Top 770 Utilization Reviewer Jobs

Utilization Management Nurse
Applied Underwriters —Omaha, NE
- Full-time
- Nursing
- Microsoft Excel
- Microsoft Outlook
- Paid training
- Paid holidays
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14d
Case Manager - Registered Nurse
Software Technology Inc —Cambridge, MA
- 8 hour shift
- Nursing
- RN License
- Computer literacy
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OASIS Workflow Coordinator Weekend (RN, Registered Nurse, Home Health) - HomeCare
Hartford HealthCare at Home —Mansfield Center, CT
- Part-time
- Nursing
- RN License
- Writing skills
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Clinical Leader/Assistant Nurse Manager RN (ICU/CCU & Stepdown) - Nights
CentraState Healthcare System —Freehold, NJ
- $107,250 - $182,330 a year
- Full-time
- Acute care
- Nursing
- RN License
- 403(b) matching
- AD&D insurance
RN Team Lead Utilization Review
MedStar Health —Clinton, MD
- $89,065 - $162,801 a year
- Full-time
- Hybrid work
- Nursing
- RN License
- Inpatient
Quick Apply
13d
RN / Medical Reviewer / Remote
InGenesis —Columbia, SC
- Full-time
- Remote
- Nursing
- RN License
- Mid-level
Behavioral Health Utilization Review Registered Nurse
Hines & Associates Inc —Rockford, IL
- $57,244 - $62,180 a year
- No weekends
- Remote
- Nursing
- Addiction Medicine
- RN License
- Paid holidays
- Disability insurance
Quick Apply
Registered Nurse (RN) - Case Manager
Frye Regional Medical Center —Hickory, NC
- Full-time
- Acute care
- Nursing
- OSHA
- Disability insurance
- Health insurance
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Referral Management (Non-Nurse) Reviewer
Zimmerman Associates, Inc. —Bethesda, MD
- $24.13 an hour
- Microsoft Excel
- Microsoft Outlook
- Mid-level
RN Clinical Reviewer
Greenlife Healthcare Staffing —Jericho, NY
- $60 an hour
- Temporary
- Background check
- Nursing
- Surgery
- Paid sick time
Quick Apply
11h
Director of Behavioral Health for Community Health Centers
Harbor Health Services, Inc. —Dorchester, MA
- $115,518 - $173,328 a year
- Microsoft Outlook
- Doctoral degree
- Psychiatry
- Paid holidays
- Disability insurance
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Care Plan Reviewer- OhioRISE
CVS Health —Ohio
- $60,522 - $129,615 a year
- Full-time
- LMFT
- Mid-level
- Outpatient experience
- Health insurance
- Dental insurance
14d
Licensed Practitioner of the Healing Arts (LPHA) Reviewer
Carle Health —Peoria, IL
- $29.29 - $50.38 an hour
- Full-time
- LMFT
- Licensed Clinical Social Worker
- Mid-level
- Health insurance
1d
Utilization Reviewer (Applied Behavior Analysis)
Hawaii Medical Service Association —Honolulu, HI
- Applied behavior analysis
- Mid-level
Initial Clinical Reviewer
Enlyte —Remote
- $59,000 - $73,000 a year
- Full-time
- Remote
- Clinic experience
- Mid-level
- Analysis skills
- Health savings account
- AD&D insurance
8d
Remote Home Health RN – Medical Claims Reviewer
Broadway Ventures —Remote
- $60,000 - $63,000 a year
- Full-time
- Remote
- Nursing
- RN License
- Customer service
Quick Apply
Endocrinologist - Independent Reviewer for Disability Appeals
Emperion —Remote
- $100 - $1,000 an hour
- Part-time
- Remote
- Mid-level
- 3 years
- Communication skills
Quick Apply
Utilization Review Nurse
Cobalt Benefits Group LLC —Dallas, TX
- $90,000 - $98,000 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- Microsoft Outlook
- Health savings account
- AD&D insurance
Quick Apply
Utilization Reviewer (FT)
Rehabilitation Hospital of Indiana —Indianapolis, IN
- Full-time
- Hospital
- Mid-level
- 3 years
- Tuition reimbursement
- 401(k) matching
Quick Apply
Clinical Quality Reviewer - REMOTE - RN - US Citizen Required
TEEMA —Phoenix, AZ
- $41 - $44 an hour
- Full-time
- Remote
- Nursing
- RN License
- Writing skills
Quick Apply
8d

