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55 remote Utilization Review Nurse jobs

55 open remote Utilization Review Nurse roles from top companies and boards — updated hourly.

Case Manager, RN - Utilization Review - PRNyesterday

OU Health·United States

case-managerrn-case-managerutilization-review-nursecare-managerutilization-management-nurseutilization-review-case-manager

DRG Appeals Nurse (RN)yesterday

CorroHealth·United States

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Clinical Guide Part A: (UM) Utilization Management Nurse2d ago

Devoted Health·United States·USD 82,680 - 96,460 / annual

utilization-management-nurseutilization-review-rnutilization-review-specialistrn-case-managerhealthcare-utilization-managementutilization-management-nursing

Virtual Utilization Review Supervisor2d ago

Ensemble Health Partners·United States·USD 84,000 - 126,000 / annual

utilization-management-supervisorutilization-review-nursern-supervisorcase-management-supervisorrevenue-cycle-supervisorutilization-review-manager

Medical Claims Reviewer, 6 Month Contract2d ago

Broadway Ventures·United States·USD 31.25 / hourly

medical-review-nurseutilization-review-nursern-medical-reviewerquality-assurance-nursehealthcare-quality-review-specialistmedical-claims-reviewer

RN Utilization Management Reviewer3d ago

Sagility·United States·USD 35 - 40 / hourly

registered-nurseutilization-management-nursecase-managerclinical-reviewerhealthcare-nurseutilization-review-rn

RN Utilization Management - Off Shift12d ago

Arkansas Blue Cross·United States

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Utilization Management Nurse Consultant13d ago

Lifelancer·United States·USD 26.01 - 56.14 / hourly

utilization-management-nurseregistered-nursecare-management-nursehealthcare-utilization-reviewclinical-consultantutilization-management-nursing

Medical Review Specialist / RN13d ago

MedWatch·United States·USD 61,000 - 68,000 / annual

utilization-review-nursemedical-review-specialistur-nursehealthcare-utilization-managementregistered-nursemedical-review-nurse

Utilization Review Specialist13d ago

Bradford Health Services·United States·USD 60,000 - 75,000 / annual

utilization-review-specialisthealthcare-utilization-reviewmedical-necessity-reviewbehavioral-health-authorizationshealthcare-complianceutilization-review-coordinator

Clinical Guide: (UM) Utilization Management Nurse (Outpatient Prior Authorizatio14d ago

Devoted Health·United States·USD 82,680 - 96,460 / annual

utilization-management-nurseprior-authorization-nurseoutpatient-utilization-managementregistered-nursehealthcare-administrationutilization-management-nursing

Lead Utilization Review - RN14d ago

Personify Health·United States·USD 38 - 44 / hourly

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Utilization Review Clinician - Behavioral Health14d ago

Centene Corporation·Macao·USD 27.02 - 48.55 / hourly

utilization-reviewbehavioral-health-clinicianmental-health-utilization-reviewhealthcare-utilization-managementclinical-care-coordinationbehavioral-health-utilization-reviewer

Utilization Review Clinician - Behavioral Health14d ago

Centene Corporation·Nicaragua·USD 27.02 - 48.55 / hourly

utilization-reviewbehavioral-healthclinical-reviewmental-health-serviceshealthcare-utilization-managementbehavioral-health-utilization-reviewer

Utilization Review Clinician - Behavioral Health14d ago

Centene Corporation·United States·USD 2,702 - 4,855/hour

utilization-review-clinicianbehavioral-health-clinicianmental-health-utilization-managementhealthcare-utilization-reviewconcurrent-reviewbehavioral-health-utilization-reviewer

Utilization Review Nurse - RN14d ago

Personify Health·United States·USD 30 - 40 / hourly

utilization-review-nurseutilization-managementcare-managementclinical-reviewrn-utilization-reviewutilization-review-rn

Medical Claim Reviewer (CGS, DMEC)15d ago

Broadway Ventures·United States·USD 65,000 / annual

medical-claim-reviewerregistered-nurseutilization-review-nurseclinical-review-specialistmedical-servicesmedical-claims-reviewer

Medical Policy Review Nurse15d ago

General Dynamics Information Technology·United States·USD 85,093 - 115,000 / annual

medical-policyhealthcare-nursingmedical-codingutilization-managementclinical-documentation-reviewmedical-review-nurse

Utilization Review Nurse15d ago

Oscar·United States·USD 35 - 45.94 / hourly

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Utilization Management Nurse17d ago

Humana·United States·USD 71,100 - 97,800 / annual

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Utilization Review Clinician - Behavioral Health17d ago

Centene Corporation·Gabon·USD 27.02 - 48.55 / hourly

utilization-review-clinicianbehavioral-health-clinicianmental-health-utilization-reviewhealthcare-utilization-managementprior-authorization-specialistbehavioral-health-utilization-reviewer

Utilization Review RN17d ago

Ensemble Health Partners·United States·USD 63,100 - 94,650 / annual

utilization-review-rnutilization-review-nursern-case-managementclinical-documentation-specialisthealthcare-utilization-managementrn-utilization-review

