83 Clinical Review Nurse jobs in New Jersey, United States

New Jersey, US (Hybrid)

$155–165K / year

Territory Coverage: Bergen County, New Jersey.

United States (Remote)

$36.00 – $38.00 / hour

Vida is looking for a licensed RN or LPN to manage clinical review requests, escalations, and member inquiries in a fully remote, virtual care setting.

United States (Remote)

Position Purpose: Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance…

United States (Remote)

$82–87K / year

The Clinical Compliance Auditor II is responsible for ensuring Guidehealth’s clinical operations, utilization management activities, and delegated…

United States (Remote)

Dane Street has embarked on a program where we are looking for Registered Nurses to perform reviews and clinical summaries for disability claims.

United States (Remote)

$60.00 – $65.00 / hour

About Us At Prenuvo , we are on a mission to flip the paradigm from reactive “sick-care” to proactive health care.

United States (Remote)

We are seeking experienced US registered nurses to review and assess AI-generated responses from a health coaching agent, with a focus on safety,…

United States (Remote)

$55.00 – $65.00 / hour

About the job Mercor connects elite creative and technical talent with leading AI research labs.

United States (Remote)

$71.1–97.8K / year

Become a part of our caring community Shift/Availability details: This is a full time position scheduled for 40 hours a week over 4 days for 10 hour shifts.

United States (Remote)

$70–75K / year

The Utilization Management Registered Nurse is responsible for performing utilization review activities in compliance with federal and state…

United States (Remote)

$60.00 – $70.00 / hour

Role Title: Registered Nurse Role Type: Contractor Location: United States, Remote We are engaging Registered Nurses to contribute their expertise to…

United States (Remote)

From $90K / year

About RPM Roman Pennsylvania Medical, P.C.

United States (Remote)

$70–75K / year

About Us: Our purpose is to help clients exceed their financial health goals.

United States (Remote)

At Curana Health, we're on a mission to radically improve the health, happiness, and dignity of older adults—and we're looking for passionate people…

United States (Remote)

$78–88K / year

It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges.

United States (Remote)

$150K / year

About Seven Starling Seven Starling is a leading virtual provider of women's behavioral health services supporting every stage of their reproductive health.

United States (Remote)

$35.00 / hour

About Hone Hone is an online medical clinic at the forefront of transforming healthcare and enhancing longevity.

United States (Remote)

$38.00 – $81.00 / hour

Job Title: In-Home Nurse Practitioner or Physician Assistant Part Time - Michigan City Job Location: Work at Home, Indiana, United States Job…

United States (Remote)

$78–83K / year

Our Story Imagine being part of a team that’s not just shaping the future but actively driving it.

United States (Remote)

By joining Sedgwick, you'll be part of something truly meaningful.