Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours | 08:00 AM - 04:30 PM Contract Duration: 13 Weeks Orientation: 40 Hours (Non-Billable) Required ...
Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours | 08:00 AM - 04:30 PM Contract Duration: 13 Weeks Orientation: 40 Hours (Non-Billable) Required ...
Utilization Review Nurse (RN)
Madera, CA · On-site
$55.34 - $66.41/hr
The Utilization Review Nurse assesses, plans, implements and evaluates the needs of patients for ... Requires Current California Board of Nursing Registered Nurse License. * Current American Heart ...
Utilization Review Nurse (RN)
Madera, CA · On-site
$55.34 - $66.41/hr
The Utilization Review Nurse assesses, plans, implements and evaluates the needs of patients for ... Requires Current California Board of Nursing Registered Nurse License. * Current American Heart ...
RN - Utilization Review - Syracuse, NY - RNDS
Rome, NY · On-site
$56.21 - $65/hr
Job Title: RN - Utilization Review Location: Syracuse, NY Type: Contract | 14 Weeks Shift & Schedule: Day Shift | Monday-Friday Position Overview: Navitas Healthcare, LLC is seeking RN - Utilization ...
RN - Utilization Review - Syracuse, NY - RNDS
Rome, NY · On-site
$56.21 - $65/hr
Job Title: RN - Utilization Review Location: Syracuse, NY Type: Contract | 14 Weeks Shift & Schedule: Day Shift | Monday-Friday Position Overview: Navitas Healthcare, LLC is seeking RN - Utilization ...
RN - Utilization Review - Syracuse, NY - RNDS
Syracuse, NY · On-site
$56.21 - $65/hr
Job Title: RN - Utilization Review Location: Syracuse, NY Type: Contract | 14 Weeks Shift & Schedule: Day Shift | Monday-Friday Position Overview: Navitas Healthcare, LLC is seeking RN - Utilization ...
RN - Utilization Review - Syracuse, NY - RNDS
Syracuse, NY · On-site
$56.21 - $65/hr
Job Title: RN - Utilization Review Location: Syracuse, NY Type: Contract | 14 Weeks Shift & Schedule: Day Shift | Monday-Friday Position Overview: Navitas Healthcare, LLC is seeking RN - Utilization ...
Job Title: RN - Utilization Review (Travel) Location: Syracuse, NY Type: Contract | 14 Weeks Shift & Schedule: Day Shift | Monday-Friday Position Overview: Navitas Healthcare, LLC is seeking RN - ...
Job Title: RN - Utilization Review (Travel) Location: Syracuse, NY Type: Contract | 14 Weeks Shift & Schedule: Day Shift | Monday-Friday Position Overview: Navitas Healthcare, LLC is seeking RN - ...
Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours | 08:00 AM - 04:30 PM Contract Duration: 13 Weeks Orientation: 40 Hours (Non-Billable) Required ...
Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours | 08:00 AM - 04:30 PM Contract Duration: 13 Weeks Orientation: 40 Hours (Non-Billable) Required ...
Job Title: RN - Utilization Review Location: Syracuse, NY Type: Contract | 14 Weeks Shift & Schedule: Day Shift | Full-Time | Monday-Friday Position Overview: Navitas Healthcare, LLC is seeking RN - ...
Job Title: RN - Utilization Review Location: Syracuse, NY Type: Contract | 14 Weeks Shift & Schedule: Day Shift | Full-Time | Monday-Friday Position Overview: Navitas Healthcare, LLC is seeking RN - ...
Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours | 08:00 AM - 04:30 PM Contract Duration: 13 Weeks Orientation: 40 Hours (Non-Billable) Required ...
Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours | 08:00 AM - 04:30 PM Contract Duration: 13 Weeks Orientation: 40 Hours (Non-Billable) Required ...
Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours | 08:00 AM - 04:30 PM Contract Duration: 13 Weeks Orientation: 40 Hours (Non-Billable) Required ...
Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours | 08:00 AM - 04:30 PM Contract Duration: 13 Weeks Orientation: 40 Hours (Non-Billable) Required ...
RN - Utilization Review & Care Coordination Join a dedicated healthcare team as a Registered Nurse specializing in Utilization Review and Coordination of Care. This role involves evaluating patient ...
RN - Utilization Review & Care Coordination Join a dedicated healthcare team as a Registered Nurse specializing in Utilization Review and Coordination of Care. This role involves evaluating patient ...
Job Title: RN - Utilization Review Location: Syracuse, NY Type: Contract | 14 Weeks Shift & Schedule: Day Shift | Full-Time | Monday-Friday Position Overview: Navitas Healthcare, LLC is seeking RN - ...
Job Title: RN - Utilization Review Location: Syracuse, NY Type: Contract | 14 Weeks Shift & Schedule: Day Shift | Full-Time | Monday-Friday Position Overview: Navitas Healthcare, LLC is seeking RN - ...
Utilization Review Nurse
Oxford, NC · On-site
North Carolina License as a Registered Nurse. Three years clinical nursing experience. One year utilization and review experience. Experience with MCG authorization criteria preferred. Knowledge of ...
