Average salary: $113,396 /yearly

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  • Complexity of Work: Essential Competencies and Skills: Excellent customer service and interpersonal skills. Able to effectively present information, both formal and informal. Strong written and verbal communications skills with all levels of internal and external customers...
    Suggested
    Work experience placement

    Memorial Healthcare System

    Hollywood, FL
    1 day ago
  •  ...successfully passing CHAP surveys and client audits; and operate with ethics at the center of our Core Values. We are looking for a Utilization Review Licensed Vocational Nurse to join our fast-growing team. Become part of a notable company and help us achieve our goals!... 
    Suggested
    Work at office

    NEOGEN CARE

    Los Angeles, CA
    4 days ago
  •  ...Utilization Review Registered Nurse Join a stable work-from-home team! This is a great opportunity for a local remote position. There is no communication with patients. This position supports all units/staff (commercial behavioral health inpatient etc.). PRN (at... 
    Suggested
    Full time
    Relief
    Local area
    Remote work
    Work from home
    Monday to Friday
    Flexible hours
    Shift work

    Aya Healthcare

    Saint Louis, MO
    9 hours agonew
  • Registered Nurse Job Type: Travel Profession: Registered Nurse Specialty: Utilization Review Shift: 12 Hour Mid 11-11 Start Date: 04/20/2026 End Date: 07/20/2026 Duration: 13 Week(s) City: Whittier State: CA NURSEBEE
    Suggested
    Shift work

    NURSEBEE

    Whittier, CA
    1 day ago
  •  ...Utilization Review Specialist Avenues Recovery Center is a nationwide network of drug and alcohol rehab centers with eighteen locations across seven states. We offer highly individualized treatment in a clean, modern, comfortable setting, spanning every level of care... 
    Suggested
    Temporary work
    Currently hiring
    Flexible hours

    Avenues Recovery

    Jackson, NJ
    2 days ago
  •  ...Director of Utilization Review Under the direction of the Director of Utilization Review, the Specialist will coordinate Medicaid Managed Care authorizations and re-authorizations for clients receiving behavioral healthcare services from Odyssey House's Part 820 residential... 
    Suggested
    Temporary work
    Flexible hours

    Odyssey House

    New York, NY
    3 days ago
  • $71.61k - $111k

    Utilization Review Nurse page is loaded## Utilization Review Nurselocations: 43 New Scotland Avenue Albany, NY 12208time type: Full timeposted on: Posted Yesterdayjob requisition id: 67356Department/Unit:Care Management/Social WorkWork Shift:Day (United States of America... 
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    Shift work

    Albany Medical College

    Albany, NY
    1 day 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 04/10/2026. End date 07/10/2026. Duration 13 weeks. City Uniondale, State NY, Zip Code 11556. RC Healthcare
    Suggested
    Shift work

    RC Healthcare

    Uniondale, NY
    3 days ago
  • $39 - $41 per hour

    Job Title: Utilization Review Nurse Location: United States Job Type: Contract Expected Hours per Week: 40 hours per week Schedule: Monday-Friday, 9:00 AM - 5:00 PM, Remote. Pay Range: $39-41 per hour We’re seeking an experienced Registered Nurse to support Utilization... 
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    Hourly pay
    Contract work
    Work at office
    Remote work
    Monday to Friday

    EPITEC

    Albuquerque, NM
    2 days ago
  • $52.26 - $81.13 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 and... 
    Suggested
    Hourly pay
    Local area
    Shift work

    Swedish

    Seattle, WA
    4 days ago
  • $17.44 per hour

    About the Position Tulsa Center for Behavioral Health is recruiting for a Utilization Review Specialist. The role involves reviewing clinical documentation to ensure admission appropriateness, continued stay criteria, and special studies related to care delivery and treatment... 
    Suggested
    Hourly pay
    Full time
    Work at office
    Flexible hours
    Weekend work

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

    Tulsa, OK
    4 days ago
  • $71.61k - $111k

    Utilization Review Nurse page is loaded## Utilization Review Nurselocations: 43 New Scotland Avenue Albany, NY 12208time type: Full timeposted on: Posted Todayjob requisition id: 69429Department/Unit:Care Management/Social WorkWork Shift:Day (United States of America)Salary... 
    Suggested
    Remote work
    Shift work

    Albany Medical College

    Albany, NY
    4 days ago
  •  ...Job Opportunity You will review patient cases for medical necessity and establish service suitability. You'll educate the healthcare...  ..., terminology, and clinical documentation Experience with utilization review, discharge planning, and levels of care determination... 
    Suggested
    Work at office

    IntelyCare

    Dallas, TX
    9 hours agonew
  •  ...Utilization Review Coordinator NeuroPsychiatric Hospital of Indianapolis is looking for a Utilization Review Coordinator to coordinate patients' services across the continuum of care by promoting effective utilization, monitoring health resources and elaborating with... 
    Suggested
    Work at office

    NeuroPsychiatric Hospitals

    Indianapolis, IN
    1 day ago
  • $52.26 - $81.13 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

    Seattle, WA
    3 days ago
  •  ...Utilization Review Nurse 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... 

