Chicago, IL · Remote
$41/hr
Remote position, however, candidates must reside in the State of TX or State of IL This position is ... Pay: $41/hour RN working in the insurance or managed care industry using medically accepted ...
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Chicago, IL · Remote
$41/hr
Remote position, however, candidates must reside in the State of TX or State of IL This position is ... Pay: $41/hour RN working in the insurance or managed care industry using medically accepted ...
The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring ... Apple equipment and a media stipend are provided for remote workspace. ABOUT DANE STREET: A fast ...
The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring ... Apple equipment and a media stipend are provided for remote workspace. ABOUT DANE STREET: A fast ...
The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring ... Apple equipment and a media stipend are provided for remote workspace. ABOUT DANE STREET: A fast ...
The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring ... Apple equipment and a media stipend are provided for remote workspace. ABOUT DANE STREET: A fast ...
$80 - $120/hr
Remote | Utilization Management & Case Management Clinical Review Consultant We are sharing a ... Active clinical licensure, with a Registered Nurse license required for nursing leadership profiles
$80 - $120/hr
Remote | Utilization Management & Case Management Clinical Review Consultant We are sharing a ... Active clinical licensure, with a Registered Nurse license required for nursing leadership profiles
$35 - $43/hr
Current, unrestricted RN license in the United States or a U.S. territory (compact license accepted ... Utilization review/utilization management experience preferred Technical Skills: * Proficiency with ...
$35 - $43/hr
Current, unrestricted RN license in the United States or a U.S. territory (compact license accepted ... Utilization review/utilization management experience preferred Technical Skills: * Proficiency with ...
$35 - $43/hr
Current, unrestricted RN license in the United States or a U.S. territory (compact license accepted ... Utilization review/utilization management experience preferred Technical Skills: * Proficiency with ...
$35 - $43/hr
Current, unrestricted RN license in the United States or a U.S. territory (compact license accepted ... Utilization review/utilization management experience preferred Technical Skills: * Proficiency with ...
$35 - $43/hr
Current, unrestricted RN license in the United States or a U.S. territory (compact license accepted ... Utilization review/utilization management experience preferred Technical Skills: * Proficiency with ...
$35 - $43/hr
Current, unrestricted RN license in the United States or a U.S. territory (compact license accepted ... Utilization review/utilization management experience preferred Technical Skills: * Proficiency with ...
$80 - $120/hr
Active Registered Nurse licensure is required for Registered Nurse utilization management or case ... to structured remote healthcare review work * Contribute to high-quality AI-assisted clinical ...
$80 - $120/hr
Active Registered Nurse licensure is required for Registered Nurse utilization management or case ... to structured remote healthcare review work * Contribute to high-quality AI-assisted clinical ...
Nevada Mass, NV · Remote
$42/hr
Telecommute (Remote) Work Hours: 8:00 AM-5:00 PM PST Pay Rate: $42.00/hour License Preference ... We specialize within the medical and healthcare industries offering temporary and permanent ...
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Nevada Mass, NV · Remote
$42/hr
Telecommute (Remote) Work Hours: 8:00 AM-5:00 PM PST Pay Rate: $42.00/hour License Preference ... We specialize within the medical and healthcare industries offering temporary and permanent ...
Registered Nurse (RN) with current Pennsylvania licensure. * Previous experience with utilization ... Remote. * Prolonged periods of sitting and working on a computer. * Minimal physical demands.
Registered Nurse (RN) with current Pennsylvania licensure. * Previous experience with utilization ... Remote. * Prolonged periods of sitting and working on a computer. * Minimal physical demands.
Washington, DC · Remote
$36 - $42/hr
... Utilization Review / Long-Term Services & Supports (UR/LTSS) Review Nurse . This fully remote ... position supports Michigan Medicaid programs by conducting Nursing Facility Level of Care (LOC ...
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Washington, DC · Remote
$36 - $42/hr
... Utilization Review / Long-Term Services & Supports (UR/LTSS) Review Nurse . This fully remote ... position supports Michigan Medicaid programs by conducting Nursing Facility Level of Care (LOC ...
Monterey Park, CA · On-site +1
$34 - $42/hr
... Utilization Review Nurse to assist our Health Services Department. In this position, you will ... This is a remote position for CA-licensed nurses. Candidates must live in California. We are ...
Monterey Park, CA · On-site +1
$34 - $42/hr
... Utilization Review Nurse to assist our Health Services Department. In this position, you will ... This is a remote position for CA-licensed nurses. Candidates must live in California. We are ...
Utilization Review Nurse, RN Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly ...
