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Utilization Review jobs

Explore Utilization Review roles on NurseBloom and apply today.

Centene Corporation logoCC

Clinical Review Nurse - Concurrent Review

Centene Corporation

United States (Remote)

$27 – $49 Hourly2d ago
Centene Corporation logoCC

NICU Clinical Review Nurse - Concurrent Review

Centene Corporation

Oklahoma, United States (Remote)

$27 – $49 Hourly2d ago
Centene Corporation logoCC

Clinical Review Nurse - Prior Authorization

Centene Corporation

New York, United States (Remote)

$27 – $49 Hourly1w ago
The Cigna Group logoTC

Concurrent Review Care Coordinator - EviCore - Work At Home

The Cigna Group

United States (Remote)

$31 – $52 Hourly2w ago
HH

Care Manager RN - Utilization Management (UM) Remote

Highmark Health

Pennsylvania, United States (Remote)

$68.4K – $105.9K Yearly2w ago
Broadway Ventures logoBV

Remote RN – Medical Claims Reviewer

Broadway Ventures

United States (Remote)

$31 – $65K Hourly3w ago
Centene Corporation logoCC

Clinical Review Clinician_Appeals

Centene Corporation

Maryland, United States + 1 more (Remote)

$27 – $49 Hourly2d ago
Guidehealth logoGU

Clinical Care Manager

Guidehealth

Illinois, United States (Remote)

$72K – $75K Yearly1w ago
Florida Blue logoFB

CMS and NCQA Utilization Management, RN - Florida Remote

Florida Blue

United States (Remote)

$77.6K – $126.1K Yearly2d ago
Performant Recovery, Inc. logoPR

Medical Review Nurse II - SNF/MDS

Performant Recovery, Inc.

United States (Remote)

$84K – $100K Yearly2d ago
Gainwell Technologies LLC logoGT

Nurse Reviewer Appeals and Hearings- Remote (Any city, TX, US, 99999)

Gainwell Technologies LLC

United States (Remote)

$84K – $95K Yearly3d ago
Hill Physicians Medical Group logoHP

Authorization Nurse, RN (Hybrid - Remote Considered) - 26-48

Hill Physicians Medical Group

Sacramento, California, United States (Hybrid)

$100K – $123K Yearly2d ago
Hill Physicians Medical Group logoHP

Authorization Nurse, RN - 26-28

Hill Physicians Medical Group

California, United States (Remote)

$100K – $120K Yearly4w ago
CareSource logoCA

Associate Director, Utilization Management - Behavioral Health

CareSource

Massachusetts, United States (Remote)

$113K – $197.7K Yearly2w ago
The CKHobbie Group logoTC

Remote/Hybrid Registered Nurse (RN) – Advocacy & Program Integrity (Hospice Expert)

The CKHobbie Group

Harrisburg, Pennsylvania, United States (Hybrid)

6d ago
Guidehouse logoGU

Clinical Denials and Appeals RN

Guidehouse

United States (Remote)

$68K – $113K Yearly2w ago
Performant Recovery, Inc. logoPR

Medical Review Nurse II - Home Health

Performant Recovery, Inc.

United States (Remote)

$75K – $80K Yearly2d ago
Hill Physicians Medical Group logoHP

Concurrent Review/Transition of Care Nurse, RN

Hill Physicians Medical Group

Sacramento, California, United States (Hybrid)

$110K – $120K Yearly2d ago