Average salary: $103,532 /yearly

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  •  ...Job Description Trinity Health FirstChoice is seeking a travel nurse RN Utilization Review for a travel nursing job in Mason City, Iowa. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Duration: 13 weeks ~40 hours per week... 
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    Temporary work
    Local area
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    Shift work

    Trinity Health FirstChoice

    Mason City, IA
    22 days ago
  • 43034441 Utilization Review Case Manager Home Health PRN, Days Why work as a Utilization Review Case Manager at Visiting Nurse and Hospice for Vermont and New Hampshire? You experience satisfying and challenging work that makes a difference, every... 
    Suggested
    Relief
    Immediate start
    Remote job
    Flexible hours
    Shift work
    Monday to Friday

    Dartmouth Health

    Hartford, VT
    2 days ago
  • $136 per hour

     ...Supplemental Health Care is seeking a travel nurse RN Utilization Review for a travel nursing job in Louisville, Kentucky. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: ASAP ~ Duration: 13 weeks ~40 hours per... 
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    Full time
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    Part time
    For contractors
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    Immediate start
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    Supplemental Health Care

    Louisville, KY
    6 days ago
  • $136 per hour

     ...Supplemental Health Care is seeking a travel nurse RN Utilization Review for a travel nursing job in Las Cruces, New Mexico. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: ASAP ~ Duration: 13 weeks ~40 hours... 
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    Full time
    Contract work
    Part time
    For contractors
    Local area
    Immediate start
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    Supplemental Health Care

    Las Cruces, NM
    12 days ago
  •  ...clarity to business practices, leading with clinical approaches, and utilizing state-of-the-art technology. Join us in improving health...  .... Position Summary: The Director, Utilization Management Review will lead and oversee the development, implementation, and... 
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    Full time
    Remote job

    Side Hamburg

    Pennsylvania
    2 days ago
  •  ...Job Description Job Description Utilization Review Coordinator Umpqua Health Umpqua Health is recruiting a Utilization Review Coordinator...  ..., active licensure in one of the following: registered nurse (RN), licensed practical nurse (LPN), respiratory therapist (... 
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    Umpqua Health

    Roseburg, OR
    13 days ago
  •  ...Palmetto Lowcountry Behavioral is currently recruiting for  Utilization Review Coordinator  Position Summary The Utilization Review...  ...:  Master’s Degree or RN required.  Clinical degree such as nursing, social work, psychology, health information management or other... 
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    Full time
    Local area

    Palmetto Lowcountry Behavioral Health

    North Charleston, SC
    more than 2 months ago
  •  ...Travel Case Manager (Utilization Review) - $3,070 per week at Solomon Page summary: This role is for a Travel Registered Nurse (RN) specializing in Case Management, providing patient care coordination for a 13-week assignment in Bronx, New York. The position requires... 
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    Full time
    Locum
    Immediate start
    Remote job
    Flexible hours
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    Solomon Page

    Bronx, NY
    2 days ago
  •  ...Travel Utilization Review Case Manager - $2,431 per week at Solomon Page summary: This role involves providing case management services as a registered nurse in a travel nursing assignment based in White Plains, New York. The position requires a current New York RN... 
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    Full time
    Locum
    Immediate start
    Remote job
    Flexible hours
    Shift work

    Solomon Page

    White Plains, NY
    2 days ago
  •  ...This position is responsible for timely review of request for post-acute services and based...  ...of requested services. The Utilization Review Clinician will comply with all standard...  ...work experience 4-6 years of clinical nursing or therapy experience RN, PT, or OT Compact... 
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    Holiday work
    Full time
    Work experience placement
    Remote job

    WellSky

    Oregon City, OR
    4 days ago
  •  ...Job Description Job Description The Utilization Review Case Manager gathers demographic and clinical information on prospective, concurrent...  .../EXPERIENCE: ~ Graduate of accredited school of nursing with a diploma/Associates degree (Bachelor of Science degree... 
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    Minimum wage
    Full time
    Local area
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    Flexible hours

    CorVel Healthcare Corporation

    Rancho Cucamonga, CA
    8 days ago
  •  ...responsible for performing initial, concurrent review activities; discharge care coordination...  .... Provides information regarding utilization management requirements and operational...  ...JOB QUALIFICATIONS (Required): Registered Nurse (RN) with a valid, current, unrestricted... 
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    Remote job
    Hourly pay
    Contract work

    Bracane Company

    Richardson, TX
    1 day ago
  • Salary: $2280 / Week The Utilization Review Specialist is responsible for the assessment and review of the healthcare delivery system with a...  ...Minimum Requirements: + Current license for the state in which the nurse practices if nursing licensure is required by contract + A... 
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    Local area
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    Amergis

    Oakland, CA
    8 days ago
  •  ...a company that values work-life balance, continuous learning, and career development. Summary We are seeking a skilled Utilization Review Nurse to conduct prior authorization, prospective, concurrent, and retrospective reviews for medical necessity and appropriateness... 
    Suggested
    Remote job
    Full time
    Contract work
    Flexible hours

    Gainwell Technologies

    Orono, ME
    4 days ago
  •  ...Description Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician...  ...Spine experience preferred) licensed in Mississippi to perform Utilization Reviews . This is a non-clinical, fully remote role designed... 
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    Price work
    Contract work
    For contractors
    Second job
    Remote job

    Dane Street, LLC

    Parchman, MS
    2 days ago
  •  ...the Role The purpose of this position is to ensure that the utilization process is thorough, organized and streamlined to provide the...  ...Oversees all functions of a virtual IOP caseload Completes peer reviews on cases with insurance Collaborates at a high level to... 
    Full time
    Local area
    Remote job

