RN Utilization Review Nurse
$33 - $37/hr
Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories ... Must be an RN * Utilization Review background in either Managed Care of Provider environment (at ...
$33 - $37/hr
Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories ... Must be an RN * Utilization Review background in either Managed Care of Provider environment (at ...
$33 - $37/hr
Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories ... Must be an RN * Utilization Review background in either Managed Care of Provider environment (at ...
Los Angeles, CA · On-site
$278K - $350K/yr
Job Summary The Medical Director, Utilization Management provides clinical oversight of ... within the biotech, pharmaceutical, or healthcare industry. Proven experience in a physician ...
Los Angeles, CA · On-site
$278K - $350K/yr
Job Summary The Medical Director, Utilization Management provides clinical oversight of ... within the biotech, pharmaceutical, or healthcare industry. Proven experience in a physician ...
Role Overview Under the direction of the Supervisor, the Behavioral Health Utilization Management ... We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy ...
Role Overview Under the direction of the Supervisor, the Behavioral Health Utilization Management ... We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy ...
Katy, TX · Remote
$50.25 - $60.50/hr
Prior authorization, utilization management, or managed care preferred - retail or hospital pharmacists with strong clinical judgment are encouraged to apply. * Skills: Excellent clinical review ...
Katy, TX · Remote
$50.25 - $60.50/hr
Prior authorization, utilization management, or managed care preferred - retail or hospital pharmacists with strong clinical judgment are encouraged to apply. * Skills: Excellent clinical review ...
Mobile, AL · Remote
$49.75 - $59.75/hr
Prior authorization, utilization management, or managed care preferred - retail or hospital pharmacists with strong clinical judgment are encouraged to apply. * Skills: Excellent clinical review ...
Mobile, AL · Remote
$49.75 - $59.75/hr
Prior authorization, utilization management, or managed care preferred - retail or hospital pharmacists with strong clinical judgment are encouraged to apply. * Skills: Excellent clinical review ...
Hollywood, FL · Remote
$53.25 - $64/hr
Prior authorization, utilization management, or managed care preferred - retail or hospital pharmacists with strong clinical judgment are encouraged to apply. * Skills: Excellent clinical review ...
Hollywood, FL · Remote
$53.25 - $64/hr
Prior authorization, utilization management, or managed care preferred - retail or hospital pharmacists with strong clinical judgment are encouraged to apply. * Skills: Excellent clinical review ...
Pasadena, MD · Remote
$59.25 - $71/hr
Prior authorization, utilization management, or managed care preferred - retail or hospital pharmacists with strong clinical judgment are encouraged to apply. * Skills: Excellent clinical review ...
Pasadena, MD · Remote
$59.25 - $71/hr
Prior authorization, utilization management, or managed care preferred - retail or hospital pharmacists with strong clinical judgment are encouraged to apply. * Skills: Excellent clinical review ...
Detroit, MI · Remote
$53.25 - $64/hr
Prior authorization, utilization management, or managed care preferred - retail or hospital pharmacists with strong clinical judgment are encouraged to apply. * Skills: Excellent clinical review ...
Detroit, MI · Remote
$53.25 - $64/hr
Prior authorization, utilization management, or managed care preferred - retail or hospital pharmacists with strong clinical judgment are encouraged to apply. * Skills: Excellent clinical review ...
Yuma, AZ · Remote
$50 - $60.25/hr
Prior authorization, utilization management, or managed care preferred - retail or hospital pharmacists with strong clinical judgment are encouraged to apply. * Skills: Excellent clinical review ...
Yuma, AZ · Remote
$50 - $60.25/hr
Prior authorization, utilization management, or managed care preferred - retail or hospital pharmacists with strong clinical judgment are encouraged to apply. * Skills: Excellent clinical review ...
Rapid City, SD · Remote
$57.50 - $69/hr
Prior authorization, utilization management, or managed care preferred - retail or hospital pharmacists with strong clinical judgment are encouraged to apply. * Skills: Excellent clinical review ...
Rapid City, SD · Remote
$57.50 - $69/hr
Prior authorization, utilization management, or managed care preferred - retail or hospital pharmacists with strong clinical judgment are encouraged to apply. * Skills: Excellent clinical review ...
Charlotte, NC · Remote
$52.75 - $63.25/hr
Prior authorization, utilization management, or managed care preferred - retail or hospital pharmacists with strong clinical judgment are encouraged to apply. * Skills: Excellent clinical review ...
Charlotte, NC · Remote
$52.75 - $63.25/hr
Prior authorization, utilization management, or managed care preferred - retail or hospital pharmacists with strong clinical judgment are encouraged to apply. * Skills: Excellent clinical review ...
Hingham, MA · On-site
$39.32 - $48.06/hr
The Team The Clinical Utilization Reviewer is part of a highly dedicated and motivated team of professionals, including medical and behavioral health care managers, dieticians, pharmacist, clinicians ...
Hingham, MA · On-site
$39.32 - $48.06/hr
The Team The Clinical Utilization Reviewer is part of a highly dedicated and motivated team of professionals, including medical and behavioral health care managers, dieticians, pharmacist, clinicians ...
Manchester, NH · Remote
$56.75 - $68.25/hr
Prior authorization, utilization management, or managed care preferred - retail or hospital pharmacists with strong clinical judgment are encouraged to apply. * Skills: Excellent clinical review ...
Manchester, NH · Remote
$56.75 - $68.25/hr
Prior authorization, utilization management, or managed care preferred - retail or hospital pharmacists with strong clinical judgment are encouraged to apply. * Skills: Excellent clinical review ...
