Average salary: $112,041 /yearly

More stats
Get new jobs by email
  • $37.59 - $63.6 per hour

     ...Utilization Review Nurse The Utilization/Admission Review Coordinator promotes an effective continuum of care for the patient through intra- and interdepartmental utilization practices and coordination. Works with other departments to develop and maintain an effective... 
    Suggested
    Work experience placement
    Weekend work

    Rutland Regional Medical Center

    Rutland, VT
    1 hour agonew
  •  ...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,... 
    Suggested

    Your Behavioral Health

    Torrance, CA
    23 days ago
  •  ...Utilization Review Specialist (Urs) Springwoods Behavioral Health, an 80-bed behavioral health facility located in Fayetteville, Arkansas, provides acute inpatient treatment for adolescent, adult, and specialty program for women. The hospital also offers outpatient... 
    Suggested

    Universal Health Services

    Fayetteville, AR
    3 days ago
  • $51.43 - $79.84 per hour

     ...Description The Utilization Review (UR) Nurse has a strong clinical background blended with a well-developed knowledge and skills in Utilization Management (UM), medical necessity and patient status determination. This individual supports the UM program by developing... 
    Suggested
    Minimum wage
    Full time
    Local area
    Shift work

    Providence Health and Services

    Bellevue, WA
    5 days ago
  •  ...Ur Specialist Opportunity At Park Royal Hospital Do you have great attention to detail? Have experience in Utilization Review? Want to work in a positive, respectful environment where you will be challenged to be the very best? If you said "yes", then we are interested... 
    Suggested
    Full time
    Work at office

    Acadia Healthcare

    Fort Myers, FL
    5 days ago
  •  ...Vice President of Utilization Review About the Company Premier medical billing company Industry Hospital & Health Care Type Privately Held Employees 201-500 Specialties ~ medical billing About the Role The Company is seeking a Vice President... 
    Suggested

    Confidential

    Lauderdale Lakes, FL
    4 days ago
  • $46.3 - $91.32 per hour

     ...Description The Utilization Review (UR) Nurse has a strong clinical background blended with well-developed knowledge and skills in Utilization Management (UM), medical necessity and patient status determination. This individual supports the UM program by developing... 
    Suggested
    Minimum wage
    Full time
    Shift work
    Afternoon shift

    Providence Health and Services

    Olympia, WA
    4 days ago
  •  ...Utilization Review Support Specialist As a Utilization Review Support Specialist, you will provide administrative and operational support to the UR-Revenue Recovery team. This role ensures compliance and accuracy in patient health information, facilitates timely communication... 
    Suggested
    Work at office
    Monday to Friday

    Novant Health

    Wilmington, NC
    2 days ago
  • $20.25 - $30.39 per hour

     ...Job Title Provides non-clinical administrative support to utilization management team and contributes to interdisciplinary efforts supporting...  ...telephone, clerical and data entry support for the care review team. Provides computer entries of authorization request/... 
    Suggested
    Hourly pay
    Work experience placement
    Work at office
    Shift work
    Night shift
    Day shift

    Molina Healthcare

    Long Beach, CA
    3 days ago
  •  ...Utilization Review Assistant The Utilization Review Assistant ensures the timely and accurate collection of data and documents necessary for the utilization review process as well as independent medical review. This is a hybrid opportunity, requiring initial onsite... 
    Suggested
    Work at office
    Immediate start
    Work from home
    2 days per week
    3 days per week

    Berkshire Hathaway Homestate Companies

    Omaha, NE
    2 days ago
  •  ...capabilities and improved personalized treatment recommendations. Role Description: This is a full-time role for a Utilization Review Manager- Revenue Cycle Management at Variantyx. The role is responsible for managing the claim denials and appeals for the... 
    Suggested
    Full time

    Variantyx

    Framingham, MA
    18 days ago
  •  ...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... 
    Suggested
    Full time
    Monday to Friday
    Flexible hours

    Mental Health Resource Center, Inc.

    Jacksonville, FL
    6 days ago
  •  ...As our Utilization Review Nurse, you will coordinate and perform all aspects of Worker's Compensation, auto, and general liability claims for medical management activity (IME/Peer Review, UR) to ensure optimum medical care service delivery, utilization of resources, and... 
    Suggested
    Full time
    Temporary work
    Work at office
    Flexible hours

    Rising Medical Solutions

    Chicago, IL
    18 days ago
  • $76k - $85k

     ...pursue opportunities, and serve constituents across the public sector. To learn more, visit . PCG is currently seeking a Utilization Review Nurse. The Utilization nurse will also be responsible for utilizing a medical management software system on a day-to-day basis... 
    Suggested
    Full time
    For contractors
    H1b
    Work at office
    Local area
    Remote work

    Lensa

    Providence, RI
    8 days ago
  • $35 per hour

     ...Westborough Behavioral Healthcare Hospital is looking for a UR Specialist to provide Per Diem coverage. Job Description: The Utilization Review Specialist is responsible for monitoring adherence to the hospital's utilization review plan to ensure the effective and... 
    Suggested
    Daily paid
    Shift work

    Westborough Behavioral Healthcare Hospital

    Westborough, MA
    11 days ago
  • $28 - $32 per hour

     ...We are looking for a Utilization Review Specialist to join our team! The Utilization Review Specialist bridges between a Utilization Review Nurse and Pre-Clinical Coordinator providing coverage for both teams. The full UR function can be performed in applicable jurisdictions... 
    Hourly pay
    Full time
    Temporary work

