Tempe, AZ · Remote
$35 - $45.94/hr
This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois ... Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 ...
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Tempe, AZ · Remote
$35 - $45.94/hr
This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois ... Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 ...
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 ...
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 ...
Roseburg, OR · Remote
$85K - $105K/yr
UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR, 97457, as needed for business operations. EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At ...
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Roseburg, OR · Remote
$85K - $105K/yr
UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR, 97457, as needed for business operations. EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At ...
Dallas, TX · Remote
Full-time Description Join our team at Cobalt Benefits Group and start an exciting new career in employee benefits solutions. As a Utilization Review Nurse (UR Nurse) , you'll play an important role ...
Dallas, TX · Remote
Full-time Description Join our team at Cobalt Benefits Group and start an exciting new career in employee benefits solutions. As a Utilization Review Nurse (UR Nurse) , you'll play an important role ...
Roseburg, OR · On-site +1
$85K - $105K/yr
UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR, 97457, as needed for business operations. EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At ...
Roseburg, OR · On-site +1
$85K - $105K/yr
UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR, 97457, as needed for business operations. EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At ...
Murray, UT · On-site +1
Refers to UR committee any case that surpasses expected LOS, expected cost, or over/under-utilization of resources. * Performs verbal/fax clinical review with payer as determined by nursing judgment ...
Murray, UT · On-site +1
Refers to UR committee any case that surpasses expected LOS, expected cost, or over/under-utilization of resources. * Performs verbal/fax clinical review with payer as determined by nursing judgment ...
Morehead, KY · On-site +1
Supports utilization review processes by planning, analyzing data, and setting goals to ensure ... Days (United States of America) Time Type: Full time Address : 222 Medical Circle City, State
Morehead, KY · On-site +1
Supports utilization review processes by planning, analyzing data, and setting goals to ensure ... Days (United States of America) Time Type: Full time Address : 222 Medical Circle City, State
Rancho Cucamonga, CA · Remote
$30.64 - $45.80/hr
This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Identifies the necessity of ... A comprehensive benefits package is available for full-time regular employees and includes Medical ...
Rancho Cucamonga, CA · Remote
$30.64 - $45.80/hr
This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Identifies the necessity of ... A comprehensive benefits package is available for full-time regular employees and includes Medical ...
Rancho Cucamonga, CA · Remote
$30.64 - $45.80/hr
This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Identifies the necessity of ... A comprehensive benefits package is available for full-time regular employees and includes Medical ...
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Rancho Cucamonga, CA · Remote
$30.64 - $45.80/hr
This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Identifies the necessity of ... A comprehensive benefits package is available for full-time regular employees and includes Medical ...
Boca Raton, FL · On-site +1
$50K - $80K/yr
This full-time, remote role is well suited to someone who is organized, communicates clearly, and ... No prior utilization review experience is required. Training will be provided for the right ...
Boca Raton, FL · On-site +1
$50K - $80K/yr
This full-time, remote role is well suited to someone who is organized, communicates clearly, and ... No prior utilization review experience is required. Training will be provided for the right ...
Poughkeepsie, NY · On-site +1
$48.49 - $73.58/hr
Summary: The Utilization Review Nurse is responsible for conducting timely, accurate, and ... Adheres to the standards outlined in the Nuvance Health Remote Work Program Policy when utilizing a ...
Poughkeepsie, NY · On-site +1
$48.49 - $73.58/hr
Summary: The Utilization Review Nurse is responsible for conducting timely, accurate, and ... Adheres to the standards outlined in the Nuvance Health Remote Work Program Policy when utilizing a ...
Leavenworth, KS · On-site +1
$78K - $137K/yr
Summary The Revenue Utilization Review (RUR) nurse is under the supervision of the Nurse Manager ... full-time, part-time or intermittent. Contact the hiring agency for more information on the ...
Leavenworth, KS · On-site +1
$78K - $137K/yr
Summary The Revenue Utilization Review (RUR) nurse is under the supervision of the Nurse Manager ... full-time, part-time or intermittent. Contact the hiring agency for more information on the ...
... team of Utilization Review Nurses. This role involves ensuring efficient care coordination ... HBiz complies with all applicable employment laws for remote and multi-state hiring and provides ...
... team of Utilization Review Nurses. This role involves ensuring efficient care coordination ... HBiz complies with all applicable employment laws for remote and multi-state hiring and provides ...
