34 Utilization Review RN jobs in North Carolina, United States

United States (Remote)

$63.1–94.7K / year

Thank you for considering a career at Ensemble!

United States (Remote)

$63.1–94.7K / year

Thank you for considering a career at Ensemble!

United States (Remote)

This is a remote position.

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)

$93.4–132.4K / year

City/State Norfolk, VA Work Shift First (Days) Overview: Sentara Health Plans is hiring a Clinical Claims Reviewer/ RN - Remote!

United States (Remote)

$100–130K / year

At Clover Health, we are committed to providing high-quality, affordable, and easy-to-understand healthcare plans for America’s seniors.

United States (Remote)

$82.7–96.5K / year

Job Description A bit about this role: The Clinical Guide Part A will be part of the Utilization Management team, responsible for inpatient,…

United States (Remote)

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

United States (Remote)

$77.9–116.9K / year

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail.

United States (Remote)

This is a remote position.

United States (Remote)

$90K / year

As a registered nurse with an Illinois nursing license, you will work remotely to enhance the quality of member management, maximize both…

United States (Remote)

$47.00 – $63.00 / hour

Thank you for considering a career at Ensemble!

United States (Remote)

$35.00 – $40.00 / hour

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw…

United States (Remote)

$53.5–102.3K / year

Summary Description Why should you join the BlueCross BlueShield of South Carolina family of companies?

United States (Remote)

Overview HealthEdge® offers AI-powered operational infrastructure for health insurance companies, guaranteeing an enduring financial edge in an…

United States (Remote)

$31.00 / hour

At Broadway Ventures , we transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions.

United States (Remote)

$53.5–102.3K / year

Summary Description Why should you join the BlueCross BlueShield of South Carolina family of companies?

United States (Remote)

REGISTERED NURSE (RN) - ESPISODE ASSESSMENT COORDINATOR - HOME HEALTH SERVICES - REMOTE - PRN AVAILABLE Must live in South Carolina, North Carolina,…

United States (Remote)

$65–85K / year

Overview HealthEdge® offers AI-powered operational infrastructure for health insurance companies, guaranteeing an enduring financial edge in an…

United States (Remote)

Get To Know Us! WebTPA, a GuideWell Company, is a healthcare third-party administrator with over 30+ years of experience building unique benefit…