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Utilization Management Nurse

Applied Underwriters -
Omaha, NE

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Job Details

Full-time
14 days ago

Benefits

Paid training
Paid holidays
Health insurance
Dental insurance
Flexible spending account
Tuition reimbursement
Paid time off
Employee assistance program
Vision insurance
Gym membership

Qualifications

RN License
Windows
Document viewing software

Full Job Description

Embark on a rewarding career journey at Applied Underwriters, where employees have been at the heart of our success story for more than 30 years. Headquartered in Omaha, NE, our company thrives on innovation and empowers our employees to shape the future of global risk services. Join a team where your ideas are valued and your talents are nurtured with formal, paid training and mentorship. Experience a workplace culture that celebrates initiative, recognizes results, and provides outstanding benefits that allow you to focus on achieving your full potential.

Workers’ compensation utilization management activities include the review of clinical information to determine medical necessity at all levels of care. You will utilize criteria, or evidence-based guidelines, coordinate of care across the continuum, and interact with physicians, providers, claimants and peer reviewers as part of the utilization management process.

Requirements:

Requires a current and unrestricted RN license in the state of Nebraska or that of a compact state, and at least 5 years of clinical experience.
Familiar with utilization review process, case management, and/or discharge planning.
Proficient using Microsoft Windows, including Word, Excel, Outlook, how to search for files, and create PDFs.
Ability to utilize template letters, forms, and creating summaries.

Our Benefits Include:

100% employer-paid medical, dental, and vision insurance for employees
401(k) plan with 100% immediate vesting and a 4% company match
Paid time off (PTO) and paid holidays
On-site pharmacy, Promesa, provides convenient prescription delivery directly to you
Life, disability, critical illness and accident insurance
Employee Assistance Program (EAP)
Pre-tax Flexible Spending Accounts for health, dependent care, and commuter-related expenses
Tuition reimbursement
Fitness reimbursement and various additional quality-of-life benefits

Applied Underwriters is a global risk services firm helping business and people manage uncertainty through its business services, insurance, and reinsurance solutions. As a company, we truly operate differently within our business sector. Applied Underwriters has one of the highest customer retention rates in the industry - a success directly attributed to our employees and their high level of commitment, hard work, and ambition.

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

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Refine Your Search

Utilization Reviewer jobs

Utilization Management Nurse

Case Manager - Registered Nurse

OASIS Workflow Coordinator Weekend (RN, Registered Nurse, Home Health) - HomeCare

Clinical Leader/Assistant Nurse Manager RN (ICU/CCU & Stepdown) - Nights

RN Team Lead Utilization Review

RN / Medical Reviewer / Remote

Behavioral Health Utilization Review Registered Nurse

Registered Nurse (RN) - Case Manager

Referral Management (Non-Nurse) Reviewer

RN Clinical Reviewer

Director of Behavioral Health for Community Health Centers

Care Plan Reviewer- OhioRISE

Licensed Practitioner of the Healing Arts (LPHA) Reviewer

Utilization Reviewer (Applied Behavior Analysis)

Initial Clinical Reviewer

Remote Home Health RN – Medical Claims Reviewer

Endocrinologist - Independent Reviewer for Disability Appeals

Utilization Review Nurse

Utilization Reviewer (FT)

Clinical Quality Reviewer - REMOTE - RN - US Citizen Required

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