Miami, FL · On-site +1
... ) Experience: Minimum 7 years of relevant experience (5 years of case management/utilization review ... Job Status: Full time Employee Type: Staff
Miami, FL · On-site +1
... ) Experience: Minimum 7 years of relevant experience (5 years of case management/utilization review ... Job Status: Full time Employee Type: Staff
Full-Time (Remote or Hybrid, as applicable) Position Summary The Utilization Review (UR) Specialist ... Clinical background (RN, LCSW, LMFT, LPCC, or equivalent licensure) * Experience working with ...
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Full-Time (Remote or Hybrid, as applicable) Position Summary The Utilization Review (UR) Specialist ... Clinical background (RN, LCSW, LMFT, LPCC, or equivalent licensure) * Experience working with ...
Registered Nurse, Utilization Review (Remote) Local Candidates in the Austin, TX Area Only Long Term Opportunity | High Potential for Extension Use Your Clinical Expertise to Improve Healthcare ...
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Registered Nurse, Utilization Review (Remote) Local Candidates in the Austin, TX Area Only Long Term Opportunity | High Potential for Extension Use Your Clinical Expertise to Improve Healthcare ...
Monterey Park, CA · On-site +1
$34 - $47/hr
HS - UM Employment Type: Full Time Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 ... This is a remote position for CA-licensed nurses. Candidates must live in California. We are ...
Monterey Park, CA · On-site +1
$34 - $47/hr
HS - UM Employment Type: Full Time Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 ... This is a remote position for CA-licensed nurses. Candidates must live in California. We are ...
In this position you will be reviewing patient charts to determine if pre-elective surgical cases ... Previous utilization management or case management experience preferred. CERTIFICATIONS/LICENSURES ...
In this position you will be reviewing patient charts to determine if pre-elective surgical cases ... Previous utilization management or case management experience preferred. CERTIFICATIONS/LICENSURES ...
Perform utilization review for: * Preauthorization requests * Appeals (first and second level ... Remote work from home * Full-time, Monday-Friday * Availability for occasional weekends and holiday ...
Perform utilization review for: * Preauthorization requests * Appeals (first and second level ... Remote work from home * Full-time, Monday-Friday * Availability for occasional weekends and holiday ...
$70K - $120K/yr
Medica's Utilization Review Nurses are responsible for reviewing and documenting prior ... Active, unrestricted RN license required This position is a Remote role. To be eligible for ...
$70K - $120K/yr
Medica's Utilization Review Nurses are responsible for reviewing and documenting prior ... Active, unrestricted RN license required This position is a Remote role. To be eligible for ...
$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
| Aspect | Full Time Remote Utilization Review Nurse | Part Time Remote Utilization Review Nurse |
|---|---|---|
| Work Hours | Typically 40 hours/week | Less than 20 hours/week |
| Certifications | RN license, utilization review certification often preferred | RN license, utilization review certification often preferred |
| Work Environment | Remote, independent review setting | Remote, independent review setting |
| Employer Usage | Hospitals, insurance companies, healthcare organizations | Hospitals, insurance companies, healthcare organizations |
Full Time Remote Utilization Review Nurses work standard hours and provide comprehensive review services, while Part Time roles offer flexibility with fewer hours. Both roles require similar credentials and are employed in remote healthcare settings by hospitals and insurance companies.
$35 - $45.94/hr
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 2 days ago
6.9
Based on 6 frontline employees who took The Breakroom Quiz
239th of 281 rated insurance
Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review team.
About the role:
You will perform frequent case reviews, check medical records and speak with care providers regarding treatment as needed. You will make recommendations regarding the appropriateness of care for identified diagnoses based on the research results for those conditions.
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; Iowa; Kansas; Michigan; Missouri; Nebraska; New Jersey; North Carolina; Ohio; Oklahoma; Pennsylvania; South Carolina; Tennessee; Texas; or Virginia. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events.
Pay Transparency: The base pay for this role is: $35.00 - $45.94 per hour. You are also eligible for employee benefits and monthly vacation accrual at a rate of 15 days per year.
Responsibilities:
Requirements:
Bonus points:
This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.
At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.
Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.
Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.
Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.
California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.
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Sourced by ZipRecruiter
Insurance services
1,001 - 5,000 Employees
New York, NY, US
2012
