Average salary: $85,068 /yearly
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- At Houston Methodist, the Utilization Review Nurse (URN) PRN position is a licensed registered nurse (RN) who comprehensively conducts point of entry and concurrent medical record review for medical necessity and level of care using nationally recognized acute care indicators...SuggestedRemote jobPermanent employmentWork experience placementReliefLocal area
$35.59 - $53.39 per hour
...to this job. Other information: Job Summary The Peer Review Coordinator assists with activities of the CPE (Committee for... ...QMMS) pertinent to medical care and other clinical situations. Utilizes expert clinical knowledge of medical disease processes and medical...SuggestedFull timeWork at officeSkagit Regional Health
Washington State14 hours ago$51.43 - $79.84 per hour
...Description The Utilization Review (UR) Nurse has a strong clinical background blended with a well-developed knowledge and skills in Utilization Management (UM), medical necessity and patient status determination. This individual supports the UM program by developing...SuggestedMinimum wageFull timeLocal areaShift work- Utilization Review Pharmacist Shape the drug benefit landscape—analyze and optimize medication use. Key Responsibilities: Review prescribing trends and propose cost-saving alternatives. Maintain evidence-based formularies across multiple payers. Conduct retrospective...Suggested
$108k
Utilization Review Nurse page is loaded## Utilization Review Nurseremote type: Remote (100% telework)locations: Seattle, WAtime type: Part timeposted on: Posted Todayjob requisition id: REQ-0000126422**Job Description****UW Medical Center** has an outstanding opportunity...SuggestedFull timeWork experience placementWork at officeRemote workWork from homeShift workDay shift1 day per week$80 - $99 per hour
...SonderMind provides compassionate, licensed therapy services utilizing a flexible, AI-powered platform to enhance clinical care and reduce... .... Session Takeaways: Extend your care between sessions by reviewing and sending client-friendly summaries of key insights....SuggestedBi-weekly payHourly payWork at officeFlexible hours$44.7 per hour
...benefits package we offer to eligible employees visit our website - Benefits - KV Healthcare Job Description The Utilization Review (UR) RN evaluates the medical necessity, appropriateness, and efficiency of healthcare services using MCG criteria, ensuring...SuggestedDaily paidPart timeApprenticeshipKittitas Valley Healthcare
Ellensburg, WA5 days ago$48.52 - $72.78 per hour
A healthcare provider is seeking a qualified Registered Nurse Utilization Management Reviewer to support high-quality patient care. This remote position involves conducting concurrent and retrospective reviews and collaborating with various clinical teams. Ideal candidates...SuggestedRemote jobHourly payWeekend workWeekday work$26.41 - $61.79 per hour
A healthcare organization in Vancouver seeks an experienced Registered Nurse to assess clinical member services and ensure compliance with guidelines. The role requires prioritizing multiple tasks and excellent communication skills. Candidates must have at least 2 years...SuggestedHourly pay- ...contract position based in California. This role involves overseeing operations related to care coordination, discharge planning, and utilization management. The ideal candidate will have a Bachelor's degree in Nursing, a current RN license, and substantial clinical and...SuggestedFull timeContract workInterim roleMonday to Friday
- A leading healthcare provider is seeking an experienced Utilization Review Nurse for a fully remote position. This role requires 3 years in utilization management and 5 years in an acute care setting. The nurse will be responsible for patient admissions, communication...SuggestedRemote jobPart time
$48.52 - $72.78 per hour
...compassionate, mission-driven care from wherever you are. PeaceHealth is looking for a skilled and motivated Registered Nurse Utilization Management (UM) Reviewer to join our dedicated team in a Full Time, Day Shift (1.0 FTE) role. If you enjoy analytical work and are energized...SuggestedRemote jobFull timeLocal areaDay shift$685 - $700 per day
Interim Assistant Nurse Manager, Utilization Review/Discharge Planning Healthcare Executive Placements, Inc. (HCEPInc) is seeking an Interim Assistant Nurse Manager for a W2 Contract position based in Oakland, CA. Schedule: Full time, Monday through Friday, 8:00am-4:3...SuggestedDaily paidFull timeContract workInterim roleMonday to Friday- ...is seeking a Care Manager RN for a remote role primarily serving the state of Washington. This per diem position involves crucial utilization management activities, ensuring compliance with payer requirements and regulations. Candidates should possess a BSN and a...SuggestedRemote jobHourly payDaily paidDay shift
