Average salary: $103,532 /yearly
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$2,800 per week
HonorVet Technologies is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Orange, California. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 04/27/2026 Duration: 12 weeks 40 hours per week Shift...SuggestedContract workRemote workMonday to FridayShift workHonorVet Technologies
Villa Park, CA2 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....SuggestedFor contractorsH1bWork at officeLocal areaRemote workPublic Consulting Group
Helena, MT1 day ago$76k - $85k
...A leading public sector solutions firm is seeking a Utilization Review Nurse to perform prior authorization and medical reviews in a remote environment. The role requires at least 2 years of clinical nursing experience and an RN license. Responsibilities include using...SuggestedRemote workPublic Consulting Group
Helena, MT1 day ago$76k - $85k
...A public sector solutions firm is seeking a Utilization Review Nurse to perform prior authorization and clinical reviews. Candidates should have a minimum of 2 years of clinical nursing experience and be an RN. This role involves using medical management software, effective...SuggestedRemote workPublic Consulting Group
Albany, NY1 day ago- ...WHAT WE'RE LOOKING FOR We have openings in our Omaha, Nebraska office for Utilization Review Nurses. The Utilization Review Nurse ensures all aspects of an injured worker’s treatment are effective, efficient, and in accordance with applicable legal requirements. This is...SuggestedPermanent employmentFull timeWork at officeWork from home2 days per week
Berkshire Hathaway Homestate Companies
Omaha, NE1 day ago - ...A leading insurance provider in Omaha, Nebraska is seeking a full-time Utilization Review Nurse to ensure effective management of injured workers' treatments. This role does not require prior utilization review experience and is perfect for skilled nurses looking to transition...SuggestedFull timeWork at officeRemote workWork from home
Berkshire Hathaway Homestate Companies
Omaha, NE1 day ago $85k - $105.34k
...UTILIZATION REVIEW NURSE HYBRID, must be able to travel to 3031 NE STEPHENS ST. ROSEBURG, OR 97470 EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At Umpqua Health, we’re more than a healthcare organization—we’re a community-driven Coordinated...SuggestedFull timeWork at officeLocal areaImmediate startRemote workMonday to FridayUmpqua Health
United States1 day ago$40 per hour
...responsible for performing initial, concurrent review activities; discharge care coordination... .... Provides information regarding utilization management requirements and operational... ...providers and facilities. Registered Nurse (RN) with valid, current, unrestricted license...SuggestedFull timeContract workWork at officeRemote workHireOps Staffing LLC
United States2 days ago$76k - $85k
...A public sector solutions firm is seeking a remote Utilization Review Nurse to handle prior authorizations and reviews. Responsibilities include recording determinations regarding healthcare costs and identifying quality issues. Candidates must be a graduate of an accredited...SuggestedRemote workPublic Consulting Group
Charleston, WV3 days ago$47.06k - $70.24k
...A healthcare solutions provider is seeking a Utilization Review Nurse in Fort Worth, TX. This remote role involves analyzing medical bill appropriateness, documenting findings, and communicating with claims examiners. Candidates must have a current RN license and at least...SuggestedRemote workCare Options For Kids
Fort Worth, TX3 days ago$76k - $85k
...A public sector consulting firm is seeking a Utilization Review Nurse responsible for performing prior authorization and clinical reviews. The ideal candidate will have strong communication and organizational skills, with a minimum of 2 years of nursing experience. This...SuggestedRemote workPublic Consulting Group
Cheyenne, WY3 days ago$65k - $78k
...in 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...SuggestedFull timeContract workWork at officeRemote workWork from homeFlexible hoursGainwell Technologies
Juneau, AK3 days ago$76k - $85k
...A leading public sector solutions firm is hiring a Utilization Review Nurse in Idaho Falls. This role entails performing prior authorization reviews and using clinical documentation to determine healthcare costs. Candidates must have an RN license and at least 2 years...SuggestedRemote workPublic Consulting Group
Idaho Falls, ID3 days ago$76k - $85k
...A prominent consulting firm is seeking a Utilization Review Nurse to perform prior authorizations and manage medical reviews from a remote position. Candidates must have a nursing degree and at least two years of direct clinical experience. Strong communication, problem...SuggestedRemote workPublic Consulting Group
Salem, OR3 days ago$41 per hour
...Medical Review Nurse (RN) Remote position, however, candidates must reside in the State of TX or State Of IL This position is a contract for about 9 months. Pay: $41/hour RN working in the insurance or managed care industry using medically accepted criteria...SuggestedContract workRemote workHireOps Staffing LLC
United States25 days ago$76k - $85k
