Care Review Nurse
Columbus, OH · On-site
Care Review Nurse Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing ...
Care Review Nurse
Columbus, OH · On-site
Care Review Nurse Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing ...
Utilization Review LVN/RN
Columbus, OH · On-site
... Nursing (Med-Surg, ER ... Well versed in Utilization Management - Must be able to determine elective vs urgent request with ...
Utilization Review LVN/RN
Columbus, OH · On-site
... Nursing (Med-Surg, ER ... Well versed in Utilization Management - Must be able to determine elective vs urgent request with ...
Care Review Nurse
Columbus, OH · On-site
Care Review Nurse Integrated Resources, Inc., is led by a seasoned team with combined decades in ... Works with the Utilization Management team primarily responsible for inpatient medical necessity ...
Care Review Nurse
Columbus, OH · On-site
Care Review Nurse Integrated Resources, Inc., is led by a seasoned team with combined decades in ... Works with the Utilization Management team primarily responsible for inpatient medical necessity ...
Care Review Nurse
Columbus, OH · On-site
Works with the Utilization Management team primarily responsible for inpatient medical necessity ... Review cases for in patients/in hospital: skilled care, acute rehab and long term acute care Nurses ...
Care Review Nurse
Columbus, OH · On-site
Works with the Utilization Management team primarily responsible for inpatient medical necessity ... Review cases for in patients/in hospital: skilled care, acute rehab and long term acute care Nurses ...
Care Review Clinician
Columbus, OH · On-site
Minimum 3-4 years of clinical practice in hospital setting. • 1+ year utilization management, and/or case management. • Required Licensure/Certification: Active, unrestricted State Nursing (RN) ...
Care Review Clinician
Columbus, OH · On-site
Minimum 3-4 years of clinical practice in hospital setting. • 1+ year utilization management, and/or case management. • Required Licensure/Certification: Active, unrestricted State Nursing (RN) ...
Maintain compliancy with regulation changes affecting utilization management. PositionRequirements Bachelor's degree required. Active RN License from an accredited nursing school Minimum three to ...
Maintain compliancy with regulation changes affecting utilization management. PositionRequirements Bachelor's degree required. Active RN License from an accredited nursing school Minimum three to ...
Care Review Clinician
Columbus, OH · On-site
Minimum 3-4 years of clinical practice in hospital setting. 1+ year utilization management, and/or case management. Required Licensure/Certification: Active, unrestricted State Nursing (RN) license ...
Care Review Clinician
Columbus, OH · On-site
Minimum 3-4 years of clinical practice in hospital setting. 1+ year utilization management, and/or case management. Required Licensure/Certification: Active, unrestricted State Nursing (RN) license ...
Care Review Clinician
Columbus, OH · On-site
Minimum 3-4 years of clinical practice in hospital setting. • 1+ year utilization management, and/or case management. • Required Licensure/Certification: Active, unrestricted State Nursing (RN) ...
Care Review Clinician
Columbus, OH · On-site
Minimum 3-4 years of clinical practice in hospital setting. • 1+ year utilization management, and/or case management. • Required Licensure/Certification: Active, unrestricted State Nursing (RN) ...
License Practical Nurse
$24.75 - $33.75/hr
Works with the Utilization Management team primarily responsible for inpatient medical necessity ... Active, unrestricted State Nursing License Practical Nurse, license in good standing for the State ...
License Practical Nurse
$24.75 - $33.75/hr
Works with the Utilization Management team primarily responsible for inpatient medical necessity ... Active, unrestricted State Nursing License Practical Nurse, license in good standing for the State ...
Formulary Management Pharmacist
Columbus, OH · On-site
$54.50 - $65.50/hr
Formulary Management Pharmacist - Influence Therapy Access at Scale | Hybrid/Remote Friendly Shape ... Provide clinical support for utilization management, prior-authorization criteria, and step-therapy ...
Formulary Management Pharmacist
Columbus, OH · On-site
$54.50 - $65.50/hr
Formulary Management Pharmacist - Influence Therapy Access at Scale | Hybrid/Remote Friendly Shape ... Provide clinical support for utilization management, prior-authorization criteria, and step-therapy ...
Registered Nurse - PT
Columbus, OH · On-site
$46.35/hr
Practice basic cost containment and utilization management for patient care and facility operations ... Degree in nursing and current valid nursing license in the state of Ohio required. * Must work ...
Registered Nurse - PT
Columbus, OH · On-site
$46.35/hr
Practice basic cost containment and utilization management for patient care and facility operations ... Degree in nursing and current valid nursing license in the state of Ohio required. * Must work ...
RN Case Manager Licking Memorial Health Systems (LMHS) is a leading, non-profit healthcare ... Utilization review and or discharge planning experience preferred * Excellent verbal and written ...
Quick apply
RN Case Manager Licking Memorial Health Systems (LMHS) is a leading, non-profit healthcare ... Utilization review and or discharge planning experience preferred * Excellent verbal and written ...
RN Case Manager - Prior Authorization
Columbus, OH · On-site
$30/hr
Current RN, required ... Utilization Management (CPUR) certification, Certified Case Manager (CCM), or equivalent preferred.
RN Case Manager - Prior Authorization
Columbus, OH · On-site
$30/hr
Current RN, required ... Utilization Management (CPUR) certification, Certified Case Manager (CCM), or equivalent preferred.
