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Full Time Remote Utilization Review Nurse Jobs (NOW HIRING)

Astrana Health, Inc.

UM Review Nurse

Monterey Park, CA · Remote

$34 - $47/hr

Description Astrana Health is looking for a CA-licensed Utilization Review Nurse to assist our ... This is a remote position for CA-licensed nurses. Candidates must live in California. We are ...

WPS Health Solutions

Utilization Management RN

Madison, WI · On-site +1

$75K - $100K/yr

Our Utilization Management RN will be responsible for referring questionable cases to medical ... Please review Remote Worker FAQs for additional information Benefits * Remote and hybrid work ...

Sagility LLC

RN Utilization Management Reviewer

Concord, NC · Remote

$35 - $40/hr

Conducts timely clinical decision review for services requiring prior authorization in a variety of ... May require weekends This is a fully remote work at home role. You must have a secure, private wok ...

Franciscan Health

Utilization Review Coordinator

Associate degree in nursing/patient care required * Bachelor's Degree in nursing/patient care ... Utilization Review Coordinator $56971.20-$84749.60 INCENTIVE: Not Applicable EQUAL OPPORTUNITY ...

Sagility

RN Utilization Management Reviewer

Concord, NC · Remote

$35 - $40/hr

Conducts timely clinical decision review for services requiring prior authorization in a variety of ... May require weekends This is a fully remote work at home role. You must have a secure, private wok ...

Sagility LLC

RN Utilization Management Reviewer

$35 - $40/hr

Conducts timely clinical decision review for services requiring prior authorization in a variety of ... May require weekends This is a fully remote work at home role. You must have a secure, private wok ...

Sagility LLC

RN Utilization Management Reviewer

Concord, NC · Remote

$35 - $40/hr

Conducts timely clinical decision review for services requiring prior authorization in a variety of ... May require weekends This is a fully remote work at home role. You must have a secure, private wok ...

Sagility

RN Utilization Management Reviewer

Concord, NC · Remote

$35 - $40/hr

Conducts timely clinical decision review for services requiring prior authorization in a variety of ... May require weekends This is a fully remote work at home role. You must have a secure, private wok ...

Sagility LLC

RN Utilization Management Reviewer

$35 - $40/hr

Conducts timely clinical decision review for services requiring prior authorization in a variety of ... May require weekends This is a fully remote work at home role. You must have a secure, private wok ...

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All JobsUtilization Review Nurse JobsFull Time Remote Utilization Review Nurse Jobs

Full Time Remote Utilization Review Nurse information

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

As of Jul 15, 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.

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:
Full Time Remote Utilization Review Nurse jobs near you

UM Review Nurse

Astrana Health, Inc.

Monterey Park, CA • Remote

$34 - $47/hr

Full-time

Re-posted 2 days ago

Job description

Description
Astrana Health is looking for a CA-licensed Utilization Review Nurse to assist our Health Services Department. In this position, you will utilize your clinical judgement to approve or deny outpatient medical services for patients based on Medical Necessity Criteria, respective to various Health Plans.
This position requires open availability between Monday through Sunday, 8 A - 8 P. You would be scheduled for 5 shifts per week. This is a remote position for CA-licensed nurses. Candidates must live in California.
We are seeking nurses with at least one year of outpatient Utilization Management experience in a fast-paced setting.
Our Values: 
  • Put Patients First
  • Empower Entrepreneurial Provider and Care Teams
  • Operate with Integrity & Excellence
  • Be Innovative
  • Work As One Team

What You'll Do
  • Complete prior authorization/retrospective review of elective inpatient admissions, outpatient procedures, post-homecare services, and durable medical equipment
  • Refer cases to Medical Directors as needed/appropriate
  • Maintain knowledge of state and federal regulations and accreditation standards
  • Comply with internal policies and procedures
  • Perform any other job duties as requested

Qualifications
  • Active and unrestricted LVN license in CA. 
  • At least 1 years of outpatient UM experience
  • Experience with Microsoft applications such as Word, Excel, and Outlook
You’ll be Great for this Role If:     
  • At least two (2) years of health plan, IPA or MSO experience
  • Strong interpersonal skills
  • Ability to collaborate with co-workers, senior leadership, and other management
  • Experience educating and training staff

Environmental Job Requirements and Working Conditions
  • This is a remote position. Our office is located at 1600 Corporate Center Drive in Monterey Park, CA. Candidates who live within a 30 mile radius of the office may be expected to work hybrid. 
  • Typical business hours are Monday - Friday from 8:30 AM to 5 PM, however, this position requires open availability between 8 AM - 8 PM PST, M-Su. Your schedule will be compromised of 5 shifts per week. Nurses rotate weekend and holiday coverage. Overtime is required in this position.   
  • The national target pay range for this role is $34.00 - $47.00 per hour. Actual compensation will be based on job level, geographic location (current or future), experience, and other job-related factors.
Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided based on qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation.
Additional Information:
The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.