Average salary: $103,532 /yearly

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  • $1,787 per week

     ...Supplemental Health Care is seeking a travel nurse RN Acute Care Case Management for a travel nursing job in Boston, Massachusetts...  ...Health Care is hiring experienced Non-patient Care (utilization Review) RNs for contract opportunities at a leading Level 1 trauma center... 
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    Supplemental Health Care

    South Boston, MA
    17 hours 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... 
    Suggested
    Contract work
    Remote work

    HireOps Staffing LLC

    Chicago, IL
    6 days ago
  •  ...Utilization Review Nurse Utilization Review Nurse Inpatient *Hybrid* Must reside within the New York Tri-State Area - NY, NJ, or CT Come work for the leading, local managed care company - Village Care! VillageCare is looking for a self-motivated and passionate... 
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    Full time
    Local area
    Work from home

    VIllageCare of New York

    New York, NY
    1 day 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.... 
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    H1b
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    Public Consulting Group

    Indianapolis, IN
    1 day ago
  • $97.59 - $112.64 per hour

     ...treatment required for moderately complex reviews, and collaborating with the health care...  ...application, interpretation, and utilization of member health care benefits, cost of...  ...Functional) Medical Terminology Nursing Principles Acts with Compassion Confidentiality... 
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    Full time
    Temporary work
    Work experience placement
    Local area
    Work from home
    Flexible hours
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    Kaiser Permanente

    Pleasanton, CA
    3 days ago
  • $32.8 - $50.39 per hour

     ...experience performing care for hospitalized patients 2 years of Utilization Review (UR) experience reviewing hospital admissions for medical...  ...setting. Minimum Requirements Education ~ Nursing Diploma/Associate's - Nursing Experience ~2-5... 
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    Full time
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    Monday to Friday
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    BJC HealthCare

    Saint Louis, MO
    6 hours ago
  •  ...and building a stronger, healthier community together. Join us in making a difference at Umpqua Health. Position Title:  Utilization Review Nurse Department: Umpqua Health Status: Full Time, Exempt position Schedule: Monday – Friday 8:00am – 5:00pm (pacific... 
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    Full time
    Work at office
    Local area
    Remote work
    Monday to Friday
    Flexible hours

    Umpqua Health

    Roseburg, OR
    3 days ago
  • $5,000.00 SIGN ON BONUS Role Overview Our Utilization Management Reviewers evaluate medical necessity for inpatient and outpatient services,...  ...environment Education and Experience Associate's Degree in Nursing (ASN) required; Bachelor's Degree in Nursing (BSN)... 
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    Remote work
    Relocation package
    Monday to Friday
    Flexible hours
    Weekend work

    AmeriHealth Caritas

    Washington DC
    3 days ago
  • $108k

     ...Experienced Utilization Review Nurse UW Medical Center has an outstanding opportunity for an experienced Utilization Review Nurse to join our team. Work schedule includes fully remote/work from home, availability to work day shifts during Pacific Standard Time, and... 
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    Full time
    Work experience placement
    Remote work
    Work from home
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    Day shift
    1 day per week

    IntelyCare

    Seattle, WA
    6 days ago
  • $54.86k - $71.25k

     ...thrive, make a difference and be part of a culture where individuality is noticed and valued every day. Summary The Utilization Review Registered Nurse is responsible for reviewing medical services to ensure they meet evidence-based guidelines and member benefit plans.... 
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    Minimum wage
    Currently hiring
    Local area
    Work from home
    Flexible hours

    Conduent

    Jefferson City, MO
    2 days ago
  •  ...Registered Nurse - Utilization Review Location: Fully remote (PA RN License or Compact including PA Required), Must Reside in PA, NJ, or DE Employment type: Contract to full-time hire Position Overview: We are seeking a skilled and detail-oriented Utilization Review RN... 
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    Full time
    Contract work
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    IntePros

    Pittsburgh, PA
    1 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 Hospice Random Moment Study Posting Number:... 
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    Temporary work
    Part time
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    Texas Health and Human Services Commission

    Brenham, TX
    1 day ago
  •  ...Position Title: Utilization Review Nurse Location: Fully Remote Position Summary The Utilization Review Nurse serves as a key liaison in coordinating resources and services to meet patients’ needs, ensuring efficient, cost-effective, and compliant delivery of... 
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    Remote work
    Flexible hours
    Weekend work

    IntePros

    Phoenix, AZ
    4 days ago
  •  ...Job Title: Utilization Management RN Location: Remote – must reside within the PA/NJ/DE...  ...Requirement: Active Pennsylvania RN license or Nurse Licensure Compact (including PA)...  ...conditions through detailed medical record review to determine medical necessity for... 
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    Full time
    Remote work

    IntePros

    Philadelphia, PA
    4 days ago
  •  ...NJ, or DE) Overview We are seeking an experienced and detail-oriented Utilization Management RN. This position is ideal for a nurse with a strong background conducting inpatient or outpatient reviews in insurance environments. Key Responsibilities Evaluate member clinical... 
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    Remote work