- ...Denials Management Specialist (DMS) position is responsible for reviewing, coordinating, and monitoring the clinical denial management... ...years clinical nursing/patient care experience with five years in utilization review with clinical decision tools such as Interqual,...SuggestedRemote jobFull timeWork at officeLocal area
$38.62 - $64.63 per hour
...Description Salary: $38.62 to $64.63 Hourly DOE This is a union position. Open until filled. JOB SUMMARY The Utilization Review Nurse reviewsmedicalrecords and treatment plans to ensure patients receive appropriate, necessary, and cost-effective care...Hourly payWork experience placementLocal areaRemote workFerry County Health
Republic, WA2 days ago$60 - $75 per hour
Overview Hmong Chinese Language Document Reviewer Employment Type: Full Time, Mid-Level. Department: Legal. As a CGS Hmong Chinese Document... .... Produce a variety of written documents and materials utilizing a wide range of office software applications. Establish and maintain...Full timeWork at officeFlexible hours- ...Quality Control Indexing Analyst position is responsible for reviewing the quality of scanned patient medical records and loose documents... ...processed/captured. Locating and entering missing data. Utilizes resources such as Master Document Listing when necessary to...Remote jobFull time
- ...requests. Responds promptly and appropriately to requests to code or review coded accounts for accuracy. Initiates queries with... ...obtain or clarify diagnoses and/or procedures as appropriate, utilizing the established physician query process. QUALITY/SAFETY ESSENTIAL...Remote jobFull timeApprenticeshipWork at office
$26.41 - $61.79 per hour
...Description Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services... ...teams to promote the Molina care model. Adheres to utilization management (UM) policies and procedures. Required Qualifications...Hourly payWork experience placementWork at office- ...meals at work. ~ Employee Assistance Program. ~ Generous Employee Referral Program and more. POSITION SUMMARY As a Kitchen Utility Associate (Dishwasher) in our community's restaurant, you help ensure our culinary team has clean pots to prepare delicious meals...Flexible hours
Cogir Management, USA Inc
Seattle, WA7 days ago - ...Utility Billing Technician The City is seeking a detail-oriented and service-minded professional to join our Finance Department as... ...director, handling customer inquiries by phone, email, and in person, reviewing accounts for misapplied payments, billing errors, address...Permanent employmentTemporary workWork at officeLocal areaMonday to Friday
$73.18k - $93.38k
...Utility Billing Assistant The City of Monroe is seeking a detail-oriented and customer-focused professional to become the newest member... ...-time, in-office position is open until filled, with a first review of applications on January 23, 2026. If you meet the...Full timeWork at officeLocal areaImmediate start$9,724 per month
...Clark Regional Wastewater District is recruiting for one full‑time position (1.0 FTE), which may be filled at either the Development Review Engineer or Development Program Manager, depending on the selected candidate’s qualifications and experience. JOB SUMMARY The...Full timeContract workFor contractorsWork at officeLocal areaRemote workAfternoon shift$21.3 - $27.72 per hour
...Yard / Utility Person Do you enjoy a variety of job duties? Are you mechanically inclined? Do you want the opportunity to grow in... ...pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor....Temporary workFlexible hours$100k - $150k
Tax Manager/Reviewer As a Tax Reviewer, you won't just be crunching numbers. You'll be part of a close-knit team dedicated to delivering top-tier tax solutions to our diverse clientele. Our firm is driven by collaboration, continuous learning, and a shared ambition to...Full timeWork at officeMonday to FridayFlexible hours- Bellevue Utilities provides future focused utility services to the community, for current and future generations. Our mission is to actively... ...and risk analysis and prepares technical reports for others to review. Supervises the work of engineering staff, project teams, and...Full timeWork at officeRemote workFlexible hours
- ...regulatory body guidelines. This position performs data quality review to ensure data integrity, coding accuracy, and revenue... ...obtain or clarify diagnoses and/or procedures as appropriate, utilizing the established physician query process. Provides assistance to...Remote jobFull timeWork at office
$83k - $99k
...important, find out more about us at: Role and Responsibilities The Utilization Management Nurse collaborates with external entities such as... .../exclusions and PPO status of requesting provider/facility Reviews are conducted using approved criteria for appropriateness of...Full timeWork at officeRemote workFlexible hours- ...Can Expect Install, maintain, repair and operate all types of utilities and facilities equipment and systems. This includes but is not... ...improvement projects in support of the asset management program Review maintenance job plans to suggest changes to drive reliability,...RelocationFlexible hours
