33 Remote Utilization Review Nurse jobs in Springfield, Illinois, United States

Medical Necessity Criteria

Registered Nurse

Utilization Management Registered Nurse

Humana International Group·United States (Remote)

Humana International Group

United States (Remote)

$71.1–97.8K Yearly5 days ago

Registered Nurse

Compact Registered Nurse (RN) License

Clinical Review Nurse - Concurrent Review

Centene Corporation·Illinois, United States (Remote)

Centene Corporation

Illinois, United States (Remote)

$27.00 – $49.00 Hourly5 days ago

Concurrent Review Nurse

RN (Registered Nurse)

Concurrent Review

Manager Registered Nurse - Utilization Management

SSM Health·Missouri, United States + 3 more (Remote)

SSM Health

Missouri, United States + 3 more (Remote)

4 wk. ago

RN Nursing Management

Case Management

Registered Nurse (RN) Lead, Home Health Utilization Management

Clover Health·United States (Remote)

Clover Health

United States (Remote)

$130.8–170K Yearly3 wk. ago

Registered Nurse (RN) License

Registered Nurse

CMS Regulations

Utilization Review Nurse - RN

Personify Health·United States (Remote)

Personify Health

United States (Remote)

$30.00 – $38.00 Hourly1 mo. ago

RN License

Utilization Review Nurse- Remote (Any city, AK, US, 99999)

Gainwell Technologies LLC·United States (Remote)

Gainwell Technologies LLC

United States (Remote)

$78–88K Yearly3 wk. ago

Case Management

Utilization Review Nursing

Prior Authorization

Utilization Review Nurse RN Part-Time

Personify Health·United States (Remote)

Personify Health

United States (Remote)

$30.00 – $38.00 Hourly1 wk. ago

Care Management

Medical Necessity Reviews

Utilization Review RN

WVU Medicine·United States (Remote)

WVU Medicine

United States (Remote)

1 wk. ago

Utilization Management RN

Registered Nurse License

Medical Records Review

Peer to Peer Nurse Author RN

R1 RCM Holdco Inc.·United States (Remote)

R1 RCM Holdco Inc.

United States (Remote)

$65.5–96.9K Yearly1 wk. ago

Peer-to-Peer Nurse

RN License

Clinical Guide Part A: (UM) Utilization Management Nurse

Devoted Health·United States (Remote)

Devoted Health

United States (Remote)

$82.7–96.5K Yearly6 days ago

Utilization Review RN

RN License

Utilization Management Nurse, RN

Altais Health Solutions·United States (Remote)

Altais Health Solutions

United States (Remote)

$45.00 – $54.00 Hourly3 wk. ago

Utilization Review RN

ICD-10

Utilization Management RN

Your IT Recruiter·United States (Remote)

Your IT Recruiter

United States (Remote)

1 wk. ago

Registered Nurse (RN) License

Utilization Review RN

Clinical Guide: (UM) Utilization Management Nurse (Outpatient Prior Authorization)

Devoted Health·United States (Remote)

Devoted Health

United States (Remote)

$82.7–96.5K Yearly6 days ago

Prior Authorization Nurse

Prior Authorization

Nurse Reviewer (Registered Nurse) - Remote (Any city, TX, US, 99999)

Gainwell Technologies LLC·United States (Remote)

Gainwell Technologies LLC

United States (Remote)

$78–88K Yearly2 wk. ago

Nurse Reviewer

Microsoft Windows

Microsoft Outlook

Remote Medical Review Nurse (LVN/LPN)- PST schedule

Molina Healthcare, Inc.·United States (Remote)

Molina Healthcare, Inc.

United States (Remote)

1 mo. ago

Medical Review Nurse

Clinical Quality Assurance

ICD-10

CPT Coding

Clinical Quality Nurse Reviewer, Sr. Specialist - Prior Auth/UM- Remote (Any city, TX, US, 99999)

Gainwell Technologies LLC·United States (Remote)

Gainwell Technologies LLC

United States (Remote)

$80–95K Yearly3 days ago