69 Utilization Review jobs in United States

Massachusetts, US (Hybrid)

$100–105K / year

Job Description: Candidates must live in Massachusetts and hold an active, unrestricted Massachusetts RN license at the time of hire.

Florida, US (Hybrid)

$71.2–115.7K / year

The CRN is responsible for performing medical reviews using established criteria to ensure the member is receiving care at the most appropriate level.

Florida, US (Hybrid)

$71.2–115.7K / year

The CRN is responsible for performing medical reviews using established criteria to ensure the member is receiving care at the most appropriate level.

Florida, US (Hybrid)

$25.00 – $41.00 / hour

The Administrative Nurse, LPN will support Clinical Review/Utilization Management processes in pre-service medical review, post-service medical…

Florida, US (Hybrid)

$25.00 – $41.00 / hour

The Administrative Nurse, LPN will support Clinical Review/Utilization Management processes in pre-service medical review, post-service medical…

Pennsylvania, US (Hybrid)

$72.7–116.6K / year

Company : Endorsed Job Description : JOB SUMMARY This is a full-time hybrid work from home position requiring travel within the assigned territory.

Riverside, California, US (Hybrid)

Job Description Job Summary Provides support for clinical facility site reviews.

New Hampshire, US (Hybrid)

$31.00 – $55.00 / hour

Position Purpose: Provides expertise based on experience with identifying, overseeing, and managing the coordination of transition of members in the community.

United States (Remote)

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

United States (Remote)

Overview The Manager, Utilization Review Nursing is responsible for the operational oversight and leadership of Sendero Health Plans’ Utilization…

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)

$27.00 – $49.00 / hour

Position Purpose: Performs a clinical review and assesses care related to mental health and substance abuse.

United States (Remote)

Kingman Healthcare Incorporated (KHI) Staff Position Description Position Title: Utilization Review Nurse Position Code: RN-6027 Department: Case…

United States (Remote)

$47.00 – $63.00 / hour

Thank you for considering a career at Ensemble!

United States (Remote)

$40.00 / hour

This position is fully remote, however, you must reside in the State of Texas The position is a contract for about 6 months.

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)

$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)

$70–75K / year

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

United States (Remote)

$66.3–84K / year

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