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 ...
Day 5x8-Hour (08:00 - 16:30) Weekly Schedule: 40 Hours Certifications/License Mandatory Experience: * RN Utilization Review * 3 Years exp * MUST have CA license * Epic Required Get in Touch: We want ...
Day 5x8-Hour (08:00 - 16:30) Weekly Schedule: 40 Hours Certifications/License Mandatory Experience: * RN Utilization Review * 3 Years exp * MUST have CA license * Epic Required Get in Touch: We want ...
Fully remote if live >50 miles from Dublin campus What you'll do (Essential Responsibilities ... Licensed Practical Nurses (LPNs) currently employed by Quantum Health may also be considered.
Fully remote if live >50 miles from Dublin campus What you'll do (Essential Responsibilities ... Licensed Practical Nurses (LPNs) currently employed by Quantum Health may also be considered.
Registered Nurse - Utilization Review About Company Bestica: We at Bestica believe our success is a direct result of hard work and outstanding employee dedication. Our environment is dynamic ...
Registered Nurse - Utilization Review About Company Bestica: We at Bestica believe our success is a direct result of hard work and outstanding employee dedication. Our environment is dynamic ...
Remote Registered Nurse In this remote role, the RN will manage utilization reviews, ensuring patient care meets medical necessity standards. Responsibilities include assessing patient cases ...
New
Remote Registered Nurse In this remote role, the RN will manage utilization reviews, ensuring patient care meets medical necessity standards. Responsibilities include assessing patient cases ...
New
RN Utilization Review Behavioral Health
Nevada Mass, NV · Remote
$42/hr
RN Utilization Review Behavioral Health Work Location ... Telecommute (Remote) Work Hours: 8:00 AM-5:00 PM PST Pay Rate: $42.00/hour License Preference:
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RN Utilization Review Behavioral Health
Nevada Mass, NV · Remote
$42/hr
RN Utilization Review Behavioral Health Work Location ... Telecommute (Remote) Work Hours: 8:00 AM-5:00 PM PST Pay Rate: $42.00/hour License Preference:
Utilization Management Nurse, LVN/LPN Remote NeueHealth is a value-driven healthcare company ... The Concurrent Utilization Review (UR) Nurse is responsible for conducting real-time clinical ...
Utilization Management Nurse, LVN/LPN Remote NeueHealth is a value-driven healthcare company ... The Concurrent Utilization Review (UR) Nurse is responsible for conducting real-time clinical ...
Case Manager, RN- Utilization Review
Tampa, FL · On-site +1
The UMN performs admission, concurrent, and retrospective utilization reviews using clinical ... a remote or hybrid work environment. * Licensed as a Registered Nurse in the state of Florida
Case Manager, RN- Utilization Review
Tampa, FL · On-site +1
The UMN performs admission, concurrent, and retrospective utilization reviews using clinical ... a remote or hybrid work environment. * Licensed as a Registered Nurse in the state of Florida
Remote: Utilization Review Specialist
Los Angeles, CA · Remote
$80K - $90K/yr
LPC, LCSW, LMFT, RD, RN, LVN, LPN, or PsyD * Experience in utilization review or case management preferred * Experience in a business/corporate setting or similar environment preferred * Experience ...
Remote: Utilization Review Specialist
Los Angeles, CA · Remote
$80K - $90K/yr
LPC, LCSW, LMFT, RD, RN, LVN, LPN, or PsyD * Experience in utilization review or case management preferred * Experience in a business/corporate setting or similar environment preferred * Experience ...
CA Utilization Review Nurse I
$30.64 - $45.80/hr
This is a remote position. Essential Functions & Responsibilities: * Identifies the necessity of ... LVN/LPN * 4 or more years of recent clinical experience * Prospective, concurrent, and ...
CA Utilization Review Nurse I
$30.64 - $45.80/hr
This is a remote position. Essential Functions & Responsibilities: * Identifies the necessity of ... LVN/LPN * 4 or more years of recent clinical experience * Prospective, concurrent, and ...
Registered Nurse Utilization Review
Carmel, IN · On-site +1
$50 - $52/hr
Utilization Management Schedule: PRN. 0800-1700 ET, need coverage for Monday-Friday, weekends and ... What minimum qualifications you'll need Licensure / Certification / Registration: * Registered ...
