Top 8273 Utilization management rn Jobs

Utilization Management Nurse
Applied Underwriters —Omaha, NE
- Full-time
- Nursing
- Microsoft Excel
- Microsoft Outlook
- Paid training
- Paid holidays
Quick Apply
Medical Record Review Nurse (RN)-New York Licensed
National Medical Reviews, Inc. —Remote
- $65,000 - $70,000 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- RN License
- Employee assistance program
- Flexible schedule
Quick Apply
Care Review Clinician (RN) - Remote in FL
Molina Healthcare, Inc. —Tampa, FL
- $26.41 - $51.49 an hour
- Full-time
- Remote
- RN License
- Mid-level
- Critical & Intensive Care
- Health insurance
RN / Medical Reviewer / Remote
InGenesis —Columbia, SC
- Full-time
- Remote
- Nursing
- RN License
- Mid-level
Utilization Management Clinician I
Community Health Plan of Washington —Seattle, WA
- $35.92 - $55.67 an hour
- Full-time
- Mid-level
- Analysis skills
- Critical & Intensive Care
- Paid jury duty
- Health savings account
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Utilization Management Nurse Consultant
CVS Health —Pennsylvania
- $29.10 - $62.32 an hour
- Weekends as needed
- Remote
- Nursing
- RN License
- Mid-level
- Health insurance
- Dental insurance
Utilization Management Nurse
Brighton Health Plan Solutions, LLC —Remote
- Full-time
- Nursing
- Microsoft Excel
- Microsoft Outlook
Quick Apply
11d
ISNP Utilization Management Nurse
Longevity Health —Remote
- Full-time
- Nursing
- Clean driving record
- RN License
Quick Apply
8d
Utilization Review Nurse
Cobalt Benefits Group LLC —Orlando, FL
- $90,000 - $98,000 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- Microsoft Outlook
- Health savings account
- AD&D insurance
Quick Apply
Denials & Appeals Administrator (RN)
Boston Medical Center —Remote
- $43.03 - $62.50 an hour
- Full-time
- Remote
- Nursing
- RN License
- 5 years
- Health insurance
- Dental insurance
Clinical Review & Correspondence RN
Cohere Health —Remote
- $31 - $35 an hour
- Full-time
- Remote
- Nursing
- RN License
- Mid-level
- Paid parental leave
- Health savings account
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Health Nurse - Utilization Management
Alterwood Health —Remote
- $75,000 - $95,000 a year
- Full-time
- Microsoft Word
- Background check
- Nursing
- Health savings account
- Disability insurance
Quick Apply
11d
Utilization Review Nurse
Health Business Solutions LLC —Remote
- Remote
- Nursing
- RN License
- Bachelor of Science
10d
RN, Utilization Review - PRN
Saint Luke's Health System —Kansas City, MO
- Part-time
- Remote
- Nursing
- RN License
- Mid-level
2d
Medical Management - Utilization Management RN 145-2026
CommunityCare —Remote
- Full-time
- Remote
- Background check
- Nursing
- RN License
Quick Apply
8d
Utilization Management Registered Nurse
West Coast Consulting —Remote
- $30 - $34 an hour
- Contract
- Remote
- RN License
- Mid-level
- Nursing
- 401(k)
Quick Apply
8d
Utilization Management Nurse Lead
Humana —Michigan
- $94,900 - $130,500 a year
- Full-time
- Remote
- Nursing
- RN License
- Master's degree
- Paid parental leave
- Paid holidays
9d
(RN) Remote Care Review Clinician - Utilization Review
Molina Healthcare —Daniel Island, SC
- $25.08 - $51.49 an hour
- Full-time
- Remote
- RN License
- Mid-level
- Critical & Intensive Care
- Health insurance
11d
Concurrent Utilization Review Nurse, RN
NeueHealth —Los Angeles, CA
- $74,286.15 - $111,429.23 a year
- Remote
- Nursing
- RN License
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Clinical Claim Review RN
Optum —Boston, MA
- $29 - $52 an hour
- Full-time
- Remote
- Nursing
- RN License
- Pass drug screening
3d

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Utilization Management Nurse

Applied Underwriters -
Omaha, NE

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Job Details

Full-time

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 management rn jobs

Utilization Management Nurse

Medical Record Review Nurse (RN)-New York Licensed

Care Review Clinician (RN) - Remote in FL

RN / Medical Reviewer / Remote

Utilization Management Clinician I

Utilization Management Nurse Consultant

Utilization Management Nurse

ISNP Utilization Management Nurse

Utilization Review Nurse

Denials & Appeals Administrator (RN)

Clinical Review & Correspondence RN

Health Nurse - Utilization Management

Utilization Review Nurse

RN, Utilization Review - PRN

Medical Management - Utilization Management RN 145-2026

Utilization Management Registered Nurse

Utilization Management Nurse Lead

(RN) Remote Care Review Clinician - Utilization Review

Concurrent Utilization Review Nurse, RN

Clinical Claim Review RN

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