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 Nurse
Miami, FL · Remote
$35 - $45.94/hr
We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... 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
We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... 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
We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... 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
We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... 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
We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... 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
We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois;
Job Summary and Responsibilities As our Utilization Review Nurse, you will ensure the medical necessity and appropriateness of care for all hospitalized patients, promoting fiscal responsibility and ...
New
Job Summary and Responsibilities As our Utilization Review Nurse, you will ensure the medical necessity and appropriateness of care for all hospitalized patients, promoting fiscal responsibility and ...
New
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
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 ...
Utilization Review Nurse
Tempe, AZ · Remote
$35 - $45.94/hr
We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois;
Quick apply
Utilization Review Nurse
Tempe, AZ · Remote
$35 - $45.94/hr
We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois;
Utilization Review Nurse
New Lenox, IL · On-site +1
$34.73 - $45.15/hr
Nurse, Registered (RN) licensure * BSN preferred. 2-5 years previous Utilization Review experience ... 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
Nurse, Registered (RN) licensure * BSN preferred. 2-5 years previous Utilization Review experience ... Days, Primarily remote; onsite orientation requirement; weekend and holiday rotation; on site ...
Utilization Review Nurse
$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 ...
Utilization Review Nurse
$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 ...
Utilization Review Nurse
Newark, NJ · Remote
$38 - $40/hr
Position is 100% remote but will have to go to Newark, NJ to pick up equipment and short ... Serves as mentor/trainer to new RN's and other staff as needed, completes audits, reviews and ...
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Utilization Review Nurse
Newark, NJ · Remote
$38 - $40/hr
Position is 100% remote but will have to go to Newark, NJ to pick up equipment and short ... Serves as mentor/trainer to new RN's and other staff as needed, completes audits, reviews and ...
Utilization Review Nurse
Roseburg, OR · Remote
$85K - $105K/yr
UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR, 97470, as needed for business operations. EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At ...
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Utilization Review Nurse
Roseburg, OR · Remote
$85K - $105K/yr
UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR, 97470, as needed for business operations. EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At ...
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 ...
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 ...
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 ...
Utilization Review Nurse
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 ...
Utilization Review Nurse
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 ...
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 ...
Clinical Utilization Review Nurse II Our client, a Healthcare company, is looking for a Clinical Utilization Review Nurse II for their remote location. Responsibilities include: * Prospectively and ...
New
Clinical Utilization Review Nurse II Our client, a Healthcare company, is looking for a Clinical Utilization Review Nurse II for their remote location. Responsibilities include: * Prospectively and ...
New
CA Utilization Review Nurse I
$30.64 - $45.80/hr
Utilization Review Nurse The Utilization Review Nurse gathers demographic and clinical information ... This is a remote position. Essential Functions & Responsibilities: * Identifies the necessity of ...
CA Utilization Review Nurse I
$30.64 - $45.80/hr
Utilization Review Nurse The Utilization Review Nurse gathers demographic and clinical information ... This is a remote position. Essential Functions & Responsibilities: * Identifies the necessity of ...
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 ...
... Full time remote Candidates must be based in TX. RN working in the insurance or managed care ... Provides information regarding utilization management requirements and operational procedures to ...
... Full time remote Candidates must be based in TX. RN working in the insurance or managed care ... Provides information regarding utilization management requirements and operational procedures to ...
Internship Remote Utilization Review Nurse information
See salary details
$9.13 - $10.38
1% of jobs
$10.38 - $11.63
0% of jobs
$11.63 - $12.87
3% of jobs
$12.87 - $14.12
11% of jobs
$14.49 is the 25th percentile. Wages below this are outliers.
$14.12 - $15.36
35% of jobs
The median wage is $15.41 / hr.
$15.36 - $16.61
13% of jobs
$17.78 is the 75th percentile. Wages above this are outliers.
$16.61 - $17.85
14% of jobs
$17.85 - $19.10
11% of jobs
$19.10 - $20.35
12% of jobs
$20.35 - $21.59
1% of jobs
$21.59 - $22.84
1% of jobs
$9
$16
$22
How much do internship remote utilization review nurse jobs pay per hour?
What are some common challenges faced by remote utilization review nurse interns, and how can they be addressed?
What is the difference between Internship Remote Utilization Review Nurse vs Remote Utilization Review Nurse?
| Aspect | Internship Remote Utilization Review Nurse | Remote Utilization Review Nurse |
|---|---|---|
| Credentials | Typically in progress or recent graduation, may lack full licensure | Licensed Registered Nurse (RN) with required certifications |
| Work Environment | Supervised internship setting, learning-focused | Full-time remote work, independent review tasks |
| Employer & Industry | Hospitals, healthcare providers, or training programs | Insurance companies, healthcare organizations, utilization management |
The Internship Remote Utilization Review Nurse is a training position for aspiring nurses gaining experience in utilization review, often without full licensure. In contrast, the Remote Utilization Review Nurse is a fully licensed professional responsible for conducting reviews independently. The internship role emphasizes learning and supervision, while the full nurse role involves autonomous decision-making in a remote setting.
What is an internship remote utilization review nurse?
What are the key skills and qualifications needed to thrive as an internship remote utilization review nurse?
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