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53 remote Utilization Management Nurse jobs

53 open remote Utilization Management Nurse roles from top companies and boards — updated hourly.

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Medical Revieweryesterday
Broadway Ventures·United States·USD 65,000 / annual
medical-reviewerutilization-review-nurseclaims-review-nursemedical-auditorutilization-management-nursesenior-medical-reviewer
Utilization Review Clinician - Behavioral Healthyesterday
Centene Corporation·Kenya·USD 2,702 - 4,855/hour
utilization-review-clinicianbehavioral-health-clinicianutilization-management-nursemental-health-reviewcare-coordinatorbehavioral-health-utilization-reviewer
Clinical Review Nurse - Concurrent Review5d ago
Centene Corporation·Gabon·USD 27.02 - 48.55 / hourly
concurrent-review-nurseutilization-management-nurseclinical-review-nurseregistered-nursecase-managerclinical-review-nurse-concurrent-review
Utilization Management Nurse – Physical Health5d ago
Trillium Health Resources·United States·USD 68,890 - 92,138 / annual
utilization-management-nurseutilization-review-nurseregistered-nursecare-coordinatorclinical-review-nurseutilization-management-rn
Medical Review Team Lead6d ago
Peraton·United States·USD 80,000 - 128,000 / annual
nurse-reviewermedical-review-specialisthealthcare-fraud-investigatorclaims-review-nurseutilization-management-nursemedical-review-manager
PHIL- UM USRN- Associate III BPM6d ago
HealthEdge·Philippines
registered-nurseutilization-management-nursecase-managercare-managerclinical-review-nursehealthcare-process-management
RN, Care Manager, Utilization Management6d ago
Adventist Health·United States
registered-nursecare-managerutilization-review-nursecase-managerutilization-management-nurseutilization-management-rn
Case Manager RN - Remote9d ago
Highmark Health·United States·USD 72,700 - 116,600 / annual
case-managerrn-case-managercare-managerutilization-management-nurseclinical-case-managerremote-rn-case-manager
Case Manager, RN - Utilization Review - PRN9d ago
OU Health·United States
case-managerrn-case-managerutilization-review-nursecare-managerutilization-management-nurseutilization-review-case-manager
Clinical Review Nurse-Concurrent Review9d ago
Centene Corporation·United States
clinical-review-nurseconcurrent-review-nurseutilization-management-nurseregistered-nurse-reviewermedical-review-nurseclinical-review-nurse-concurrent-review
Nurse Manager, Utilization Management– Physical Health9d ago
Trillium Health Resources·United States·USD 78,624 - 105,158 / annual
nurse-managerutilization-management-nurseclinical-care-managerhealth-services-managerrn-managerutilization-management-manager
Clinical Guide Part A: (UM) Utilization Management Nurse10d ago
Devoted Health·United States·USD 82,680 - 96,460 / annual
utilization-management-nurseutilization-review-rnutilization-review-specialistrn-case-managerhealthcare-utilization-managementutilization-management-nursing
RN Utilization Management10d ago
Arkansas Blue Cross·United States
utilization-management-nurseregistered-nurseclinical-review-nursemedical-review-specialisthealthcare-utilization-reviewrn-utilization-management
RN Utilization Management Reviewer11d ago
Sagility·United States·USD 35 - 40 / hourly
registered-nurseutilization-management-nursecase-managerclinical-reviewerhealthcare-nurseutilization-review-rn
Clinical Review Nurse - Concurrent Review20d ago
Centene Corporation·United States·USD 27.02 - 48.55 / hourly
concurrent-review-nursingutilization-management-nurseclinical-review-nurseinpatient-review-nursehealthcare-utilization-reviewclinical-review-nurse-concurrent-review
RN Utilization Management - Off Shift20d ago
Arkansas Blue Cross·United States
utilization-management-nursern-utilization-managementutilization-review-nurseclinical-review-specialisthealthcare-utilization-managementutilization-management-rn
Utilization Management Nurse Consultant21d ago
Lifelancer·United States·USD 26.01 - 56.14 / hourly
utilization-management-nurseregistered-nursecare-management-nursehealthcare-utilization-reviewclinical-consultantutilization-management-nursing
Clinical Guide: (UM) Utilization Management Nurse (Outpatient Prior Authorizatio22d ago
Devoted Health·United States·USD 82,680 - 96,460 / annual
utilization-management-nurseprior-authorization-nurseoutpatient-utilization-managementregistered-nursehealthcare-administrationutilization-management-nursing
Clinical Review Nurse - Concurrent Review22d ago
Centene Corporation·Nicaragua·USD 27.02 - 48.55 / hourly
concurrent-review-nurseutilization-management-nurseclinical-review-nursecase-management-nursehealthcare-utilization-reviewclinical-review-nurse-concurrent-review
Utilization Review Nurse - RN22d ago
Personify Health·United States·USD 30 - 40 / hourly
utilization-review-nurseutilization-managementcare-managementclinical-reviewrn-utilization-reviewutilization-review-rn
Clinical Review Nurse - Concurrent Review23d ago
Centene Corporation·Macao·USD 27.02 - 48.55 / hourly
concurrent-review-nurseutilization-management-nursecare-management-nurseclinical-review-nurseur-nurseclinical-review-nurse-concurrent-review
Clinical Review Nurse - Concurrent Review23d ago
Centene Corporation·India·USD 27.02 - 48.55 / hourly
concurrent-review-nurseutilization-management-nurseclinical-review-nursehealthcare-utilization-managementmedical-review-specialistclinical-review-nurse-concurrent-review
Utilization Review Nurse23d ago
Oscar·United States·USD 35 - 45.94 / hourly
utilization-review-nursingmanaged-care-nursingutilization-managementcase-management-nursingclinicalutilization-review-nurse
Clinical Review Nurse - Concurrent Review24d ago
Centene Corporation·Lao People's Democratic Republic·USD 27.02 - 48.55 / hourly
concurrent-review-nursingmedical-review-nurseutilization-management-nurseclinical-review-specialisthealthcare-utilization-reviewclinical-review-nurse-concurrent-review
Clinical Review Nurse - Prior Authorization24d ago
Centene Corporation·United States·USD 27.02 - 48.55 / hourly
prior-authorization-nurseclinical-review-nurseutilization-management-nursehealthcare-nursingmedical-authorization-specialistclinical-review-nurse-medical-necessity
