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 Specialist
Pompano Beach, FL · Remote
$45K - $65K/hr
Utilization Review Specialist | Remote | Full-Time $50,000 - $65,000 Annually | Weekdays (Weekend Availability as Needed) Banyan Treatment Centers is seeking an experienced and detail-driven ...
Utilization Review Specialist
Pompano Beach, FL · Remote
$45K - $65K/hr
Utilization Review Specialist | Remote | Full-Time $50,000 - $65,000 Annually | Weekdays (Weekend Availability as Needed) Banyan Treatment Centers is seeking an experienced and detail-driven ...
Utilization Review Specialist
Pompano Beach, FL · Remote
$50K - $65K/yr
Utilization Review Specialist | Remote | Full-Time $50,000 - $65,000 Annually | Weekdays (Weekend Availability as Needed) Banyan Treatment Centers is seeking an experienced and detail-driven ...
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Utilization Review Specialist
Pompano Beach, FL · Remote
$50K - $65K/yr
Utilization Review Specialist | Remote | Full-Time $50,000 - $65,000 Annually | Weekdays (Weekend Availability as Needed) Banyan Treatment Centers is seeking an experienced and detail-driven ...
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
(CHR) Community Health Resources, Inc. is seeking a Utilization Review Therapist to manage authorization activities pertaining to IOP and Residential programs. This full-time, remote role requires a ...
(CHR) Community Health Resources, Inc. is seeking a Utilization Review Therapist to manage authorization activities pertaining to IOP and Residential programs. This full-time, remote role requires a ...
(CHR) Community Health Resources, Inc. is seeking a Utilization Review Therapist to manage authorization activities pertaining to IOP and Residential programs. This full-time, remote role requires a ...
(CHR) Community Health Resources, Inc. is seeking a Utilization Review Therapist to manage authorization activities pertaining to IOP and Residential programs. This full-time, remote role requires a ...
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 ...
ABA Utilization Review (UR) Specialist
Skokie, IL · On-site +1
This is a fully remote or office/home hybrid position. Your Responsibilities: * Review patient ... Utilization Review Specialist | Utilization Management Specialist | UR Specialist | Revenue Cycle ...
ABA Utilization Review (UR) Specialist
Skokie, IL · On-site +1
This is a fully remote or office/home hybrid position. Your Responsibilities: * Review patient ... Utilization Review Specialist | Utilization Management Specialist | UR Specialist | Revenue Cycle ...
This is a fully remote or office/home hybrid position. Your Responsibilities: * Review patient ... Utilization Review Specialist | Utilization Management Specialist | UR Specialist | Revenue Cycle ...
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This is a fully remote or office/home hybrid position. Your Responsibilities: * Review patient ... Utilization Review Specialist | Utilization Management Specialist | UR Specialist | Revenue Cycle ...
New Horizons is seeking an Utilization Review Specialist , who will be responsible for following up on patient accounts when authorization for stay is required, initiate pre-certification timely via ...
New
New Horizons is seeking an Utilization Review Specialist , who will be responsible for following up on patient accounts when authorization for stay is required, initiate pre-certification timely via ...
New
Utilization Review Administrative Specialist
Folsom, CA · Remote
$16.74 - $26.92/hr
This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Takes calls relating to ... For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level ...
Utilization Review Administrative Specialist
Folsom, CA · Remote
$16.74 - $26.92/hr
This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Takes calls relating to ... For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level ...
Utilization Review Administrative Specialist
Folsom, CA · Remote
$16.74 - $26.92/hr
This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Takes calls relating to ... For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level ...
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Utilization Review Administrative Specialist
Folsom, CA · Remote
$16.74 - $26.92/hr
This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Takes calls relating to ... For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level ...
Remote | Utilization Management & Case Management Clinical Review Consultant $80-$120/hour
$80 - $120/hr
Remote | Utilization Management & Case Management Clinical Review Consultant We are sharing a specialised part-time consulting opportunity for United States-based healthcare professionals experienced ...
Remote | Utilization Management & Case Management Clinical Review Consultant $80-$120/hour
$80 - $120/hr
Remote | Utilization Management & Case Management Clinical Review Consultant We are sharing a specialised part-time consulting opportunity for United States-based healthcare professionals experienced ...
Utilization Review Nurse
Miami, FL · Remote
$35 - $45.94/hr
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;
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Utilization Review Nurse
Miami, FL · Remote
$35 - $45.94/hr
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;
Utilization Review Nurse
Dallas, TX · Remote
$35 - $45.94/hr
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;
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Utilization Review Nurse
Dallas, TX · Remote
$35 - $45.94/hr
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;
Utilization Review Nurse
Atlanta, GA · Remote
$35 - $45.94/hr
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;
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Utilization Review Nurse
Atlanta, GA · Remote
$35 - $45.94/hr
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;
Utilization Review Nurse
Tempe, AZ · Remote
$35 - $45.94/hr
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;
Quick apply
Utilization Review Nurse
Tempe, AZ · Remote
$35 - $45.94/hr
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;
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- 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 ...
We are currently seeking Board-Certified physicians in RADIOLOGY to conduct independent Utilization Reviews . This is a flexible remote opportunity requiring just 1-2 hours per week -with no minimum ...
We are currently seeking Board-Certified physicians in RADIOLOGY to conduct independent Utilization Reviews . This is a flexible remote opportunity requiring just 1-2 hours per week -with no minimum ...
Senior Specialist Remote Utilization Review information
See salary details
$29K - $39.1K
4% of jobs
$39.1K - $49.2K
5% of jobs
$49.2K - $59.3K
13% of jobs
$62.4K is the 25th percentile. Wages below this are outliers.
$59.3K - $69.4K
9% of jobs
$69.4K - $79.5K
5% of jobs
$79.5K - $89.5K
7% of jobs
The median wage is $96.3K / yr.
$89.5K - $99.6K
10% of jobs
$99.6K - $109.7K
11% of jobs
$117.9K is the 75th percentile. Wages above this are outliers.
$109.7K - $119.8K
14% of jobs
$119.8K - $129.9K
10% of jobs
$129.9K - $140K
13% of jobs
$29K
$93.6K
$140K
How much do senior specialist remote utilization review jobs pay per year?
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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