Flushing, NY · Remote
$61.50 - $74/hr
Prior authorization, utilization management, or managed care preferred - retail or hospital pharmacists with strong clinical judgment are encouraged to apply. * Skills: Excellent clinical review ...
Flushing, NY · Remote
$61.50 - $74/hr
Prior authorization, utilization management, or managed care preferred - retail or hospital pharmacists with strong clinical judgment are encouraged to apply. * Skills: Excellent clinical review ...
Antioch, TN · Remote
$56 - $67.25/hr
Prior authorization, utilization management, or managed care preferred - retail or hospital pharmacists with strong clinical judgment are encouraged to apply. * Skills: Excellent clinical review ...
Antioch, TN · Remote
$56 - $67.25/hr
Prior authorization, utilization management, or managed care preferred - retail or hospital pharmacists with strong clinical judgment are encouraged to apply. * Skills: Excellent clinical review ...
West Lafayette, IN · Remote
$52.25 - $62.75/hr
Prior authorization, utilization management, or managed care preferred - retail or hospital pharmacists with strong clinical judgment are encouraged to apply. * Skills: Excellent clinical review ...
West Lafayette, IN · Remote
$52.25 - $62.75/hr
Prior authorization, utilization management, or managed care preferred - retail or hospital pharmacists with strong clinical judgment are encouraged to apply. * Skills: Excellent clinical review ...
Portland, ME · Remote
$58.75 - $70.75/hr
Prior authorization, utilization management, or managed care preferred - retail or hospital pharmacists with strong clinical judgment are encouraged to apply. * Skills: Excellent clinical review ...
Portland, ME · Remote
$58.75 - $70.75/hr
Prior authorization, utilization management, or managed care preferred - retail or hospital pharmacists with strong clinical judgment are encouraged to apply. * Skills: Excellent clinical review ...
Colorado Springs, CO · Remote
$51 - $61.25/hr
Prior authorization, utilization management, or managed care preferred - retail or hospital pharmacists with strong clinical judgment are encouraged to apply. * Skills: Excellent clinical review ...
Colorado Springs, CO · Remote
$51 - $61.25/hr
Prior authorization, utilization management, or managed care preferred - retail or hospital pharmacists with strong clinical judgment are encouraged to apply. * Skills: Excellent clinical review ...
Lawrenceville, GA · Remote
$50.25 - $60.50/hr
Prior authorization, utilization management, or managed care preferred - retail or hospital pharmacists with strong clinical judgment are encouraged to apply. * Skills: Excellent clinical review ...
Lawrenceville, GA · Remote
$50.25 - $60.50/hr
Prior authorization, utilization management, or managed care preferred - retail or hospital pharmacists with strong clinical judgment are encouraged to apply. * Skills: Excellent clinical review ...
Pearland, TX · Remote
$40/hr
Utilization Management LPN Allmed Benefits: Vision Insurance, Health Insurance, Dental Insurance ... We specialize within the medical and healthcare industries offering temporary and permanent ...
Quick apply
Pearland, TX · Remote
$40/hr
Utilization Management LPN Allmed Benefits: Vision Insurance, Health Insurance, Dental Insurance ... We specialize within the medical and healthcare industries offering temporary and permanent ...
$18.99 - $25.13
5% of jobs
$25.13 - $31.27
7% of jobs
$31.27 - $37.41
1% of jobs
$37.41 - $43.55
0% of jobs
$49.05 is the 25th percentile. Wages below this are outliers.
$43.55 - $49.69
13% of jobs
$49.69 - $55.83
11% of jobs
The median wage is $60.35 / hr.
$55.83 - $61.98
18% of jobs
$67.60 is the 75th percentile. Wages above this are outliers.
$61.98 - $68.12
22% of jobs
$68.12 - $74.26
13% of jobs
$74.26 - $80.40
7% of jobs
$80.40 - $86.54
3% of jobs
$18
$58
$86
| Aspect | Temp Utilization Management Pharmacist | Utilization Review Pharmacist |
|---|---|---|
| Credentials | Pharmacy license, certification in utilization management preferred | Pharmacy license, certification in utilization review often required |
| Work Environment | Temporary assignments in healthcare facilities, insurance companies, or consulting | Reviewing medical necessity and coverage for insurance claims, often in healthcare or insurance settings |
| Employer & Industry | Temporary staffing agencies, healthcare organizations, insurance companies | Insurance companies, healthcare providers, utilization review organizations |
While both roles involve reviewing medication use and healthcare utilization, the Temp Utilization Management Pharmacist typically works on temporary assignments focusing on managing medication utilization, whereas the Utilization Review Pharmacist often handles ongoing review processes within insurance or healthcare organizations. The main difference lies in the employment type and scope of responsibilities.

$33 - $37/hr
Full-time
Posted 18 days ago
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Are you an experienced RN Utilization Review Nurse looking for a new opportunity with a prestigious healthcare company as a RN Utilization Review Nurse. Do you want the chance to advance your career by joining a rapidly growing company? If you answered "yes" to any of these questions - this is the RN Utilization Review Nurse position for you!
Company Job Description/Day to Day Duties:
Hours for this Position:
Advantages of this Opportunity:
Minimum Education/Qualifications/Licensures:
Interested in being considered?
If you are interested in being considered for this position, please click the apply button below. Â Or call John Wood 407-478-0332 ext 225
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HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Recruiting and staffing services
201 - 500 Employees
Maitland, FL, US
2003