Registered Nurse - Utilization Review (Remote) This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital ...
Registered Nurse - Utilization Review (Remote) This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital ...
Utilization Review RN (Remote)
Fort Lauderdale, FL · Remote
$80K - $100K/yr
Fully Remote - Utilization Review Schedule: Full-Time, Monday-Friday Hours: Standard business hours Patient Volume: N/A Job Requirements: * Active RN license with Multi-State/Compact license required
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Utilization Review RN (Remote)
Fort Lauderdale, FL · Remote
$80K - $100K/yr
Fully Remote - Utilization Review Schedule: Full-Time, Monday-Friday Hours: Standard business hours Patient Volume: N/A Job Requirements: * Active RN license with Multi-State/Compact license required
Remote Utilization Review RN (Hospital-Based Experience Required)
Fort Lauderdale, FL · Remote
$80K - $105K/yr
Fully Remote - Utilization Review Schedule: Full-Time, Monday-Friday Hours: Standard Business Hours Job Requirements: * Active RN license with Multi-State/Compact License required * Minimum 2 years ...
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Remote Utilization Review RN (Hospital-Based Experience Required)
Fort Lauderdale, FL · Remote
$80K - $105K/yr
Fully Remote - Utilization Review Schedule: Full-Time, Monday-Friday Hours: Standard Business Hours Job Requirements: * Active RN license with Multi-State/Compact License required * Minimum 2 years ...
Utilization Review Coordinator | Remote
Boca Raton, FL · On-site +1
$50K - $80K/yr
The Opportunity We are seeking a detail-oriented Utilization Review Coordinator to join the Lotus Healthcare Billing team. This full-time, remote role is well suited to someone who is organized ...
Utilization Review Coordinator | Remote
Boca Raton, FL · On-site +1
$50K - $80K/yr
The Opportunity We are seeking a detail-oriented Utilization Review Coordinator to join the Lotus Healthcare Billing team. This full-time, remote role is well suited to someone who is organized ...
Utilization Review Specialist
Pompano Beach, FL · Remote
$45K - $65K/hr
In this remote role, you'll manage a caseload of 50-75 patients, conducting admission and ... Identify and address over- and underutilization trends * Assist in resolving outstanding case ...
Utilization Review Specialist
Pompano Beach, FL · Remote
$45K - $65K/hr
In this remote role, you'll manage a caseload of 50-75 patients, conducting admission and ... Identify and address over- and underutilization trends * Assist in resolving outstanding case ...
Utilization Review Specialist
Pompano Beach, FL · Remote
$50K - $65K/yr
In this remote role, you'll manage a caseload of 50-75 patients, conducting admission and ... Identify and address over- and underutilization trends * Assist in resolving outstanding case ...
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Utilization Review Specialist
Pompano Beach, FL · Remote
$50K - $65K/yr
In this remote role, you'll manage a caseload of 50-75 patients, conducting admission and ... Identify and address over- and underutilization trends * Assist in resolving outstanding case ...
Remote | Utilization Management & Case Management Clinical Review Consultant $80-$120/hour
$80 - $120/hr
Remote | Utilization Management & Case Management Clinical Review Consultant We are sharing a specialised part-time consulting opportunity for United States-based healthcare professionals experienced ...
Remote | Utilization Management & Case Management Clinical Review Consultant $80-$120/hour
$80 - $120/hr
Remote | Utilization Management & Case Management Clinical Review Consultant We are sharing a specialised part-time consulting opportunity for United States-based healthcare professionals experienced ...
Remote | Utilization Management & Case Management Clinical Review Consultant - $80-$120/hour
$80 - $120/hr
About the job Remote | Utilization Management & Case Management Clinical Review Consultant - $80-$120/hour We are sharing a specialised part-time consulting opportunity for United States-based health ...
Remote | Utilization Management & Case Management Clinical Review Consultant - $80-$120/hour
$80 - $120/hr
About the job Remote | Utilization Management & Case Management Clinical Review Consultant - $80-$120/hour We are sharing a specialised part-time consulting opportunity for United States-based health ...
Utilization Review Nurse
Miami, FL · Remote
$35 - $45.94/hr
You will report into the Supervisor, Utilization Review. Work Location ... This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois;
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Utilization Review Nurse
Miami, FL · Remote
$35 - $45.94/hr
You will report into the Supervisor, Utilization Review. Work Location ... This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois;
Utilization Review Nurse
Dallas, TX · Remote
$35 - $45.94/hr
You will report into the Supervisor, Utilization Review. Work Location ... This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois;
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Utilization Review Nurse
Dallas, TX · Remote
$35 - $45.94/hr
You will report into the Supervisor, Utilization Review. Work Location ... This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois;
Utilization Review Nurse
Atlanta, GA · Remote
$35 - $45.94/hr
You will report into the Supervisor, Utilization Review. Work Location ... This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois;
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Utilization Review Nurse
Atlanta, GA · Remote
$35 - $45.94/hr
You will report into the Supervisor, Utilization Review. Work Location ... This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois;
Utilization Review Nurse
Tempe, AZ · Remote
$35 - $45.94/hr
You will report into the Supervisor, Utilization Review. Work Location ... This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois;
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Utilization Review Nurse
Tempe, AZ · Remote
$35 - $45.94/hr
You will report into the Supervisor, Utilization Review. Work Location ... This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois;
Utilization Review Nurse
Plano, TX · Remote
***REMOTE - Candidates must be based in Texas: Austin area - Travis/Williamson Counties or Richardson ... This position is responsible for performing initial, concurrent review activities; discharge care ...