RN Case Manager Licking Memorial Health Systems (LMHS) is a leading, non-profit healthcare ... Utilization review and or discharge planning experience preferred * Excellent verbal and written ...
RN Case Manager Licking Memorial Health Systems (LMHS) is a leading, non-profit healthcare ... Utilization review and or discharge planning experience preferred * Excellent verbal and written ...
RN Case Manager Licking Memorial Health Systems (LMHS) is a leading, non-profit healthcare ... Utilization review and or discharge planning experience preferred * Excellent verbal and written ...
RN Case Manager Licking Memorial Health Systems (LMHS) is a leading, non-profit healthcare ... Utilization review and or discharge planning experience preferred * Excellent verbal and written ...
RN Case Manager Licking Memorial Health Systems (LMHS) is a leading, non-profit healthcare ... Utilization review and or discharge planning experience preferred * Excellent verbal and written ...
RN Case Manager Licking Memorial Health Systems (LMHS) is a leading, non-profit healthcare ... Utilization review and or discharge planning experience preferred * Excellent verbal and written ...
RN Case Manager Licking Memorial Health Systems (LMHS) is a leading, non-profit healthcare ... Utilization review and or discharge planning experience preferred * Excellent verbal and written ...
Quick apply
RN Case Manager Licking Memorial Health Systems (LMHS) is a leading, non-profit healthcare ... Utilization review and or discharge planning experience preferred * Excellent verbal and written ...
RN Case Manager Licking Memorial Health Systems (LMHS) is a leading, non-profit healthcare ... Utilization review and or discharge planning experience preferred * Excellent verbal and written ...
RN Case Manager Licking Memorial Health Systems (LMHS) is a leading, non-profit healthcare ... Utilization review and or discharge planning experience preferred * Excellent verbal and written ...
RN Case Manager Licking Memorial Health Systems (LMHS) is a leading, non-profit healthcare ... Utilization review and or discharge planning experience preferred * Excellent verbal and written ...
RN Case Manager Licking Memorial Health Systems (LMHS) is a leading, non-profit healthcare ... Utilization review and or discharge planning experience preferred * Excellent verbal and written ...
Registered Nurse-FT
Columbus, OH · On-site
$46.35/hr
Practice basic cost containment and utilization management for patient care and facility operations ... Degree in nursing and current valid nursing license in the state of Ohio required. * Must work ...
Registered Nurse-FT
Columbus, OH · On-site
$46.35/hr
Practice basic cost containment and utilization management for patient care and facility operations ... Degree in nursing and current valid nursing license in the state of Ohio required. * Must work ...
Remote Utilization Management 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
How much do remote utilization management nurse jobs pay per hour?
As of Aug 19, 2026, the average hourly pay for remote utilization management 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.
More about Remote Utilization Management Nurse jobs
What are popular job titles related to Remote Utilization Management Nurse jobs?
For Remote Utilization Management Nurse jobs, the most frequently searched job titles are:
- Remote Utilization Review Nurse
- Remote Per Diem Utilization Review Nurse
- Night Shift Remote Utilization Review Nurse
- Evening Utilization Review Nurse
- Freelance Utilization Review Nurse
- Non Exempt No Experience Utilization Management Nurse
- Night Utilization Review Nurse
- Remote Utilization Review Rn
- Seasonal Remote Hedis Review Nurse
- Remote Freelance Utilization Review Nurse
What job categories do people searching Remote Utilization Management Nurse jobs look for?
The top searched job categories for Remote Utilization Management Nurse jobs are:
- Remote Cigna Utilization Review Nurse
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What cities are hiring for Remote Utilization Management Nurse jobs?
Cities with the most Remote Utilization Management Nurse job openings:
What states have the most Remote Utilization Management Nurse jobs?
States with the most job openings for Remote Utilization Management Nurse jobs include:
What are the most commonly searched types of Utilization Management Nurse jobs?
The most popular types of Utilization Management Nurse jobs are:
Job description
Care Review Nurse
Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Healthcare members with the right care at the right place at the right time. Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review. Assesses services for Members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and guidelines.
Medicaid Division
Duties: Review cases for in patients/in hospital: skilled care, acute rehab and long term acute care Nurses working at the facilities Members are being care for, will be sending over clinical information to be reviewed by the Care Review Clinician. Therefore, this agent will not be traveling and will be reviewing information at the office.
Qualifications: Background Hospital Utilization Management. Insurance Utilization Manager/Review and Millemen Experience (MCG). No case managers if that is their only experience. Must have Utilization Review or Management. Utilization Review (1 year +), Past hospital experience (3-4 years of experience, less experience is ok if they have more Utilization Review experience) Potential for longer term dependent on enrollment Workers will be doing Concurrent Inpatient Review MUST have one of the following AT LEAST -Utilization Review in hospital setting Nurses who are used to doing both production and review work
All your information will be kept confidential according to EEO guidelines.
About Integrated Resources
Sourced by ZipRecruiter
Integrated Resources Inc (IRI), based in Edison, NJ, US, is an esteemed player in the staffing solutions industry with a credible presence on their official website irionline.com. Notably, IRI provides a range of professional staffing services including contract, contract-to-hire, and direct hire solutions to a wide spectrum of industries such as healthcare, life sciences, manufacturing, financial, insurance, and others. Since its inception, IRI has been committed to delivering top-talent and optimum solutions to meet its clients' diverse needs.
Industry
Recruiting and staffing services
Company size
51 - 200 Employees
Headquarters location
Edison, NJ, US
Year founded
1996