Average salary: $112,483 /yearly
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$92.4k - $138.6k
...that every touchpoint is meaningful and contributes to our mission of redefining the possible in healthcare. The Manager for Utilization Review is responsible for the leadership and management of the centralized Virtual Utilization Management Program and maintaining...SuggestedTemporary workWork at officeLocal areaRemote work$101.6k - $142k
...every touchpoint is meaningful and contributes to our mission of redefining the possible in healthcare. The Director of Virtual Utilization Review will serve as a strategic leader focused on driving client partnerships, performance outcomes, and transformational change...SuggestedTemporary workWork at officeLocal areaRemote work$47.03 - $63.48 per hour
...every touchpoint is meaningful and contributes to our mission of redefining the possible in healthcare. The RN, Senior Utilization Review Quality will play an essential role in reviewing and ensuring the quality of the VUR teams’ work efforts in partnership with...SuggestedTemporary workWork at officeLocal areaRemote work$63.1k - $94.65k
...and overall qualifications. *Must have current compact RN license, or be willing to obtain* Schedule Information: Our Utilization Review team provides coverage seven days a week, operating between 8:00 a.m. and 10:00 p.m. To support our patients and partners, team...SuggestedTemporary workPart timeWork at officeLocal areaRemote workFlexible hoursShift work$29 - $52 per hour
We are hiring: RN - Utilization Review — UnitedHealth Group — Remote. Type: Full-Time. This is an excellent opportunity for the right candidate. The full description, requirements, and application instructions are provided below. Compensation: $29 — $52 per hour. Posted...SuggestedHourly payFull timeRemote workDay shift- Position opening: Utilization Review Nurse at OU Health, Remote. Employment type: Full-Time. If you are looking for a new opportunity, review the details below and apply through the link provided. Posted: Oct 21, 2026. OU Health seeks an experienced Utilization Review...SuggestedFull timeRemote work
$35 - $46 per hour
Now hiring: RN - Utilization Review in Remote at Oscar Health. Job type: Full-Time. Review the complete description and requirements below to determine if this opportunity is the right fit for you. Compensation: $35 — $46 per hour. Posted: Oct 21, 2026. Oscar Health is...SuggestedHourly payFull timeImmediate startRemote work$22 - $47 per hour
New opportunity: Molina Healthcare is now accepting applications for a Utilization Review Nurse role in Remote. This Full-Time position includes the following details and requirements. Please read carefully before applying. Compensation: $22 — $47 per hour. Posted: Oct...SuggestedHourly payFull timeRemote workMonday to Friday- Now hiring: Remote Clinical Review Nurse - Utilization in Remote at Centene Corporation. Job type: Full-Time. Review the complete description and requirements below to determine if this opportunity is the right fit for you. Posted: Oct 21, 2026. Centene is seeking a Clinical...SuggestedFull timeImmediate startRemote workShift workDay shift
- Position opening: Remote Inpatient Utilization Review RN at Well Sense Health Plan, Remote. Employment type: Full-Time. If you are looking for a new opportunity, review the details below and apply through the link provided. Posted: Oct 21, 2026. WellSense Health Plan in...SuggestedFull timeRemote work
- Join our team: Comagine Health is looking for a Remote Behavioral Health Utilization Reviewer to join their Remote team. This Full-Time role comes with a competitive package. See below for the full job description and requirements. Posted: Oct 21, 2026. Comagine Health...SuggestedFull timeRemote work
- Join our team: Sagility is looking for a Remote RN: Utilization Management Reviewer to join their Remote team. This Full-Time role comes with a competitive package. See below for the full job description and requirements. Posted: Oct 21, 2026. Sagility is hiring an RN Utilization...SuggestedFull timeRemote workWork from home
$24 - $28 per hour
...Utilization Review Specialist – Behavioral Health (Remote) PHP/IOP | Full-Time | Monday–Friday, 9 AM–5 PM ET | $24–$28/hour About the Role Principles Recovery Center (PRC) are hiring a Utilization Review (UR) Specialist to manage insurance authorizations for...SuggestedRemote jobFull timeMonday to Friday- We are hiring: Remote RN Claims Reviewer Utilization & Appeals — Sentara Health — Remote. Type: Full-Time. This is an excellent opportunity for the right candidate. The full description, requirements, and application instructions are provided below. Posted: Oct 21, 202...SuggestedFull timeRemote work