Registered Nurse Utilization Review
Carmel, IN · On-site +1
$50 - $52/hr
Utilization Management Schedule: PRN. 0800-1700 ET, need coverage for Monday-Friday, weekends and ... What minimum qualifications you'll need Licensure / Certification / Registration: * Registered ...
They conduct robust utilization review. Utilization Management Nurses use established criteria to determine appropriateness of admission and continued stay and work with payers to assure ongoing ...
They conduct robust utilization review. Utilization Management Nurses use established criteria to determine appropriateness of admission and continued stay and work with payers to assure ongoing ...
RN Utilization Review PRN
$40.41 - $57.05/hr
Remote Facility: Ascension Care Management Insurance Department: Utilization Review Schedule: Day ... Licensure required relevant to state in which work is performed. Education: * Diploma from an ...
RN Utilization Review PRN
$40.41 - $57.05/hr
Remote Facility: Ascension Care Management Insurance Department: Utilization Review Schedule: Day ... Licensure required relevant to state in which work is performed. Education: * Diploma from an ...
Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote ... Active RN or LPN license (RN preferred) -- Maryland compact/eligibility required * 5+ years ...
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Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote ... Active RN or LPN license (RN preferred) -- Maryland compact/eligibility required * 5+ years ...
Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote ... Active RN or LPN license (RN preferred) -- Maryland compact/eligibility required * 5+ years ...
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Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote ... Active RN or LPN license (RN preferred) -- Maryland compact/eligibility required * 5+ years ...
Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote ... Active RN or LPN license (RN preferred) -- Maryland compact/eligibility required * 5+ years ...
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Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote ... Active RN or LPN license (RN preferred) -- Maryland compact/eligibility required * 5+ years ...
Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote ... Active RN or LPN license (RN preferred) -- Maryland compact/eligibility required * 5+ years ...
Quick apply
Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote ... Active RN or LPN license (RN preferred) -- Maryland compact/eligibility required * 5+ years ...
Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote ... Active RN or LPN license (RN preferred) -- Maryland compact/eligibility required * 5+ years ...
Quick apply
Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote ... Active RN or LPN license (RN preferred) -- Maryland compact/eligibility required * 5+ years ...
Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote ... Active RN or LPN license (RN preferred) -- Maryland compact/eligibility required * 5+ years ...
Quick apply
Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote ... Active RN or LPN license (RN preferred) -- Maryland compact/eligibility required * 5+ years ...
Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote ... Active RN or LPN license (RN preferred) -- Maryland compact/eligibility required * 5+ years ...
Quick apply
Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote ... Active RN or LPN license (RN preferred) -- Maryland compact/eligibility required * 5+ years ...
Flex Schedule Remote Lpn Utilization Review information
See salary details
$21.39 - $25.72
2% of jobs
$25.72 - $30.05
9% of jobs
$33.01 is the 25th percentile. Wages below this are outliers.
$30.05 - $34.38
21% of jobs
The median wage is $37.88 / hr.
$34.38 - $38.70
23% of jobs
$38.70 - $43.03
13% of jobs
$46.39 is the 75th percentile. Wages above this are outliers.
$43.03 - $47.36
10% of jobs
$47.36 - $51.68
8% of jobs
$51.68 - $56.01
5% of jobs
$56.01 - $60.34
5% of jobs
$60.34 - $64.66
2% of jobs
$64.66 - $68.99
2% of jobs
$21
$42
$68
How much do flex schedule remote lpn utilization review jobs pay per hour?
What is a flex schedule remote LPN utilization review?
What are the key skills and qualifications needed to thrive as a flex schedule remote LPN utilization review nurse?
What are some common challenges faced by flex schedule remote LPN utilization review nurses, and how can they be managed?
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Cities with the most Flex Schedule Remote Lpn Utilization Review job openings:
What states have the most Flex Schedule Remote Lpn Utilization Review jobs?
States with the most job openings for Flex Schedule Remote Lpn Utilization Review jobs include:
What job categories do people searching Flex Schedule Remote Lpn Utilization Review jobs look for?
The top searched job categories for Flex Schedule Remote Lpn Utilization Review jobs are:
- Remote Medical Chart Review
- Flex Schedule Medical Document Reviewer
- Freelance Medical Claims Review Nurse
- Nursing Auditor
- Work From Home Medical Record Summarization
- Diversified Medical Records Services
- Remote Medical Practice Manager
- Medical Billing Coding Entry
- Chart Review Nurse Practitioner
- Remote Orthopedic Medical Transcription

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