Utilization Review Nurse, RN Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly ...
Utilization Review Nurse, RN Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly ...
Utilization Review Nurse, RN Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly ...
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Detroit, MI · Remote
$35 - $38/hr
Utilization Review Analyst Location: 100% Remote Duration: 12 Months This role is offsite, work ... Nursing Diploma or Associates Degree in Nursing required. Bachelor's degree in nursing (BSN) or ...
New
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Be Seen First
Detroit, MI · Remote
$35 - $38/hr
Utilization Review Analyst Location: 100% Remote Duration: 12 Months This role is offsite, work ... Nursing Diploma or Associates Degree in Nursing required. Bachelor's degree in nursing (BSN) or ...
New
Utilization Review Nurse, RN Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly ...
Utilization Review Nurse, RN Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly ...
Utilization Review Nurse, RN Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly ...
Utilization Review Nurse, RN Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly ...
OR · Remote
$30 - $38/hr
Concurrent Utilization Review (UR) Nurse Remote Opportunity Contract to Hire Must be licenses in California The Concurrent Utilization Review (UR) Nurse is responsible for conducting real-time ...
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OR · Remote
$30 - $38/hr
Concurrent Utilization Review (UR) Nurse Remote Opportunity Contract to Hire Must be licenses in California The Concurrent Utilization Review (UR) Nurse is responsible for conducting real-time ...
Utilization Review Nurse, RN Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly ...
Utilization Review Nurse, RN Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly ...
Austin, TX · Remote
$84K/yr
Remote Facility: Ascension Network Services Department: Utilization Management Schedule: Days l ... Review admissions and service requests for medical necessity, reimbursement compliance, and ...
New
Austin, TX · Remote
$84K/yr
Remote Facility: Ascension Network Services Department: Utilization Management Schedule: Days l ... Review admissions and service requests for medical necessity, reimbursement compliance, and ...
New
$21.39 - $25.72
2% of jobs
$25.72 - $30.05
9% of jobs
$33.01 is the 25th percentile. Wages below this are outliers.
$30.05 - $34.38
21% of jobs
The median wage is $37.88 / hr.
$34.38 - $38.70
23% of jobs
$38.70 - $43.03
13% of jobs
$46.39 is the 75th percentile. Wages above this are outliers.
$43.03 - $47.36
10% of jobs
$47.36 - $51.68
8% of jobs
$51.68 - $56.01
5% of jobs
$56.01 - $60.34
5% of jobs
$60.34 - $64.66
2% of jobs
$64.66 - $68.99
2% of jobs
$21
$42
$68
| Aspect | Temporary Remote Utilization Review Nurse | Temporary Remote Case Manager |
|---|---|---|
| Certifications | RN license, Utilization Review certification often preferred | RN license, Case Management certification (CCM or ACM) often preferred |
| Work Environment | Remote, healthcare facilities, insurance companies | Remote, healthcare providers, insurance companies |
| Primary Responsibilities | Review medical records to authorize or deny services based on medical necessity | Coordinate patient care, assess needs, and develop care plans |
While both roles are remote healthcare positions, the Temporary Remote Utilization Review Nurse focuses on reviewing medical necessity for services, whereas the Temporary Remote Case Manager manages patient care plans and coordinates services. Both require nursing credentials, but their daily tasks and certifications differ slightly.
Cities with the most Temporary Remote Utilization Review Nurse job openings:
The most popular types of Temporary Utilization Review Nurse jobs are:
States with the most job openings for Temporary Remote Utilization Review Nurse jobs include:
For Temporary Remote Utilization Review Nurse jobs, the most frequently searched job titles are:
Chicago, IL • Remote
$41/hr
Full-time
Re-posted 8 days ago
Remote position, however, candidates must reside in the State of TX or State of IL
This position is a contract for about 9 months.
Pay: $41/hour
RN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and appropriateness of the treatment plan. This Position Is Responsible For Performing Accurate And Timely Medical Review Of Claims Suspended For Medical Necessity, Contract Interpretation, Pricing; And To Initiate And/Or Respond To Correspondence From Providers Or Members Concerning Medical Determinations.
Knowledge of accreditation, i.e. URAC, NCQA standards and health insurance legislation. Awareness of claims processes and claims processing systems. PC proficiency to include Microsoft Word and Excel and health insurance databases. Verbal and written communication skills with ability to communicate to physicians, members and providers and compose and explain document findings. Organizational skills and prioritization skills. :Registered Nurse (RN) with unrestricted license in state. 3 years clinical experience.
Needs to be able to navigate MCG and Medical policies with the reviews.
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