourly Position Type Full Time Education Level 2 Year Degree Description Position Summary: Person in this position is responsible...Hourly payFull timeWork at office- ...Looking To Add To The Ur Team! Schedule: Day Shift Status: PRN - 1 shift required every 2 weeks The Opportunity: The Utilization Review RN is responsible for assuring the receipt of high quality, cost efficient medical outcomes through utilization review and...ReliefShift workDay shift
$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- ...insurance Note: Eligibility for benefits may vary by location and is determined by employment status. Summary The Group Director, Utilization Review will perform the functions necessary to support and advance Tenet’s Case Management strategy with a specific focus on...Flexible hours
