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...SuggestedContract workLocal areaImmediate startShift workSupplemental Health Care
South Boston, MA17 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...SuggestedContract workRemote workHireOps Staffing LLC
Chicago, IL6 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...SuggestedFull timeLocal areaWork from home
VIllageCare of New York
New York, NY1 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....SuggestedFor contractorsH1bWork at officeLocal areaRemote workPublic Consulting Group
Indianapolis, IN1 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...SuggestedFull timeTemporary workWork experience placementLocal areaWork from homeFlexible hoursShift workKaiser Permanente
Pleasanton, CA3 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...SuggestedHourly payFull timeWork experience placementReliefLocal areaRemote workWork from homeMonday to FridayFlexible hoursShift workBJC HealthCare
Saint Louis, MO6 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...SuggestedFull timeWork at officeLocal areaRemote workMonday to FridayFlexible hours
Umpqua Health
Roseburg, OR3 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)...SuggestedRemote workRelocation packageMonday to FridayFlexible hoursWeekend work
AmeriHealth Caritas
Washington DC3 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...SuggestedFull timeWork experience placementRemote workWork from homeShift workDay shift1 day per weekIntelyCare
Seattle, WA6 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....SuggestedMinimum wageCurrently hiringLocal areaWork from homeFlexible hoursConduent
Jefferson City, MO2 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...SuggestedFull timeContract workRemote work
IntePros
Pittsburgh, PA1 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:...SuggestedFull timeTemporary workPart timeWork at officeRemote workShift workDay shiftTexas Health and Human Services Commission
Brenham, TX1 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...SuggestedRemote workFlexible hoursWeekend work
IntePros
Phoenix, AZ4 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...SuggestedFull timeRemote work
IntePros
Philadelphia, PA4 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...SuggestedRemote work
- 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...ReliefRemote workShift work
- 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...ReliefRemote workFlexible hoursShift work
$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- ...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 timePart timeWork at officeLocal areaRemote workWeekend workAfternoon shift
- ...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
- 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
$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 officeRemote workFlexible hoursWeekend work- 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 jobContract workWork at office
- ...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 workRemote work
$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 jobContract work- 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 jobContract work
- 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 jobContract work
- ...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
- 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 payRemote work
- 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 SPECTRAFORCERemote job