Utilization Management Nurse25d ago
Humana·United States·USD 71,100 - 97,800 / annual
utilization-management-nurseutilization-review-nursecare-management-rnmedicaid-nurseprior-authorization-nurseutilization-management-nursing
Care Manager RN - Utilization Management (Full time Day)26d ago
Providence·United States
care-managementutilization-managementrn-case-managerregistered-nursingrn-care-managerutilization-management-rn
Clinical Review Nurse - Concurrent Review26d ago
Centene Corporation·United States·USD 27.02 - 48.55 / hourly
concurrent-review-nurseutilization-management-nurseclinical-review-nursern-utilization-reviewhealthcare-utilization-reviewclinical-review-nurse-concurrent-review
Utilization Review RN - Utilization Management FT26d ago
Providence·United States
utilization-review-nursingutilization-managementcase-managementclinical-reviewhealthcare-administrationutilization-review-rn
Clinical Review Nurse - Concurrent Review27d ago
Centene Corporation·Paraguay·USD 27.02 - 48.55 / hourly
concurrent-review-nurseutilization-management-nursecase-management-nurseur-nurseclinical-review-nurseclinical-review-nurse-concurrent-review
Concurrent Review Care Coordinator - EviCore - Work At Home28d ago
The Cigna Group·United States·USD 31 - 52 / hourly
concurrent-review-care-coordinatorutilization-management-nursern-care-coordinatorcase-management-nursehealthcare-utilization-reviewremote-clinical-care-coordinator
Inpatient Review Nurse (Remote | California RN/LVN License Required | Pacific Ti28d ago
Alignment Health·United States·USD 77,905 - 116,858 / annual
inpatient-review-nurseutilization-management-nursecase-managermanaged-care-nurselicensed-vocational-nurseinpatient-clinical-review-nurse
RN, Utilization Management (Clinical Claims Review)Sep 7, 2026
Humana·United States·USD 71,100 - 97,800 / annual
utilization-management-nurseclinical-claims-reviewregistered-nursehealthcare-administrationmedical-review-specialistutilization-review-rn
Grievance & Appeals Nurse, RNSep 5, 2026
Inland Empire Health Plan·United States·USD 91,249.6 - 120,910.4 / annual
grievance-and-appeals-nursern-case-managementmanaged-care-nursingutilization-management-nursehealthcare-compliance-nursinggrievance-and-appeals-specialist
Pre-Authorization Nurse 2Sep 4, 2026
Humana·United States·USD 71,100 - 97,800 / annual
pre-authorization-nurseutilization-management-nursern-case-managermedical-review-nursehealthcare-utilization-reviewprior-authorization-nurse
Registered Nurse - Utilization Management - 8 Hour Per DeimSep 4, 2026
Cedars-Sinai Medical Center·United States
utilization-managementutilization-reviewcase-managementregistered-nursehealthcare-administrationrn-utilization-management
UM Nurse Analyst (Clinical Informaticist)Sep 4, 2026
Availity·United States
clinical-informaticsutilization-management-nursehealthcare-analyticsprior-authorization-specialistnurse-informaticistclinical-informatics-analyst
Utilization Management (UM) Nurse Consultant - Work at Home in EST ZoneSep 4, 2026
Lifelancer·United States·USD 26.01 - 56.14 / hourly
utilization-management-nurseregistered-nursenurse-consultantremote-healthcareclinical-utilization-reviewutilization-management-rn
RN -UM/Clinical Denial MgmtSep 3, 2026
Carle Health·United States·USD 35.87 - 58.37 / hourly
utilization-management-nursingcase-managementclinical-denials-managementur-nursehealthcare-nursingdenial-management-rn
Utilization Review Nurse (RN)Sep 3, 2026
Evry Health·United States
utilization-review-nursecare-coordinatorutilization-management-nursern-care-coordinatorintegrated-care-coordinatorutilization-review-rn
Nurse - Clinical ReviewAug 30, 2026
WNS Global Services·United States·USD 65,000 - 75,000 / annual
clinical-review-nurseutilization-management-nursehealthcare-quality-rncase-management-nursemedical-necessity-review-nurseclinical-review-nursing
Utilization Management Review NurseAug 30, 2026
Humana·United States·USD 71,100 - 97,800 / annual
utilization-management-nursern-care-coordinatorhealthcare-utilization-reviewmedical-management-nursemanaged-care-nurseutilization-review-nurse
Clinical Guide: (UM) Utilization Management Nurse (Outpatient Prior AuthorizatioAug 29, 2026
Devoted Health·United States·USD 82,680 - 96,460 / annual
utilization-management-nurseprior-authorization-nurseoutpatient-utilization-managementregistered-nursehealthcare-administrationutilization-management-nursing
Clinical Review Nurse - Concurrent ReviewAug 22, 2026
Centene Corporation·Macao·USD 27 - 48 / hour
concurrent-review-nurseutilization-management-nurseclinical-review-nurseregistered-nursemedicaid-nurseclinical-review-nurse-concurrent-review
Peer to Peer Nurse Author RNAug 22, 2026
R1 RCM·United States·USD 65,478 - 96,885.29 / annual
utilization-management-nursepeer-to-peer-nurse-authorprior-authorization-nurseclinical-documentation-specialisthealthcare-utilization-review
Utilization Mgmt NurseAug 22, 2026
Blue Cross and Blue Shield of Nebraska·United States
utilization-management-nursingutilization-review-nursecare-management-nursinghealthcare-nursingcase-managementutilization-management-nurse
Utilization Management NurseAug 20, 2026
Humana·United States·USD 71,100 - 97,800 / annual
utilization-management-nurseutilization-review-nurseregistered-nursehealthcare-case-managementclinical-coordinationutilization-management-nursing
Utilization Management Registered NurseAug 20, 2026
Humana International Group·United States·USD 71,100 - 97,800 / annual
registered-nurseutilization-managementcase-managementnursingutilization-reviewutilization-management-nurse
Utilization Management Nurse - LPN/LVNAug 18, 2026
Integra Partners·United States·USD 60,000 - 60,001 / annual
utilization-managementutilization-management-nursemanaged-care-nursinglpn-lvnhealthcare-authorizationutilization-management-nursing
Clinical Product Consultant - Utilization ManagementAug 15, 2026
Waystar·United States
clinical-product-consultantutilization-management-nursehealthcare-product-consultingutilization-review-nurseclinical-implementation-specialistclinical-utilization-management
12