    Providence Health & Services

    Seattle, WA
    1 day ago
  •  ...Utilization Management Reviewer $5,000.00 SIGN ON BONUS Role Overview Our Utilization Management Reviewers evaluate medical necessity for inpatient and outpatient services, ensuring treatment aligns with clinical guidelines, regulatory requirements, and patient... 
    Relocation package
    Monday to Friday
    Weekend work

    Blue Cross Blue Shield of Michigan

    Washington DC
    3 days ago
  •  ...RN - Utilization Review Utilization Review RN Must have current utilization review experience within the last year. ASAP Start Prefer local candidates in the DC area 60 mile traveler radius This position will be working out of the Medstar Georgetown facility starting... 
    Local area
    Immediate start

    PSNYC

    Washington DC
    2 days ago
  •  ...coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As Utilization Review Specialist joining our team, you're embracing a vital mission dedicated to making communities healthier. Join us on this... 
    Full time
    Temporary work
    Part time
    Flexible hours

    Lifepoint Health

    Gilbert, AZ
    1 day ago
  •  ..., and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: drugs and biologics, inpatient admissions, outpatient services, surgical and diagnostic procedures. Staffing
    Remote work

    Staffing

    Albuquerque, NM
    3 days ago
  • $57.28 - $88.92 per hour

     ...Description Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost effective care to the members. Providence caregivers are not simply valued – they’re invaluable. Join our team at... 
    Minimum wage
    Full time
    Work at office
    Local area
    Shift work

    Providence Health and Services

    Pacoima, CA
    4 days ago
  • $32.8 per hour

     ...Utilization Review (Ur) Coordinator Since 1938 we have grown to over 70 programs, providing assistance to individuals and families throughout the Diocese of Paterson and beyond - we provide help and create hope for thousands of people each day. Our ability to deliver... 
    Hourly pay
    Full time
    Monday to Friday
    Flexible hours

    Catholic Charities Diocese of Paterson

    Parsippany, NJ
    3 days ago
  • 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

    Pharmacy Careers

    Albuquerque, NM
    1 day ago
  • $17.44 per hour

    A state agency in Tulsa is seeking a Utilization Review Specialist I responsible for reviewing clinical documentation to ensure the appropriateness of admissions and ongoing care. The position requires a bachelor's degree or equivalent experience in social work or psychology... 
    Hourly pay
    Full time

    State of Oklahoma

    Tulsa, OK
    1 day ago
  • $41 - $45.5 per hour

     ...supports members through clinical assessments, health education, and utilization management. Key Responsibilities: Perform clinical...  ...outcomes. Conduct prospective, concurrent, and retrospective reviews for inpatient, rehab, referrals, and select outpatient services... 
    Remote job

    Mindlance

    Wisconsin
    1 day ago
  • Responsibilities Three Rivers Midlands is seeking a dynamic & talented Full-time Lead Utilization Review Coordinator. Three Rivers Midlands is a comprehensive behavioral health facility treating children and adolescents through residential and Rehabilitative Behavioral... 
    Full time
    Local area

    Universal Hospital Services Inc.

    Columbia, SC
    2 days ago
  • $94.14k - $141.2k

    A healthcare organization is looking for a Clinical Reviewer, Inpatient RN, responsible for managing complex cases for members in inpatient...  ...license in Massachusetts and at least 3 years of clinical and utilization management experience. Key responsibilities include... 

    Point32Health

    Oklahoma City, OK
    2 days ago
  • A health solutions provider is seeking an Initial Review Pharmacy Technician in Annapolis, MD. This role involves executing utilization management programs and reviewing requests for therapeutic appropriateness for various medications. Candidates must possess a high school... 

    Prime Therapeutics

    Annapolis, MD
    1 day ago
  • $23.08 - $37.02 per hour

    A leading pharmacy benefit manager is seeking an Initial Review Pharmacy Technician in Austin, Texas. This role involves executing utilization management programs, reviewing patient information, and communicating with healthcare providers. The ideal candidate should have... 

    Prime Therapeutics

    Austin, TX
    1 day ago