Utilization Review Nurse
Oxford, NC · On-site
North Carolina License as a Registered Nurse. Three years clinical nursing experience. One year utilization and review experience. Experience with MCG authorization criteria preferred. Knowledge of ...
Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours | 08:00 AM - 04:30 PM Contract Duration: 13 Weeks Orientation: 40 Hours (Non-Billable) Required ...
Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours | 08:00 AM - 04:30 PM Contract Duration: 13 Weeks Orientation: 40 Hours (Non-Billable) Required ...
Utilization Review Nurse
New Orleans, LA · On-site
The Utilization Review Nurse ensures appropriate utilization of health services by performing ... Active Registered Nurse license by the State of Louisiana and/or the state(s) in which the nurse is ...
Utilization Review Nurse
New Orleans, LA · On-site
The Utilization Review Nurse ensures appropriate utilization of health services by performing ... Active Registered Nurse license by the State of Louisiana and/or the state(s) in which the nurse is ...
Utilization Review Nurse
New Orleans, LA · On-site
The Utilization Review Nurse ensures appropriate utilization of health services by performing ... Active Registered Nurse license by the State of Louisiana and/or the state(s) in which the nurse is ...
Utilization Review Nurse
New Orleans, LA · On-site
The Utilization Review Nurse ensures appropriate utilization of health services by performing ... Active Registered Nurse license by the State of Louisiana and/or the state(s) in which the nurse is ...
Job Summary The Utilization Review (UR) Nurse has acute knowledge and skills in areas of ... Registered Nurse (RN), with authorization to practice in the State of Texas * Preferred
Job Summary The Utilization Review (UR) Nurse has acute knowledge and skills in areas of ... Registered Nurse (RN), with authorization to practice in the State of Texas * Preferred
Utilization Review Nurse
Plano, TX · Remote
Austin area - Travis/Williamson Counties or Richardson area - Dallas/Collin Counties*** RN working ... This position is responsible for performing initial, concurrent review activities; discharge care ...
Utilization Review Nurse
Plano, TX · Remote
Austin area - Travis/Williamson Counties or Richardson area - Dallas/Collin Counties*** RN working ... This position is responsible for performing initial, concurrent review activities; discharge care ...
Ur Rn Weekend Shifts Weekend requirements - ur rn four weekend shifts (days) in a six-week period ... utilization review in a hospital setting (not health plan/medical group). First-timers accepted ...
Ur Rn Weekend Shifts Weekend requirements - ur rn four weekend shifts (days) in a six-week period ... utilization review in a hospital setting (not health plan/medical group). First-timers accepted ...
Ur Rn Weekend Shifts Weekend requirements - UR RN for 4 weekend shifts (days) in a six-week period ... utilization review in a hospital setting (not health plan/medical group) First-timers accepted:
Ur Rn Weekend Shifts Weekend requirements - UR RN for 4 weekend shifts (days) in a six-week period ... utilization review in a hospital setting (not health plan/medical group) First-timers accepted:
Registered Nurse (RN) - Utilization Review Location: Apple Valley, CA Duration: 13-Week Contract Schedule: Day Shift - 5x8-Hour Shifts Hours: 8:00 AM - 4:30 PM Guaranteed Hours: 40 Hours Weekly ...
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Registered Nurse (RN) - Utilization Review Location: Apple Valley, CA Duration: 13-Week Contract Schedule: Day Shift - 5x8-Hour Shifts Hours: 8:00 AM - 4:30 PM Guaranteed Hours: 40 Hours Weekly ...
Volunteer Rn Utilization Review Nurse information
See salary details
$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
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$40/hr
Other
This job post has expired 1 day ago. Applications are no longer accepted.
Job description
Job Title: Registered Nurse - Utilization Review
Location: Santa Rosa, CA
Shift Details: Day Shift | 5x8 Hours | 08:00 AM - 04:30 PM
Contract Duration: 13 Weeks
Orientation: 40 Hours (Non-Billable)
Required Qualifications
- Active Registered Nurse (RN) License required
- Minimum 1-2 years acute care nursing experience preferred
- Experience in Utilization Review, Case Management, or similar role preferred
- Strong understanding of medical necessity, payer guidelines, and clinical documentation
- Knowledge of insurance authorization processes preferred
- Strong analytical, communication, and decision-making skills
- Ability to work independently in a remote environment
- Proficiency with EMR systems preferred (Epic experience a plus)
Job Responsibilities
- Perform utilization review of inpatient and outpatient cases
- Evaluate medical necessity based on clinical guidelines and payer policies
- Review patient records and documentation for appropriate level of care
- Collaborate with physicians, case managers, and insurance providers
- Process prior authorizations and continued stay reviews
- Document all review decisions accurately in EMR systems
- Identify cases requiring further clinical escalation
- Ensure compliance with regulatory, hospital, and insurance standards
- Support discharge planning and care coordination as needed
- Maintain productivity and quality standards in a remote setting
For more details contact at sthakur@navitashealth.com
About Navitas Healthcare, LLC certified WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical, Clinical and Non-Clinical services to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided and your salary will be discussed upfront.