Conducts prior authorization reviews to determine financial responsibility Qualifications * 2 years Inpatient background with Hospital Nursing (Med-Surg, ER) * Well versed in Utilization Management ...
Conducts prior authorization reviews to determine financial responsibility Qualifications * 2 years Inpatient background with Hospital Nursing (Med-Surg, ER) * Well versed in Utilization Management ...
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 ...
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
Qualifications Utilization Review in hospital setting . Prior author experience . Inpatient hospital experience . Nurses who are used to doing both production and review work . RN required . Millemen ...
Care Review Clinician
Columbus, OH · On-site
Qualifications Utilization Review in hospital setting . Prior author experience . Inpatient hospital experience . Nurses who are used to doing both production and review work . RN required . Millemen ...
The Ohio Department of Medicaid (ODM) is seeking a Registered Nurse (RN) to be a part of our Surveillance/Utilization Review Section (SURS). SURS is charged with helping the agency review utilization ...
The Ohio Department of Medicaid (ODM) is seeking a Registered Nurse (RN) to be a part of our Surveillance/Utilization Review Section (SURS). SURS is charged with helping the agency review utilization ...
The Ohio Department of Medicaid (ODM) is seeking a Registered Nurse (RN) to be a part of our Surveillance/Utilization Review Section (SURS). SURS is charged with helping the agency review utilization ...
The Ohio Department of Medicaid (ODM) is seeking a Registered Nurse (RN) to be a part of our Surveillance/Utilization Review Section (SURS). SURS is charged with helping the agency review utilization ...
UR/UM) 50% Provides Direct Supervision of care managers, social workers, utilization review case ... Master's Degree (Required)RN - Registered Nurse - Ohio Board of Nursing Additional SPECIALIZED ...
New
UR/UM) 50% Provides Direct Supervision of care managers, social workers, utilization review case ... Master's Degree (Required)RN - Registered Nurse - Ohio Board of Nursing Additional SPECIALIZED ...
New
Current licensure as a registered nurse in the state of Ohio is required. * Valid Ohio driver ... Utilization review, and/or discharge planning experience desirable. Physical Requirements:
Current licensure as a registered nurse in the state of Ohio is required. * Valid Ohio driver ... Utilization review, and/or discharge planning experience desirable. Physical Requirements:
Utilization review, prior authorization, or managed care experience preferred. * Active OH RN Licensure * Experienced with either Interqual or Milliman Licenses/Certifications: Current RN, required.
Utilization review, prior authorization, or managed care experience preferred. * Active OH RN Licensure * Experienced with either Interqual or Milliman Licenses/Certifications: Current RN, required.
Registered Nurse - RN
Columbus, OH · On-site
$85K - $95K/yr
The Registered Nurse (RN) Care Manager plays a vital role in providing exceptional, patient ... Participate actively in team meetings, quality improvement projects, and utilization review ...
Quick apply
Registered Nurse - RN
Columbus, OH · On-site
$85K - $95K/yr
The Registered Nurse (RN) Care Manager plays a vital role in providing exceptional, patient ... Participate actively in team meetings, quality improvement projects, and utilization review ...
Registered Nurse - RN
Columbus, OH · On-site
$85K - $95K/yr
The Registered Nurse (RN) Care Manager plays a vital role in providing exceptional, patient ... Participate actively in team meetings, quality improvement projects, and utilization review ...
Quick apply
Registered Nurse - RN
Columbus, OH · On-site
$85K - $95K/yr
The Registered Nurse (RN) Care Manager plays a vital role in providing exceptional, patient ... Participate actively in team meetings, quality improvement projects, and utilization review ...
Registered Nurse - RN
Columbus, OH · On-site
$85K - $95K/yr
The Registered Nurse (RN) Care Manager plays a vital role in providing exceptional, patient ... Participate actively in team meetings, quality improvement projects, and utilization review ...
Quick apply
Registered Nurse - RN
Columbus, OH · On-site
$85K - $95K/yr
The Registered Nurse (RN) Care Manager plays a vital role in providing exceptional, patient ... Participate actively in team meetings, quality improvement projects, and utilization review ...
Job Duties Review medical records to determine appropriateness of admissions, procedures and ... affecting utilization management. PositionRequirements Bachelor's degree required. Active RN ...
Job Duties Review medical records to determine appropriateness of admissions, procedures and ... affecting utilization management. PositionRequirements Bachelor's degree required. Active RN ...
UR Coordinator, Full Time
Columbus, OH · On-site
$24 - $32/hr
High school diploma required; associate or bachelor's degree in nursing, healthcare administration, or related field preferred * Must be 21 or older * Experience in utilization review, case ...
UR Coordinator, Full Time
Columbus, OH · On-site
$24 - $32/hr
High school diploma required; associate or bachelor's degree in nursing, healthcare administration, or related field preferred * Must be 21 or older * Experience in utilization review, case ...
