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
$85k - $108k
...to something important, find out more about us at: How YOU will make a Difference: The Medical Claims Review Nurse provides monitoring of member utilization and claim patterns using clinical nursing knowledge and coding expertise to oversee the accuracy of claims...SuggestedFull timeTemporary workWork at officeRemote workFlexible hours- Overview 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 and...Suggested
$76k - $85k
...challenges, 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...SuggestedFor contractorsH1bWork at officeLocal areaRemote work$108k
Job Description UW Medical Center has an outstanding opportunity for an experienced Utilization Review Nurse to join our team. WORK SCHEDULE Fully remote / work from home Must be available to work day shifts during Pacific Standard Time Sat, Sun and one day during...SuggestedFull timeTemporary workWork experience placementWork at officeRemote workWork from homeShift workDay shift1 day per week- 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
$51.43 - $79.84 per hour
...remote role. You MUST live in the state of Washington (WA) to be considered. Care Manager RN, Per diem / On call, Day shift. The Utilization Review (UR) Nurse has a strong clinical background blended with knowledge and skills in Utilization Management (UM), medical...SuggestedDaily paidLive inRemote workShift workDay shift$23 - $30 per hour
...Description JOB SUMMARY The Utility Person ensures safe, efficient, and continuous production operations by providing technical leadership, training, and oversight to less experienced team members. This role is essential in material handling, housekeeping, and...SuggestedFull timeTemporary workPart timeWork experience placementWorldwideFlexible hoursShift workMartin Marietta
Washington State3 days ago$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 State2 days ago$40 - $50 per hour
...Required Qualifications: ~5+ years of experience in heavy earthworks, commercial and residential land development. ~ Must be able to review and interpret plans and specifications as well as implement them. ~ Able to work and communicate well with construction...SuggestedHourly payFull timeFor contractorsK Con, LLC
Woodinville, WA9 days ago- A healthcare company is seeking a support role for medical claim and internal appeals review activities. The position ensures compliance with state and federal regulations while enhancing member care quality and cost-effectiveness. Responsibilities include reviewing medical...Suggested
$40 per hour
...workflow and process improvements remotely. This role requires strong clinical knowledge in acute care settings and experience with utilization review. Candidates should possess excellent communication skills and the ability to work independently. The position offers a pay...SuggestedRemote jobHourly payTemporary work- ...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 national healthcare staffing firm is seeking an experienced RN for a clinical role in Tacoma, WA. This position involves reviewing care requests and coordinating member care with a focus on discharge planning. Candidates should have at least 2 years of inpatient hospital...SuggestedFlexible hours
- Manager Utilization Review & Clinical Documentation Improvement (260000CK) This position will manage activities and staff of the Utilization Review department. Supervise and evaluate the daily work of these teams in accordance with departmental and organizational policies...SuggestedFull timeFor contractorsWork experience placementWork at officeShift workWeekend work
- 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...Remote jobPart time
$108k - $150k
A leading healthcare institution in Seattle seeks an experienced Utilization Review Nurse to ensure optimal care and fiscal responsibility in a fully remote position. The role involves evaluating patient admissions, communicating with insurers, and assessing cases for...Remote jobDay shift$51.79 - $77.69 per hour
...years acute care nursing experience required.* Two years inpatient case management experience preferred* Prior case management, utilization management, and/or payer experience required.* Ability to effectively present information and respond to questions from groups of...Hourly payFull timeLocal areaImmediate startMonday to FridayShift work- A leading healthcare organization in Bothell, WA is seeking a clinical support professional responsible for member service assessments. The role involves ensuring services align with medical guidelines, analyzing treatment requests, and collaborating with teams to promote...Hourly pay
$76k - $85k
A leading public sector solutions firm is seeking a Remote Utilization Review Nurse in Olympia, WA. The role involves prior authorization reviews and utilization of medical management software. Candidates must have at least 2 years of direct clinical nursing experience...Remote job- A leading healthcare provider in Seattle is seeking a Utilization Review Nurse. In this role, you will support the Utilization Management program by determining appropriate admission status based on regulations. Candidates should have a Bachelor's Degree in Nursing and...
$40 per hour
Clinical Support Manager (temporary) Utilization Review RN/LPN Job Category : Advisory Services Requisition Number : CONSU005289 Posted : November 25, 2025 Full-Time Remote Locations Showing 1 location Remote United States Description About Sound Physicians: Headquartered...Hourly payFull timeTemporary workPart timeWork at officeLocal areaRemote workWork from homeShift workWeekend work$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...Daily 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...Remote jobHourly payDaily paidDay shift
- ...EXPERIENCE Five years of recent clinical experience caring for adults in an acute care hospital setting Coding and utilization review experience preferred LICENSES AND CERTIFICATIONS Required ~ RN - Registered Nurse - Texas State Licensure - Texas Board...Remote jobPermanent employmentFull time
- ...Dosimetry-related charges and billing procedures. Enters, validates and reviews charges at the time service is delivered, as appropriate. Uses resources efficiently; does not waste supplies. Utilizes efficient and cost-effective work practices with department...Remote jobReliefWork at office
- ...position ensures all healthcare cancer information is thoroughly reviewed and assigned appropriate codes and staging such that the... ...principles Thorough knowledge of and ability to code cancer data utilizing International Classification of Diseases for Oncology (ICDO),...Remote jobFull timeLive in
- ...use of lands owned by governmental agencies, the public or other utilities including tree clearing permits. Research, negotiate, and... ...process payments to landowners for certain property rights Review legal descriptions, maps and other resources to ensure acquisition...Full timeWork at officeLocal areaRelocationFlexible hours
- ...professionals, staff, leaders, and office staff to effectively expand utilization of Houston Methodist services and affiliated physicians. The... ...employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on...Remote jobFull timeWork at officeImmediate startFlexible hours
$26 - $30 per hour
...Along with competitive compensation, we provide annual salary reviews with a job progression plan, as well as a generous profit-sharing... ...the corrosion industry, pipeline construction, or underground utilities TWIC card Any compensation range provided for a role is an...Hourly payFull timeLocal area