Remote utilization management nurse jobs: what to know

RemoShift tracks 53 live remote Utilization Management Nurse roles across 6 different employers, refreshed every 30 minutes. The roles on this page come from Himalayas and include openings at Centene Corporation, Humana, Devoted Health — click through to the original posting to apply.

The jobs tagged utilization management nurse are open to candidates in the USA, MO, PY. Each listing notes the location, salary (where disclosed) and remote setup, so you can filter by what suits you. We list only roles that link to a live original posting — no dead applications.

Live roles
53 remote utilization management nurse jobs
Top employers
Centene Corporation, Humana, Devoted Health
Common locations
the USA, MO, PY
Data sources
Himalayas

Frequently asked questions

How many remote utilization management nurse jobs are there right now?
There are 53 live remote utilization management nurse roles on RemoShift as of today. The count updates every 30 minutes as we re-pull company boards and partner feeds.
Can I work remotely in a utilization management nurse role from anywhere?
Many utilization management nurse roles are fully remote and open to candidates in the USA, MO, PY. Some are remote-within-a-region or require timezone overlap with the employer's team — each original posting states the exact arrangement. Use the Work-from-anywhere filter to narrow to truly location-independent roles.
Which companies hire remote utilization management nurse staff?
Current remote utilization management nurse openings include roles at Centene Corporation, Humana, Devoted Health, Lifelancer, Providence and other employers. The list changes constantly as new roles are posted — browse the page above for the live set.

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