🕒 Yesterday
Healthcare Utilization Review Specialist at Cobalt Benefits Group ensuring clients receive the right care through claims management and collaboration. Join our team to impact employee benefits solutions.
🕒 Yesterday
Utilization Review Coordinator supporting utilization review functions and compliance for behavioral health services. Ensuring timely communication and coordination with payors and clinical staff.
🕒 Yesterday
Utilization Review Nurse validating treatment plans in insurance industry. Analyzing medical necessity and ensuring compliance with health standards while communicating with providers and members.
🕒 Yesterday
Utilization Review Nurse handling clinical reviews and care coordination in the insurance sector. Validating medical necessity and serving as a liaison between providers and management divisions.
🕒 Yesterday
Utilization Review Specialist (RN) reviewing clinical documentation for Concierge Home Care. Ensuring compliance and coding accuracy while collaborating with clinical teams in a remote setting.
🕒 Yesterday
Utilization Review Specialist responsible for managing utilization review processes in a healthcare setting. Advocating for clients and ensuring compliance with insurance requirements through collaboration and training.
🕒 Yesterday
Utilization Review Nurse providing professional assessment of medical necessity for treatment requests. Empowering individuals at Personify Health through comprehensive care navigation and wellbeing solutions.
🕒 Yesterday
Utilization Review Coordinator at Guidelight Health managing client care access and authorization processes. Collaborating with clinical teams for optimized behavioral healthcare outcomes.
🕒 Yesterday
Utilization Review Specialist overseeing virtual IOP caseload functions at Charlie Health. Collaborating on complex cases and improving patient experience in mental health care.
🇺🇸 United States – Remote
💵 $53k - $65k / year
💰 Seed Round on 2020-06
⏰ Full Time
🟢 Junior
🟡 Mid-level
🚫👨🎓 No degree required
🕒 2 days ago
Utilization Management Nurse Consultant coordinating care for Medicare Integrated members in a fully remote role. Requires active RN license and experience in behavioral health utilization management.
🕒 2 days ago
Utilization Review Nurse conducting case reviews and assessing medical necessity for Oscar Health. Collaborating with care providers and ensuring compliance with guidelines.
🌵 Arizona, Florida, +15 more states – Remote
💵 $35 - $45 / hour
💰 $140M Private Equity Round on 2020-12
⏰ Full Time
🟢 Junior
🦅 H1B Visa Sponsor
🕒 2 days ago
Physician Reviewer evaluating inpatient, outpatient, and pharmacy services at Oscar Health. Collaboratively ensuring adherence to evidence-based guidelines and internal protocols while conducting medical reviews remotely.
🌵 Arizona, Florida, +1 more states – Remote
💵 $211.2k - $277.2k / year
💰 $140M Private Equity Round on 2020-12
⏰ Full Time
🟡 Mid-level
🟠 Senior
🦅 H1B Visa Sponsor
🕒 2 days ago
Utilization Review Specialist overseeing virtual IOP caseload at Charlie Health. Collaborating with teams to streamline authorization processes and improve patient care experience.
🕒 2 days ago
Utilization Management Nurse evaluating clinical service requests to ensure evidence-based, cost-effective care. Collaborating with interdisciplinary teams to promote integrated care for Umpqua Health's members.
🕒 3 days ago
Utilization Case Manager (RN) overseeing inpatient care decisions at Ohio State University Wexner Medical Center. Implementing care standards and managing compliance with healthcare guidelines.
🕒 4 days ago
Utilization Review Coordinator performing admission screening for medical necessity in a healthcare system in Indiana. Communicating with healthcare teams and ensuring appropriate settings for patient care.
🕒 June 16
Utilization Management Nurse Consultant at CVS Health coordinating patient care and benefit management for members while adhering to federal and state regulations. This role emphasizes collaboration and clinical expertise to ensure quality healthcare services.
🕒 June 11
Utilization Review Specialist responsible for admissions and concurrent reviews in healthcare. Analyzing patient records and managing appeals while ensuring compliance with healthcare regulations.
🕒 June 11
Utilization Review Specialist responsible for admissions and concurrent reviews in healthcare. Analyzing patient records and managing appeals while ensuring compliance with healthcare regulations.
+3 More Utilization Review Nurse Jobs Available!
The average salary for remote utilization review nurses is $88,914 per year. This is based on data from 6 job openings. Our advanced AI searches the internet for remote job openings and posts them on our website. We use the salary data from these job postings to calculate salary expectations.
Below is a breakdown of salary data by years of experience:
| Experience | Number of roles analyzed | Average Salary |
|---|---|---|
🟢 Junior Utilization Review Nurse (1-2 yrs) | 1 | $64,000 |
🟡 Mid-level Utilization Review Nurse (2-4 yrs) | 5 | $93,897 |
We analyzed 3 job listings in the last year and found it takes about 5 days for employers to close a job opening.
We reviewed 6 job postings and found the top 10 skills employers are asking for most often are:
You need strong critical thinking and analytical skills, attention to detail, effective communication, and a solid understanding of healthcare regulations. Proficiency with electronic health records (EHR) systems and clinical assessment skills are also important.
Typically, you need a registered nursing (RN) license and may require a bachelor's degree in nursing or a related field. Experience in clinical nursing and certifications in utilization management or case management can enhance your qualifications.
Responsibilities include reviewing patient treatment plans for medical necessity, collaborating with healthcare providers, ensuring compliance with regulations, documenting findings, and recommending appropriate care levels. You'll also communicate with patients and insurance companies as needed.
Benefits include flexible work hours, the ability to work from home, reduced commuting costs, and a better work-life balance. Remote roles also offer the chance to make a significant impact on patient care while enjoying a varied work environment.
We scan the internet everyday and find jobs not posted on LinkedIn or other job boards.
We find jobs as soon as they're posted, so you can apply before everyone else.
Most members hear back within the first week
We find jobs other job boards miss.
We find jobs other job boards miss.
New jobs are constantly being posted. We check each company website multiple times a day to ensure we have the most up-to-date job listings.
Yes! We're always looking to expand our listings and appreciate any suggestions from our community. Just send an email to [email protected]. I read every request.
Remote Rocketship is a solo project by me, Lior Neu-ner. I built this website for my wife when she was looking for a job! She was having a hard time finding remote jobs, so I decided to build her a tool that would search the internet for her.