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Temporary Remote Utilization Review Nurse Jobs (NOW HIRING)

Ascension

Registered Nurse Utilization Review

Austin, TX · Remote

$78K - $110K/yr

Remote Facility: Ascension Network Services Department: Utilization Management Schedule: Days l ... Review admissions and service requests for medical necessity, reimbursement compliance, and ...

Hired by Matrix

RN Utilization Review

RN Utilization Review Location: Torrance, CA Job Type: Travel Discipline: RN Specialty: Utilization Review Facility Setting: Short Term Acute Care (STAC) Accepting Locals per Radius Rule?: Yes ...

Astrana Health

UM Review Nurse

Monterey Park, CA · Remote

$34 - $42/hr

This is a remote position for CA-licensed nurses. Candidates must live in California. We are ... Utilization Management experience in a fast-paced setting. Our Values: * Put Patients First

Ascension

RN-Utilization Review

Austin, TX · Remote

$84K/yr

Remote Facility: Ascension Network Services Department: Utilization Management Schedule: Days l ... Review admissions and service requests within assigned unit for prospective, concurrent and ...

Astrana Health, Inc.

UM Review Nurse

Monterey Park, CA · Remote

$34 - $42/hr

This is a remote position for CA-licensed nurses. Candidates must live in California. We are ... Utilization Management experience in a fast-paced setting. Our Values: * Put Patients First

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Temporary Remote Utilization Review Nurse information

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

As of Sep 12, 2026, the average hourly pay for temporary 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 Temporary Remote Utilization Review Nurse vs Temporary Remote Case Manager?

AspectTemporary Remote Utilization Review NurseTemporary Remote Case Manager
CertificationsRN license, Utilization Review certification often preferredRN license, Case Management certification (CCM or ACM) often preferred
Work EnvironmentRemote, healthcare facilities, insurance companiesRemote, healthcare providers, insurance companies
Primary ResponsibilitiesReview medical records to authorize or deny services based on medical necessityCoordinate 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.

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Temporary Remote Utilization Review Nurse jobs near you
Infographic showing various Temporary Remote Utilization Review Nurse job openings in the United States as of June 2026, with employment types broken down into 53% Full Time, 28% Part Time, and 19% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Utilization Management Specialist

Baltimore, MD • Remote

System One
Business Consulting Services • 5 - 10K employees
Learn more about System Oneexternal

Contractor

Medical, Dental, Vision, Life, Retirement

Re-posted 22 days ago

Job description

Utilization Management Specialist (UM / Utilization Review Nurse) — Remote

Location: 100% Remote (U.S.) — Maryland compact/eligibility required Type: Contract (approx. 3 months; potential extension) Schedule: Mon–Fri, 8:00am–5:00pm ET (1-hour lunch) - Flex after ramp-up start time between 7:00am–9:00am ET Pay (W2): USD 51.00/H

Job overview

In this role, you’ll use your clinical background and utilization management experience to review requests for care and determine medical necessity, appropriateness, and benefit coverage. You’ll work fully remote and leverage MCG, medical policy, and regulatory guidelines while collaborating with Medical Directors and internal teams to support timely, accurate authorization decisions.

What you’ll do

  • Perform prospective, concurrent, and retrospective utilization reviews (medical + behavioral health).
  • Make medical necessity / appropriateness determinations and support prior authorizations.
  • Use clinical criteria and policy resources daily (including MCG / Milliman Care Guidelines).
  • Review clinical documentation, benefits, and mandates to ensure services align with coverage and guidelines.
  • Research diagnoses/treatments and high-cost services; summarize findings and escalate complex cases to Medical Directors as needed.
  • Collaborate with internal partners and providers to support benefit application and appropriate levels/settings of care.
  • Maintain accurate documentation and protect PHI while managing a busy caseload.

Required qualifications

  • Active RN or LPN license (RN preferred) — Maryland compact/eligibility required
  • 5+ years clinical nursing experience
  • 2+ years care management / utilization management experience
  • MCG experience (required)
  • Experience supporting Commercial/FEP/Medicare lines of business and applying medical policy/regulatory standards
  • Strong critical thinking, written communication, and ability to work independently in a remote setting
  • Comfortable with web-based tools + Microsoft Office (Word/Excel/PowerPoint)
  • Guiding Care and FACETS (required)

Nice to have

  • Critical Care or ER clinical background
  • Experience with LCD/NCD, Medicare guidelines, ASAM, or other authorization criteria sets

System One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.

System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.

#M-1 #LI-AJ1 Ref: #851-Rockville-S1

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About System One

Sourced by ZipRecruiter

System One helps employers get work done more efficiently and economically without compromising quality. Over our 35+ year history, we've helped connect thousands of talented people with innovative companies. The excitement of a perfect fit motivates us every single day.

Industry

Business consulting services and recruiting and staffing services

Company size

5,001 - 10,000 Employees

Headquarters location

Pittsburgh, PA, US

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