...A leading public sector solutions firm is seeking a Utilization Review Nurse to perform medical management activities and healthcare reviews. The role involves prior authorizations, documenting clinical determinations, and communicating quality issues. With a focus on...Remote workPublic Consulting Group
Raleigh, NC3 days ago$76k - $85k
...A leading public sector solutions firm is seeking a Utilization Review Nurse to perform reviews, use medical management software, and ensure quality care. This remote role requires an RN, along with a minimum of 2 years’ clinical nursing experience and proficiency in...Remote workPublic Consulting Group
Salt Lake City, UT3 days ago$76k - $85k
...A leading public sector solutions firm is seeking a Remote Utilization Review Nurse to perform prior authorizations and reviews based on clinical documentation. The role requires an Associate's or Bachelor's degree in Nursing, a valid RN license, and a minimum of two...Remote workPublic Consulting Group
Montgomery, AL3 days ago- ...A leading healthcare solutions company seeks a skilled Utilization Review Nurse to conduct vital reviews for medical necessity and appropriateness. The ideal candidate will have an active RN license, 3+ years of inpatient clinical experience, and strong written communication...Remote workWork from homeFlexible hours
Gainwell Technologies
Juneau, AK3 days ago - ...Job Title Utilization Review/Case Management – Nurse Department Case Management (Quality) Hours & Shift Requirements Full time position. Hybrid (combination of in person and remote considered) General Summary The Utilization Review/Case Management Nurse is directly responsible...Full timeRemote workShift work
Gibson Area Hospital
Gibson City, IL1 day ago - ...A global talent management firm is seeking a Utilization Review Nurse for a contract role based in Pennington, NJ. The role involves performing utilization management, reviewing medical records, and coordinating discharge planning. Candidates must have an active RN license...Contract workRemote work
Rangam
Pennington, NJ10 hours ago - ...A company is looking for a Utilization Review Nurse RN (Part-Time). Key Responsibilities Provide assessments and reviews for the medical necessity of treatment requests and plans Conduct first level reviews for outpatient and inpatient pre-certification requests, ensuring...Part timeRemote work
Virtual Vocations Inc
United States6 hours agonew - ...JOB TITLE: UTILIZATION REVIEW/CASE MANAGEMENT - Nurse DEPARTMENT: CASE MANAGEMENT (QUALITY) HOURS & SHIFT REQUIREMENTS: Full time position. Hybrid (combination of in person and remote considered) GENERAL SUMMARY The Utilization Review/Case Management...Full timeWork at officeRemote workShift work
Gibson Area Hospital
Gibson City, IL2 days ago $76k - $85k
...A leading public sector solutions firm is seeking a Utilization Review Nurse to work remotely. This role involves conducting prior authorizations, performing reviews, and using medical management software. The ideal candidate will have a nursing degree, at least 2 years...Remote workPublic Consulting Group
Madison, WI2 days ago$76k - $85k
...A leading public sector solutions firm is seeking a Utilization Review Nurse to perform clinical reviews and manage healthcare-related inquiries. This fully remote role involves communication with healthcare providers, utilizing clinical documentation to assess healthcare...Remote workPublic Consulting Group
Lincoln, NE3 days ago$54.86k - $71.25k
...Job Description Summary The Utilization Review Registered Nurse is responsible for reviewing medical services to ensure they meet evidence-based guidelines and member benefit plans. This includes precertification, concurrent review, and retrospective review. The...Minimum wageCurrently hiringLocal areaRemote workWork from homeFlexible hoursConduent
United States4 days ago$76k - $85k
...A public sector solutions firm is looking for a Utilization Review Nurse to work remotely. This position requires at least 2 years of clinical nursing experience and responsible for making determinations on healthcare costs. Candidates should possess effective communication...Remote workPublic Consulting Group
Jefferson City, MO3 days ago$71.61k - $111k
...99.20 The Position Responsible for Utilization Management, Quality Screening and Delay... ...and Ideal Characteristics # Registered nurse with a New York State current license.... ...systems with skills applicable to utilization review process. # Excellent written and...Remote workShift workAlbany Medical Center
Albany, NY3 days ago$40 - $45 per hour
...Immediate Hiring for “Remote Clinical Review Nurses” Job Description: Review approximately 20 cases a day for medical necessity. Advocate... ...each other and complete cases. Qualifications 3 years of utilization management, concurrent review, prior authorization, utilization...Contract workTemporary workImmediate startRemote workActalent
Columbus, OH1 day ago$4,801.16 - $7,761.5 per month
...opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage. Functional Title: Utilization Review Nurse Job Title: Nurse II Agency: Health & Human Services Comm Department: UR Wav & Comm Srvs Ran Mmt St Posting Number:...Full timeTemporary workPart timeWork at officeLocal areaRemote workWork from homeShift workDay shiftTexas Health and Human Services Commission
San Antonio, TX10 hours ago