RN Home Health
Columbus, OH · On-site
$85K - $95K/yr
Registered Nurse (RN) Care Manager - Home Health Role Summary: The Registered Nurse (RN) Care ... Participate actively in team meetings, quality improvement projects, and utilization review ...
Quick apply
RN Home Health
Columbus, OH · On-site
$85K - $95K/yr
Registered Nurse (RN) Care Manager - Home Health Role Summary: The Registered Nurse (RN) Care ... Participate actively in team meetings, quality improvement projects, and utilization review ...
RN Home Health
Columbus, OH · On-site
$85K - $95K/yr
Registered Nurse (RN) Care Manager - Home Health Role Summary: The Registered Nurse (RN) Care ... Participate actively in team meetings, quality improvement projects, and utilization review ...
Quick apply
RN Home Health
Columbus, OH · On-site
$85K - $95K/yr
Registered Nurse (RN) Care Manager - Home Health Role Summary: The Registered Nurse (RN) Care ... Participate actively in team meetings, quality improvement projects, and utilization review ...
RN Care Manager
Columbus, OH · On-site
$85K - $95K/yr
The Registered Nurse (RN) Care Manager plays a vital role in providing exceptional, patient ... Participate actively in team meetings, quality improvement projects, and utilization review ...
Quick apply
RN Care Manager
Columbus, OH · On-site
$85K - $95K/yr
The Registered Nurse (RN) Care Manager plays a vital role in providing exceptional, patient ... Participate actively in team meetings, quality improvement projects, and utilization review ...
RN Care Manager
Columbus, OH · On-site
$85K - $95K/yr
The Registered Nurse (RN) Care Manager plays a vital role in providing exceptional, patient ... Participate actively in team meetings, quality improvement projects, and utilization review ...
Quick apply
RN Care Manager
Columbus, OH · On-site
$85K - $95K/yr
The Registered Nurse (RN) Care Manager plays a vital role in providing exceptional, patient ... Participate actively in team meetings, quality improvement projects, and utilization review ...
RN Case Manager Position Summary The case manager is responsible for individualized management of ... Utilization review and or discharge planning experience preferred * Excellent verbal and written ...
RN Case Manager Position Summary The case manager is responsible for individualized management of ... Utilization review and or discharge planning experience preferred * Excellent verbal and written ...
RN Case Manager Position Summary The case manager is responsible for individualized management of ... Utilization review and or discharge planning experience preferred * Excellent verbal and written ...
Quick apply
RN Case Manager Position Summary The case manager is responsible for individualized management of ... Utilization review and or discharge planning experience preferred * Excellent verbal and written ...
RN Case Manager - Case Management
Newark, OH · On-site
RN Case Manager Position Summary The case manager is responsible for individualized management of ... Utilization review and or discharge planning experience preferred * Excellent verbal and written ...
RN Case Manager - Case Management
Newark, OH · On-site
RN Case Manager Position Summary The case manager is responsible for individualized management of ... Utilization review and or discharge planning experience preferred * Excellent verbal and written ...
Remote Utilization Review Rn 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 review rn jobs pay per hour?
As of Jul 31, 2026, the average hourly pay for remote utilization review rn 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 are popular job titles related to Remote Utilization Review Rn jobs? For Remote Utilization Review Rn jobs, the most frequently searched job titles are:
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What job categories do people searching Remote Utilization Review Rn jobs look for? The top searched job categories for Remote Utilization Review Rn jobs are:
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What cities are hiring for Remote Utilization Review Rn jobs? Cities with the most Remote Utilization Review Rn job openings:
What states have the most Remote Utilization Review Rn jobs? States with the most job openings for Remote Utilization Review Rn jobs include:
What are the most commonly searched types of Utilization Review Rn jobs? The most popular types of Utilization Review Rn jobs are:
Job description
Company Description
Why You Should Work For Us:
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!
Job Description
- Assesses services for members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and guidelines.
- Analyzes clinical service requests from members or providers against evidence based clinical guidelines.
- Conducts prior authorization reviews to determine financial responsibility
Qualifications
- 2 years Inpatient background with Hospital Nursing (Med-Surg, ER)
- Well versed in Utilization Management - Must be able to determine elective vs urgent request with Prior Authorization ReviewÂ
- Provider Claims, Appeals and Denials - certain services require prior authorization (PA) from the Utilization Management (UM) department
- 6 + months of Interqual experience
- 6+ months of Coding with ICD10 and CPT/ HCPCS
Additional Information
Interested in being considered?Â
If you are interested in applying to this position, please click the Green I'm Interested Button to email your resume and contact Jeff St Louis 407-478-0332x223.Â
About Healthcare Support
Sourced by ZipRecruiter
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.
Industry
Recruiting and staffing services
Company size
201 - 500 Employees
Headquarters location
Maitland, FL, US
Year founded
2003