    IntePros

    Pennsylvania
    3 days ago
  • A prominent healthcare provider in Bellaire is seeking a PRN Utilization Management Review Nurse. This role involves evaluating medical services, ensuring appropriate care levels, and collaborating with healthcare teams. Candidates must hold a Bachelor's in Nursing and... 
    Relief
    Remote work
    Shift work

    Direct Jobs

    Bellaire, TX
    4 days ago
  • A Texas healthcare organization is seeking a PRN Utilization Management Review Nurse. The role involves evaluating medical services for efficiency and necessity while ensuring quality care. Candidates must have a Bachelor's in Nursing, RN License in Texas, and a strong... 
    Relief
    Remote work
    Flexible hours
    Shift work

    Case Management Society of America (CMSA) ®

    Bellaire, TX
    4 days ago
  • $76k - $85k

    A leading public sector solutions firm in the United States is seeking a Utilization Review Nurse. This remote role involves conducting various reviews, utilizing a medical management system, and ensuring adherence to quality criteria. Candidates should possess at least... 
    Remote job

    Public Consulting Group

    Lansing, MI
    4 days ago
  •  ...Job Description will also apply at Broward Pace Program sites. Job Summary The Utilization Nurse is responsible for conducting prospective, concurrent, and retrospective clinical reviews to determine medical necessity, level of care, and appropriateness of services across... 
    Full time
    Part time
    Work at office
    Local area
    Remote work
    Weekend work
    Afternoon shift

    Miami Jewish Health

    Miami, FL
    4 days ago
  •  ...regional healthcare provider is seeking a knowledgeable clinical nurse for a remote role focusing on patient assessment and care...  ...have a minimum of 3 years of acute care nursing experience, with utilization management knowledge preferred. The role includes working within... 
    Remote job

    Froedtert Health

    Milwaukee, WI
    3 days ago
  • A public healthcare provider in Texas is seeking a Utilization Management Review Nurse to evaluate the necessity of medical services and promote quality care. The ideal candidate will have a Bachelor's in Nursing and extensive clinical experience. Responsibilities include... 
    Remote job

    Harris Health System, Inc.

    Bellaire, TX
    5 days ago
  • $98.53k - $120.22k

    Overview Job Number: 177079 • Job Title: Utilization Management Review Nurse • Salary: $98,529.60 - $120,224.00 Harris Health System is the public healthcare safety-net provider established in 1966 to serve the residents of Harris County, Texas. Harris Health champions... 
    Work at office
    Remote work
    Flexible hours
    Weekend work

    340B Health

    Bellaire, TX
    4 days ago
  • A healthcare staffing firm is seeking an experienced Utilization Review Nurse for a fully remote position. The ideal candidate will have an active PA RN license and at least 3 years of acute care clinical experience. Responsibilities include evaluating medical records,... 
    Remote job
    Contract work
    Work at office

    IntePros

    New Bremen, OH
    2 days ago
  •  ...multidisciplinary teams Summary Works with the Utilization Management team primarily responsible...  ...inpatient medical necessity/utilization review and other utilization management...  ...Active, unrestricted IL State Registered Nursing (RN) license in good standing. Required... 
    Contract work
    Remote work

    Integrated Resources, Inc ( IRI )

    Chicago, IL
    2 days ago
  • $41 per hour

     ...position is responsible for performing accurate and timely medical review of claims suspended for medical necessity, contract...  ...findings. Organizational skills and prioritization skills. Registered Nurse (RN) with unrestricted license in the state. 3 years clinical experience... 
    Remote job
    Contract work

    HireOps Staffing, LLC

    Dallas, TX
    4 days ago
  • A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care. This role involves monitoring patient admissions and ongoing care while ensuring adherence to guidelines. The ideal candidate will have... 
    Remote job
    Contract work

    IntePros

    Phoenix, AZ
    2 days ago
  • An established industry player is seeking a dedicated Registered Nurse for a remote contract position in the insurance or managed care...  ...involves validating treatment plans and performing thorough medical reviews on claims. Candidates must possess strong communication skills... 
    Remote job
    Contract work

    HireOps Staffing, LLC

    Chicago, IL
    5 days ago
  •  ...DE for future conversion consideration) Licensure Required: Active PA RN license or Nurse Licensure Compact including PA About the Role We’re hiring an experienced Utilization Review Nurse to join our Utilization Management team. This fully remote role is ideal for a... 
    Remote work

    IntePros

    Pennsylvania
    3 days ago
  • Insight Global is looking for a Utilization Review Registered Nurse to sit remotely with one of their large health insurance clients. This person will be responsible for evaluating 3.5 patient care cases per hour (both inpatient and outpatient) and collaborating with doctors... 
    Hourly pay
    Remote work

    Insight Global

    Raleigh, NC
    2 days ago
  • A healthcare services provider is seeking a Clinical Review Nurse to work remotely. The role involves reviewing medical information to...  ...and have a minimum of 2 years of nursing experience, preferably in utilization management or managed care. #J-18808-Ljbffr SPECTRAFORCE
    Remote job

    SPECTRAFORCE

    New Bremen, OH
    2 days ago