    Rising Medical Solutions

    Chicago, IL
    a month ago
  • Weekend Requirement - Varies CA license required to the Remote UR position
    Remote work
    Weekend work

    Carenest Health Services

    Torrance, CA
    5 days ago
  • $65 per hour

     ...RN Case Manager / Utilization Review - Syracuse, NY (#25268) Location: Acute Care/Academic Medical Center, Syracuse, NY Employment Type: Full-time Hourly Rate: $65/hour About Greenlife Healthcare Staffing: Greenlife Healthcare Staffing is a leading... 
    Hourly pay
    Full time
    Private practice
    Monday to Friday
    Day shift

    GreenLife Healthcare Staffing

    Syracuse, NY
    13 days ago
  • Full Time, Days At Houston Methodist, the Utilization Review Nurse (URN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and concurrent medical record review for medical necessity and level of care using nationally recognized... 
    Permanent employment
    Full time
    Work experience placement
    Local area

    Houston Methodist

    Houston, TX
    21 days ago
  • $27.86 - $43.46 per hour

     ...we know that to inspire and retain the best people, we must empower them. Providence Health Plan is calling an Associate Utilization Review Specialist who will: Be responsible for all core functions in one or more of the following clinical teams: Prior-authorization... 
    Full time
    Work at office
    Local area
    Remote work
    Shift work

    Providence Health Plan

    Oregon, OH
    9 days ago
  •  ...culture by living our values in our day-to-day interactions with our patients and teammates. Job Summary The Social Worker-Utilization Review monitors adherence to the hospital's utilization review plan to ensure appropriate use of hospital services, admissions, and... 

    ScionHealth

    Palestine, TX
    12 days ago
  • $38.5k

     ...About the Position : Under general direction of the Director of Operations, the Utilization Review (UR) Specialist helps to manage the facility’s utilization management processes.  This includes preparing of documentation necessary for the pre-certification of admissions... 
    Hourly pay
    Full time
    Work at office
    Monday to Friday
    Flexible hours
    Shift work

    Oklahoma Department of Mental Health and Substance Abuse Ser...

    Norman, OK
    25 days ago
  •  ...-lives, training, ongoing monthly meetings, Quarterly Business Reviews (QBRs), and ad-hoc touch points. This position is also responsible...  ...(CSEs) to assess and analyze clinical insights for customers utilizing the product(s). Collaborates with CSEs on client narratives and... 
    Full time
    Live in
    Work at office
    3 days per week

    EvidenceCare

    Nashville, TN
    23 days ago
  • $1,710 - $1,792 per week

    Embark on a meaningful journey as a Registered Nurse in Utilization Review, where your clinical expertise advances patient outcomes while shaping efficient, evidence-based care across the health system. In this role, you’ll blend medical insight with policy acumen to ensure... 
    Hourly pay
    Weekly pay
    Contract work
    Temporary work
    Zero hours contract
    Local area
    Relocation
    Relocation package
    Flexible hours
    Shift work

    Healthforce by TLC

    Arcata, CA
    5 days ago
  • $2,193 per month

     ...Job Overview TLC Nursing Associates, Inc. is seeking an experienced Registered Nurse (RN) – Utilization Review to assess the medical necessity, efficiency, and appropriateness of healthcare services. This role involves reviewing patient care plans, ensuring compliance... 
    Weekly pay
    Zero hours contract
    Shift work
    Arcata, CA
    7 days ago
  • $106.25k

     ...Shape the Future of Patient-Centered Care Attune Pharmaceuticals is seeking a detail-oriented, clinically astute Remote Utilization Review Nurse (RN) to join our expanding clinical operations team. This role offers the opportunity to work at the intersection of healthcare... 
    Remote work
    Flexible hours

    Attune Pharmaceuticals

    New York, NY
    8 days ago
  • $200k - $230k

     ...Vice President of Utilization Review – Exact Billing Solutions (EBS)  Lauderdale Lakes, FL - In Office - No Remote Salary Range: $200K - $230K This is a full-time, on-site role requiring daily presence at our Lauderdale Lakes, FL location.   Who We Are... 
    Full time
    Work at office
    Remote work
    Flexible hours

    ICBD

    Lauderdale Lakes, FL
    a month ago
  • $46 per hour

     ...Glendale, Colorado. The RNs will assist in the coordination and review of healthcare services for veterans, including clinical...  ...review consults/requests for completeness and appropriateness/utilization review. • Dispositioning care in the community per utilization... 
    Long term contract
    Contract work
    Work at office

    Adelphi Staffing

    Glendale, CO
    28 days ago
  •  ...Clinical Care Manager who is passionate about advancing high‑quality, compliant, patient‑centered care through precise and timely Utilization Review. In this role, you will apply clinical expertise and regulatory knowledge to evaluate healthcare services, ensure medically... 
    Bi-weekly pay
    Full time
    Temporary work
    For contractors
    Local area
    Remote work
    Work from home

    Guidehealth

    Decatur, IL
    18 days ago
  •  ...Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are...  ...license and Workers’ Compensation Board Certification to conduct Utilization Reviews. This is a fully remote, non-clinical role offering... 
    Price work
    Extra income
    Contract work
    For contractors
    Remote work
    Flexible hours

    Dane Street, LLC

    New York, NY
    more than 2 months ago