- About the role: BJC HealthCare is hiring a Remote Utilization Review RN - Hospital Admissions in Remote. This Full-Time position offers competitive pay and benefits. Read the full description below to learn more about responsibilities and qualifications. Posted: Oct 21...SuggestedFull timeLocal areaRemote workWeekend work
- Position opening: Remote RN: Senior Claims & Utilization Reviewer at Gainwell Technologies LLC, Remote. Employment type: Full-Time. If you are looking for a new opportunity, review the details below and apply through the link provided. Posted: Oct 21, 2026. Gainwell Technologies...Full timeRemote workWork from home
- Now hiring: Remote Utilization Review Nurse | Case Management in Remote at Iconma Portal. Job type: Full-Time. Review the complete description and requirements below to determine if this opportunity is the right fit for you. Posted: Oct 21, 2026. Iconma Portal is seeking...Full timeImmediate startRemote work
- Job Summary: We are currently seeking a qualified candidate for the position of Remote Oral Surgeon for Utilization Reviews (1099) at Medical Review Institute located in Remote. This is a Full-Time opportunity with a competitive compensation package. Please review the complete...Full timeFor contractorsRemote workFlexible hours
- Join our team: Sentara Health is looking for a Remote RN: Clinical Claims Reviewer & Utilization Review to join their Remote team. This Full-Time role comes with a competitive package. See below for the full job description and requirements. Posted: Oct 21, 2026. Sentara...Full timeRemote work
- Now hiring: Remote Utilization Review Nurse - Case Management in Remote at IntePros. Job type: Full-Time. Review the complete description and requirements below to determine if this opportunity is the right fit for you. Posted: Oct 21, 2026. A healthcare services provider...Full timeContract workImmediate startRemote work
- Job Summary: We are currently seeking a qualified candidate for the position of Remote RN - Clinical Utilization & Discharge Review at Centene Corporation located in Remote. This is a Full-Time opportunity with a competitive compensation package. Please review the complete...Full timeRemote work
$85k - $95k
...opportunities, drive operational efficiency, and improve healthcare outcomes. The Opportunity MedReview is seeking an experienced DRG Reviewer to join our Payment Integrity team. This role is responsible for analyzing inpatient medical records and claims to validate...Work at officeRemote workFlexible hours$76k
...Position Summary The Clinical Reviewer Specialist is responsible for performing clinical and medical necessity reviews to support... ...~3 years of experience in appeals processing, utilization management, case management, or clinical review operations....Permanent employmentTemporary workLive inImmediate startRemote workRelocationFlexible hours- ...is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for an IVDR Product Reviewer based in the United States. Contribute to the safety, quality, and regulatory compliance of in vitro diagnostic (IVD) medical devices...Full timeWork at officeRemote work
- New opportunity: Insight Global is now accepting applications for a Remote Utilization Review Nurse - Acute Care Expert role in Remote. This Full-Time position includes the following details and requirements. Please read carefully before applying. Posted: Oct 21, 2026....Full timeRemote work
- New opportunity: Medix is now accepting applications for a Remote Utilization Review RN Flexible 4x10 Schedule role in Remote. This Full-Time position includes the following details and requirements. Please read carefully before applying. Posted: Oct 21, 2026. Medix is...Full timeRemote workFlexible hoursShift work
- Join our team: Ensemble Health Partners is looking for a Remote Utilization Review RN Flexible Part-Time to join their Remote team. This Full-Time role comes with a competitive package. See below for the full job description and requirements. Posted: Oct 21, 2026. Ensemble...Full timePart timeRemote workFlexible hoursShift work
- We are hiring: Remote RN Claims Reviewer - Utilization & Post-Payment — Sentara Health — Remote. Type: Full-Time. This is an excellent opportunity for the right candidate. The full description, requirements, and application instructions are provided below. Posted: Oct...Full timeRemote work
$78k - $99.2k
...applications and next steps. Our partner is looking for a Senior Nurse Reviewer based in the United States. Make a meaningful impact on... ...feedback. This remote opportunity combines clinical analysis, utilization review, and claims auditing in a collaborative, quality-...Full timeRemote workWork from homeFlexible hours$70.3k - $73.83k
...in going the extra mile and aim to make a genuine difference in our participants’ lives. The Utilization Management Medical Assistant (UM MA) is accountable for the review and audit of authorization requests to ensure services are authorized and meet standard medical...Work at office