Average salary: $149,508 /yearly
More statsGet new jobs by email
$2,150 per week
AMN Healthcare Revenue Cycle is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Atlanta, Georgia. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 11/16/2026 Duration: 13 weeks 40 hours per week...SuggestedTemporary workMonday to FridayShift workAMN Healthcare Revenue Cycle
Atlanta, GA8 days ago- ...New Mexico Oregon Utah Tennessee Texas Wyoming The Utilization Review Specialist assumes responsibility and accountability for admission... ...first, second and third level appeals. Consults with managers on problem cases and interfaces with case managers, clinical...SuggestedFull timeRemote work
Quorum Health
United States2 days ago - Torrance Memorial seeks an experienced Utilization Review Case Manager to review patient charts and determine appropriate levels of care using MCG criteria. The role ensures payer authorization for services and coordinates with clinical staff during discharge planning and...Suggested
- ...clinical in nature and will require organization and tracking of utilization review information for the mental health centers of Alabama... ...BOS). Actively participates in the utilization review and management of continuum and Region 3 resources. Acts as residential...SuggestedFull timeWork at officeLocal areaImmediate startMonday to Friday
Integrea Community Mental Health System
Opelika, AL10 days ago - This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Case Manager - Utilization Review Specialist based in the United States. Join a healthcare team dedicated to improving utilization management...SuggestedFull timeLive inRemote work
$72.5 - $85 per hour
...Senior Project Manager - Utility Capital Programs Seattle, WA Full-Time | On-Site/Client-Facing Why Join CMTS? At CMTS, we deliver... ...financial forecasts, cost reports, and earned-value analyses Review invoices, monitor project profitability, and identify...SuggestedFull timeContract workFor subcontractor- Atlantic Health is seeking a Manager for Central Utilization Review in Morristown, NJ. The role leads denial prevention initiatives and collaborates with revenue cycle leaders to optimize care levels, documentation, and workflows across hospital sites. Responsibilities...Suggested
- ...Jobgether, in partnership with a healthcare team, seeks a Case Manager – Utilization Review Specialist based in the United States. This fully remote role focuses on admission and concurrent reviews, denials prevention, and coordinated appeals to support patient care and...SuggestedRemote work
Jobgether
United States1 day ago $97.95k - $127.98k
...Utilization Review Nurse Capital Health is the region's leader in providing progressive, quality patient care with significant investments... ...evaluation of length of stay and resource consumption. Manages activities of assigned staff in the process of providing utilization...SuggestedFull timeTemporary workPart timeRelocation packageFlexible hoursShift work$41.6k - $52k
...Job Title: Utilization Review Coordinator Reports To: Revenue Cycle Management Leadership Location: Remote FLSA Status: 90 day Temporary to Direct Hire Schedule: Monday-Friday 8am-5pm Compensation: $20-25/hour Northpoint Recovery Holdings, LLC began...SuggestedFull timeTemporary workRemote workMonday to Friday- ...health care services provided to plan members. • Supports plan utilization management program and accompanying action plan(s), which includes... ...national committee for quality assurance (NCQA) and utilization review accreditation commission (URAC) certifications. • Provides...SuggestedWork at officeLocal area
Molina Healthcare, Inc.