Utilization Review Nurse
Plano, TX · Remote
***REMOTE - Candidates must be based in Texas: Austin area - Travis/Williamson Counties or Richardson ... This position is responsible for performing initial, concurrent review activities; discharge care ...
The Manager, Utilization Review is responsible for overseeing the daily operations of the ... HBiz complies with all applicable employment laws for remote and multi-state hiring and provides ...
The Manager, Utilization Review is responsible for overseeing the daily operations of the ... HBiz complies with all applicable employment laws for remote and multi-state hiring and provides ...
Utilization Review Nurse- Remote
Franklin, TN · On-site +1
The Utilization Review Nurse is to assess the medical necessity and quality of healthcare services by conducting pre-service, concurrent, and retrospective utilization management reviews. The primary ...
Utilization Review Nurse- Remote
Franklin, TN · On-site +1
The Utilization Review Nurse is to assess the medical necessity and quality of healthcare services by conducting pre-service, concurrent, and retrospective utilization management reviews. The primary ...
This is a fully remote or office/home hybrid position. Your Responsibilities: * Review patient ... performed. * Assist external clients in understanding payer requirements for authorizations.
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This is a fully remote or office/home hybrid position. Your Responsibilities: * Review patient ... performed. * Assist external clients in understanding payer requirements for authorizations.
We are currently seeking Board-Certified physicians in RADIOLOGY to conduct independent Utilization Reviews . This is a flexible remote opportunity requiring just 1-2 hours per week -with no minimum ...
We are currently seeking Board-Certified physicians in RADIOLOGY to conduct independent Utilization Reviews . This is a flexible remote opportunity requiring just 1-2 hours per week -with no minimum ...
ABA Utilization Review (UR) Specialist
Skokie, IL · On-site +1
This is a fully remote or office/home hybrid position. Your Responsibilities: * Review patient ... performed. * Assist external clients in understanding payer requirements for authorizations.
ABA Utilization Review (UR) Specialist
Skokie, IL · On-site +1
This is a fully remote or office/home hybrid position. Your Responsibilities: * Review patient ... performed. * Assist external clients in understanding payer requirements for authorizations.
Utilization Review Nurse
New Lenox, IL · On-site +1
$34.73 - $45.15/hr
BSN preferred. 2-5 years previous Utilization Review experience preferred. * Current CPR * Relevant ... Days, Primarily remote; onsite orientation requirement; weekend and holiday rotation; on site ...
Utilization Review Nurse
New Lenox, IL · On-site +1
$34.73 - $45.15/hr
BSN preferred. 2-5 years previous Utilization Review experience preferred. * Current CPR * Relevant ... Days, Primarily remote; onsite orientation requirement; weekend and holiday rotation; on site ...
The Utilization Review Nurse is to assess the medical necessity and quality of healthcare services by conducting pre-service, concurrent, and retrospective utilization management reviews. The primary ...
The Utilization Review Nurse is to assess the medical necessity and quality of healthcare services by conducting pre-service, concurrent, and retrospective utilization management reviews. The primary ...
Assistant Remote Utilization Review information
See salary details
$11.54 - $13.57
1% of jobs
$13.57 - $15.60
1% of jobs
$15.60 - $17.64
4% of jobs
$17.64 - $19.67
9% of jobs
$20.63 is the 25th percentile. Wages below this are outliers.
$19.67 - $21.70
21% of jobs
The median wage is $23.46 / hr.
$21.70 - $23.73
16% of jobs
$23.73 - $25.76
18% of jobs
$26.78 is the 75th percentile. Wages above this are outliers.
$25.76 - $27.80
10% of jobs
$27.80 - $29.83
10% of jobs
$29.83 - $31.86
6% of jobs
$31.86 - $33.89
4% of jobs
$11
$24
$33
How much do assistant remote utilization review jobs pay per hour?
What is the difference between Assistant Remote Utilization Review vs Utilization Review Nurse?
| Aspect | Assistant Remote Utilization Review | Utilization Review Nurse |
|---|---|---|
| Credentials | Typically requires a nursing license, certification in case management or utilization review | Registered Nurse (RN) license, often with additional certifications in case management or utilization review |
| Work Environment | Remote, administrative setting, telehealth or telecommuting | Remote or hospital/clinic settings, primarily telehealth or administrative |
| Employer & Industry | Health insurance companies, managed care organizations, healthcare providers | Hospitals, insurance companies, healthcare organizations |
Both roles involve reviewing patient cases to determine appropriate care and resource utilization. The Assistant Remote Utilization Review typically supports the process with administrative tasks and basic review, while the Utilization Review Nurse performs more in-depth clinical assessments. Both require nursing credentials and often work remotely within healthcare or insurance industries.
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Job description
This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient, and Observation (OBS).
Minimum of 3 years acute medical Care Management/Utilization Review experience in a hospital setting (experience in health plans or medical groups is not applicable).
InterQual experience is mandatory; candidates without this will not be considered.
Proficient in Epic, with recent use within the last 6–12 months.
Experience working with HMOs, IPAs, and similar managed care organizations.
Strong knowledge of Medicare regulations and associated utilization management processes, including:
- Condition Code 44 (CC44)
- Advance Beneficiary Notices (ABNs)
- Hospital-Issued Notices of Noncoverage (HINNs)
- Medicare Coverage Status Notices (MCSNs)
About 3B Healthcare
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
51 - 200 Employees
Headquarters location
Iselin, NJ, US
Year founded
2024