ZipRecruiter

Log In

3

Full Time Remote Utilization Review Nurse Jobs (NOW HIRING)

Oscar Health

Utilization Review Nurse

Miami, FL · 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 ...

Oscar Health

Utilization Review Nurse

Dallas, TX · 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 ...

Oscar Health

Utilization Review Nurse

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 ...

Oscar Health

Utilization Review Nurse

Atlanta, GA · 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 ...

Bracane Co

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 ...

silvercross

Utilization Review Nurse

$34.73 - $45.15/hr

Days, Primarily remote; onsite orientation requirement; weekend and holiday rotation; on site ... for Full-time and Part-time employees which includes: Medical, Dental and Vision plans Life ...

Corvel

CA Utilization Review Nurse I

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 ...

next page

Showing results 1-20

All Jobsremote Jobsfull time JobsHealthcare JobsNursing JobsNurse Case Manager JobsFull Time Remote Utilization Review Nurse Jobs

Full Time Remote Utilization Review Nurse information

See salary details

$21

$42

$68

How much do full time remote utilization review nurse jobs pay per hour?

As of Aug 27, 2026, the average hourly pay for full time remote utilization review nurse in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.

What is the difference between Full Time Remote Utilization Review Nurse vs Part Time Remote Utilization Review Nurse?

AspectFull Time Remote Utilization Review NursePart Time Remote Utilization Review Nurse
Work HoursTypically 40 hours/weekLess than 20 hours/week
CertificationsRN license, utilization review certification often preferredRN license, utilization review certification often preferred
Work EnvironmentRemote, independent review settingRemote, independent review setting
Employer UsageHospitals, insurance companies, healthcare organizationsHospitals, 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.

More about Full Time Remote Utilization Review Nurse jobs

What cities are hiring for Full Time Remote Utilization Review Nurse jobs?

Cities with the most Full Time Remote Utilization Review Nurse job openings:

What are the most commonly searched types of Remote Utilization Review Nurse jobs?

The most popular types of Remote Utilization Review Nurse jobs are:

What states have the most Full Time Remote Utilization Review Nurse jobs?

States with the most job openings for Full Time Remote Utilization Review Nurse jobs include:

What job categories do people searching Full Time Remote Utilization Review Nurse jobs look for?

The top searched job categories for Full Time Remote Utilization Review Nurse jobs are:

Full Time Remote Utilization Review Nurse jobs near you

Utilization Review RN (Remote)

Fort Lauderdale, FL • Remote

HealthPlus Staffing
Recruiting and Staffing Services • 11 - 50 employees
Learn more about HealthPlus Staffingexternal

Full-time

Re-posted 14 days ago

Job description

Quick Job Details:

Setting: 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
  • Minimum 2 years of Utilization Review experience
  • Minimum 3 years of clinical nursing experience (acute care/hospital preferred)
  • Strong understanding of medical necessity, utilization management, healthcare reimbursement, and clinical documentation improvement
  • Excellent communication, analytical, and critical thinking skills
  • Ability to work independently in a remote environment

Responsibilities:

  • Conduct admission, continued stay, and observation reviews
  • Apply medical necessity criteria to determine appropriate level of care
  • Review cases for Physician Advisor escalation when appropriate
  • Collaborate with physicians, case managers, and insurance payers
  • Support denial prevention, documentation improvement, and revenue cycle initiatives
  • Ensure compliance with payer guidelines and regulatory requirements
  • Analyze clinical and financial data to identify quality improvement opportunities

Compensation: Competitive; based on experience

Benefits: Comprehensive benefits package

About Us:

HealthPlus Staffing is a national leader in the healthcare staffing industry. We partner with top healthcare organizations nationwide to connect highly qualified professionals with outstanding career opportunities.

Our Promise:

  • We will put you in front of the decision makers.
  • We will provide feedback on your application.
  • We will work on your behalf to obtain as much information as possible to help you make a well-informed decision.

If you're interested in this opportunity, please submit an application or call 561-291-7787 to speak with one of our experienced consultants. We look forward to helping you find your next opportunity!

The HealthPlus Team