    Charlie Health

    Nashville, TN
    9 days ago
  •  ...Billing Solutions is an industry-leading revenue cycle management company for healthcare organizations. We are looking to add a Utilization Review Specialist to our growing team. The Utilization Review Specialist will utilize his or her knowledge and skills to review... 
    Full time
    Remote job
    Flexible hours

    Spectrum Billing Solutions

    Skokie, IL
    12 days ago
  •  ...specialized medical billing services for behavioral health and substance abuse treatment centers is seeking an experienced Utilization Review (UR) Specialist to join our dynamic and fast-paced team. This is a confidential opportunity ideal for a professional with 5+... 
    Remote job

    Quadrant Health Group

    Boca Raton, FL
    18 days ago
  •  ...Position Purpose: Performs a clinical review and assesses care related to mental health...  ...data to improve quality and appropriate utilization of services Provides education to providers...  ...Graduate of an Accredited School Nursing or Bachelor's degree and 2 - 4 years of... 
    Hourly pay
    Holiday work
    Full time
    Part time
    Remote job
    Flexible hours

    Centene Corporation

    Tallahassee, FL
    2 days ago
  •  ...31.00 - 49.50 **Job Summary** The Peer Review Specialist facilitates provider peer review...  ...and assigned routine monitoring, utilizing defined guidelines and criteria of the Medical...  ...* Graduate from a nationally accredited nursing program preferred, including, but not... 
    Full time
    Part time
    Shift work
    Day shift

    Sanford Health

    Sioux Falls, SD
    18 hours ago
  •  ...flexibility. Position Purpose: Performs reviews of member's care and health status of...  ...data to improve quality and appropriate utilization of services Interacts with BH healthcare...  ...Requires Graduate of an Accredited School Nursing or Bachelor's degree and 2 - 4 years of... 
    Hourly pay
    Holiday work
    Full time
    Part time
    Remote job
    Flexible hours

    Centene Corporation

    New York, NY
    18 hours ago
  • Description Job Opportunity: Registered Nurse - Utilization Review Facility: CSMN - 8714024 - MNS Quality Management Location: Los Angeles, CA Employment Type: Travel/Contract Shift: Day (5x8 Hours) 8:00 17:00 Start Date: 2/24/2025 Job Duration: 13 weeks Compensation... 
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    Contract work
    Remote job
    Shift work

    Zenex Partners

    Los Angeles, CA
    4 days ago
  •  ...Responsibilities:** Under the direction of a supervisor, the Clinical Care Reviewer Utilization Management (UM) will be scheduled to work non-traditional...  ...**Education & Experience:** · Associate's Degree in Nursing (ASN) required; Bachelor's Degree in Nursing (BSN) preferred... 
    Holiday work
    Immediate start
    Remote job
    Flexible hours
    Shift work
    Weekend work
    Sunday
    Saturday

    AmeriHealth Caritas

    United States
    a month ago
  • NOW HIRING: Registered Nurse - Utilization Management Location: Buckley AFB & Peterson AFB, Colorado Military Health System Compensation: $...  ...2 consecutive months in Utilization Management, Utilization Review, or Case Management • Preferred Certifications: Not required... 
    Holiday work
    Contract work
    Immediate start
    Remote job
    Monday to Friday

    J Edward Staffing LLC

    Aurora, CO
    3 days ago
  •  ...Wilshire Blvd, Beverly Hills, CA Required: * RN license in CA * 3 years of clinical experience in hospital or urgent care * Utilization review experience * Knowledge of ICD10, CPT, HCPC * Familiarity with HMO, PPO, POS Preferred: * Managed care experience * Knowledge... 
    Local area
    Remote job
    Weekend work

    Zenex Partners

    Beverly Hills, CA
    2 days ago
  • Job Description: This position will be remote role for Nurses in Michigan Should have a valid MI RN License Should Have utilization management experience. Should have experience completing post-acute reviews for the inpatient rehab, skilled nursing facility settings previously... 
    Remote job

    LanceSoft

    Michigan Center, MI
    4 days ago
  • Join to apply for the RN / Nurse Utilization Review (Medicaid) role at Elevance Health 1 week ago Be among the first 25 applicants Join to apply for the RN / Nurse Utilization Review (Medicaid) role at Elevance Health RN Utilization Review Nurse (Washington D.C. Medicaid... 
    Holiday work
    Full time
    Temporary work
    Work experience placement
    Local area
    Remote job
    Flexible hours
    Day shift

    Elevance Health

    Washington DC
    18 hours ago
  •  ...technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our Utilization Review Nurse , you will help our hospital clients by working alongside our Physician Advisory team to provide first-level initial... 
    Hourly pay
    Local area
    Remote job
    Shift work
    Weekend work
    Afternoon shift

    R1 RCM

    Boise, ID
    4 days ago
  • Description Registered Nurse - Utilization Review Location: Apple Valley, CA Duration: 13 weeks Pay Rate: $40 -$50 / Hr. Shift: Day 5x8-Hour (08:00 - 16:30) Job Description: Willing to work weekends (expectation is they work a minimum of at least 4 weekend shifts... 
    Holiday work
    Remote job
    Shift work
    Weekend work
    Sunday
    Day shift
    Saturday

    Zenex Partners

    Apple Valley, CA
    18 hours ago
  • RN Utilization Management/Review Nurse - InPatient Medicaid (JR155056) Location: This position requires you to reside in the state of West Virginia. Virtual: This role enables associates to work virtually full-time providing maximum flexibility and autonomy. This approach... 
    Holiday work
    Full time
    Temporary work
    Local area
    Remote job
    Monday to Friday

    Elevance Health

    Morgantown, WV
    1 day ago