Wisconsin4 days ago - ...The Utilization Review/Case Manager is responsible for coordinating patient care services and managing utilization review functions to ensure appropriate level of care, timely insurance authorization, and effective discharge planning. This role serves as the primary liaison...SuggestedFull timeLocal area
Freedom Behavioral Hospital of Monroe
West Monroe, LA3 days ago $25 - $35 per hour
Overview 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...SuggestedHourly payReliefMonday to FridayDay shift- Manager, Central Utilization Review- Full Time, Days, 8 AM - 4 PM, Morristown NJ Morristown, NJ, United States Job Description Lead AHS clinical denial prevention and management initiatives to support appropriate level of care. Works closely with AHS revenue cycle leaders...SuggestedFull timeContract workLocal area
- NOR Healthcare Systems Corp. in Bellflower, CA is seeking an Utilization Review Specialist to manage back-office case management functions. You will interface with payors and providers for authorizations and medical records, ensure timely reviews, and support the team with...Suggested
- ...Experience Required Exp with Utilization Review, Medical Audit/Review or QI preferred License(s) Required Must be a graduate of an... ...payer utilization reviews; supports quality improvement, risk management, and discharge planning activities; validates census...Full timeApprenticeshipShift work
Central Montana Medical Center
Lewistown, MT2 days ago - ...Citizens Health is recruiting a Utilization Review Coordinator to work full-time in our hospital. Our Mission: Enhancing the lives... ...patients, as required. Coordinate Quality Assessment and Risk Management program within the department. Provide educational...Full timePart timeWork at officeFlexible hoursShift workWeekend work
Citizens Health
Colby, KS5 days ago - ...Utilization Review CoordinatorMedical Behavioral Hospital of Indianapolis is looking for a Utilization Review Coordinator to coordinate patients... ...level reviews, and report the outcomes to the VP of Care Management and Team.Provides education to nursing staff. ;eadership...Work at office
NeuroPsychiatric Hospitals
Greenwood, IN4 days ago - ...To support the Utilization Review function, the part-time Utilization Review Coordinator will manage the authorization process by coordinating documentation, tracking authorizations, and assisting Utilization Review Specialists, all while working remotely. Key responsibilities...Part timeRemote work
Virtual Vocations Inc
United States3 days ago - ...Quorum Health Corporation is seeking a remote Utilization Review Specialist (Case Manager) to support admission decisions and appeals. The role requires an RN license and strong knowledge of criteria sets to support clinical appeals and quality reviews. Responsibilities...Full timeRemote work
Quorum Health Corporation
Lexington, KY1 day ago - ...Applications – Protection & Controls, Electric Utility is responsible for leading the... ...sales, application engineering, product management, business development, and market strategy... ...planning, CRM practices, and monthly business reviews. Evaluate and enhance sales...Full timeRemote workFlexible hours
- ...Responsibilities Full Time Utilization Review Coordinator - Needed! Springwoods Behavioral Health , an 80-bed behavioral health facility... ...and utilization as set forth in the UM plan by effective management and communication. The UM Coordinator functions as the internal...Full timeLocal area
Arbour SeniorCare
Fayetteville, AR2 days ago - ...inpatient services. website: centennialpeaks.com The Utilization Review Coordinator possesses knowledge of psychiatric clinical diagnosis... ...those indicators professionally. The UM Coordinator manages medical necessity by evaluating the patient medical records...Work at officeLocal areaFlexible hours
ignoredontpost
Louisville, CO1 day ago - ...Avenues Recovery Center is Now Hiring: Utilization Review SpecialistsAvenues Recovery Center is a nationwide network of drug and alcohol rehabilitation... ...attention to detail and documentation accuracyAbility to manage multiple cases and deadlinesSound judgment and critical...Work at officeImmediate startFlexible hours
Avenues Recovery
Lakewood, NJ2 days ago - ...Job Title In this position you will be reviewing patient charts to determine if pre-elective surgical cases should be boarded... ...Minimum 3-5 years of clinical experience preferred. Previous utilization management or case management experience preferred....Full timeRemote workMonday to Friday
Populance
United States1 day ago - ...Responsibilities Utilization Review (UR) Coordinator Position: Full-Time Shift: Daytime For over 60 years, Calvary Healing Center... ...Coordinator Duties The UR Coordinator is responsible for managing the treatment activities offered to the patient, including...Full timeLocal areaShift work
Clive Behavioral
Phoenix, AZ1 day ago - ...Mountain View Hospital is looking for a Utilization Review Coordinator to join our team!JOB SUMMARY: As a member of the Utilization Management Team, the URCoordinator helps establish and maintain efficient methods of ensuring the medical necessity and appropriateness...Full timePart timeRelief
Mountain View Hospital
Idaho Falls, ID3 days ago - ...Utilization Review CoordinatorCentennial Peaks Hospital has been providing psychiatric services to the Denver-metro area for more than 30... ...articulate those indicators professionally. The UM Coordinator manages medical necessity by evaluating the patient medical records...Work at officeLocal area
Universal Health Services
Louisville, CO5 days ago - ...Utilization Review Coordinator Per DiemCoastal Harbor Health is currently seeking a Utilization Review Coordinator Per Diem to coordinate... ...related experience and/or training preferred Must have some management experience with a demonstrated leadership ability and skills...Daily paidTemporary workReliefLocal area
Universal Health Services
Savannah, GA3 days ago - ...~ Employee Wellness Program and Counseling Services ~ The Utilization Review Coordinator acts as a liaison between the organization and the... ..., the physicians, the Interdisciplinary Treatment Team, the Managed Care Organization and Administration. ~ This position...Full time
Canopy
Jackson, MS5 days ago