Clinical Appeals Nurse (PRN)18d ago

Netsmart·United States

clinical-appeals-nurseutilization-review-nursecase-management-nursemedical-appeals-specialisthealthcare-appeals-coordinatorclinical-appeals-rn

Utilization Review RN18d ago

Providence·United States

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Utilization Review RN - Utilization Management FT18d ago

Providence·United States

utilization-review-nursingutilization-managementcase-managementclinical-reviewhealthcare-administrationutilization-review-rn

Denials Management Appeals Nurse (Anesthesia)19d ago

Shriners Children's·United States·USD 80,912 - 121,388.8 / annual

appeals-nursedenials-managementutilization-review-nursehealthcare-revenue-cyclemedical-necessity-reviewerrn-appeals-analyst

Prior Authorization Registered Nurse Consultant- Wisconsin (Any city, WI, US, 9919d ago

Gainwell Technologies·United States·USD 90,900 - 129,900 / annual

prior-authorization-nursingutilization-review-nursemedicaid-consultanthealthcare-authorization-specialistprior-authorization-consultantprior-authorization-nurse

Utilization Review Clinician - Behavioral Health19d ago

Centene Corporation·United States·USD 27.02 - 48.55 / hourly

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Clinical Denial Nurse20d ago

Guidehouse·United States·USD 68,000 - 113,000 / annual

clinical-appeals-nursedenial-management-rnutilization-review-nursemedical-necessity-reviewhealthcare-appeals-coordinatorclinical-denials-specialist

Utilization Review Coordinator20d ago

Sedgwick·United States·USD 18 - 20 / hourly

utilization-reviewclaims-processinghealthcare-administrationmedical-billingworkers’-compensationutilization-review-coordinator

RN, Utilization Management (Clinical Claims Review)26d ago

Humana·United States·USD 71,100 - 97,800 / annual

utilization-management-nurseclinical-claims-reviewregistered-nursehealthcare-administrationmedical-review-specialistutilization-review-rn

Utilization Review Clinician - Behavioral Health28d ago

Centene Corporation·United States·USD 27.02 - 48.55 / hourly

utilization-review-clinicianbehavioral-health-clinicianmental-health-utilization-managementhealthcare-utilization-reviewmedical-necessity-reviewbehavioral-health-utilization-reviewer

Utilization Management (UM) Nurse Consultant - Work at Home in EST Zone29d ago

Lifelancer·United States·USD 26.01 - 56.14 / hourly

utilization-management-nurseregistered-nursenurse-consultantremote-healthcareclinical-utilization-reviewutilization-management-rn

Utilization Review and Reimbursement SpecialistSep 3, 2026

Mary Free Bed Rehabilitation Hospital·United States

utilization-review-specialistreimbursement-specialistinsurance-authorization-specialisthealthcare-utilization-managementmedical-review-specialistutilization-review-coordinator

Utilization Review Nurse (RN)Sep 3, 2026

Evry Health·United States

utilization-review-nursecare-coordinatorutilization-management-nursern-care-coordinatorintegrated-care-coordinatorutilization-review-rn

Inpatient Utilization Review Clinician, Behavioral HealthAug 30, 2026

Centene Corporation·United States·USD 27.02 - 48.55 / hourly

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RN Utilization ReviewAug 30, 2026

Sedgwick·United States·USD 63,000 / annual

utilization-review-nursecase-management-nursern-utilization-reviewinsurance-medical-reviewclaims-nursingutilization-management-rn

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

Utilization Review Clinician - Behavioral HealthAug 30, 2026

Centene Corporation·United States·USD 27.02 - 48.55 / hourly

utilization-reviewbehavioral-healthclinical-reviewmental-health-counselinghealthcare-administrationbehavioral-health-utilization-reviewer

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

Utilization Review (UR) Author - RN RequiredAug 29, 2026

R1 RCM·United States·USD 65,478 - 96,885.29 / annual

utilization-reviewclinical-documentationhealthcare-administrationcase-managementmedical-reviewutilization-review-rn

Utilization Review Nurse/ RN for Imaging/Commercial- Remote!Aug 29, 2026

Sentara Health·Holy See (Vatican City State)·USD 66,830.4 - 111,384 / annual

utilization-review-nurseregistered-nursehealth-plan-nursemanaged-care-nurseutilization-managementutilization-review-rn

Clinical Care Reviewer II(Must Have - Unrestricted Massachusetts RN License)Aug 22, 2026

CareSource·United States·USD 62,700 - 100,400 / annual

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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 Review CoordinatorAug 22, 2026

Bradford Health Services·United States·USD 55,000 - 75,000 / annual

utilization-reviewcase-managementmedical-records-reviewhealthcare-complianceutilization-review-coordinatorclinical-utilization-review-coordinator

Utilization Review Nurse RN Part-TimeAug 22, 2026

Personify Health·United States·USD 3,000 - 3,800/hour

care-managementutilization-review-nursingutilization-managementregistered-nursehealthcare-administrationutilization-review-rn

Utilization Review RNAug 22, 2026

WVU Medicine·United States

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Utilization Review SpecialistAug 22, 2026

Compass Health Center·United States·USD 45,000 - 55,000 / annual

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Utilization Management NurseAug 20, 2026

Humana·United States·USD 71,100 - 97,800 / annual

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Utilization Management Registered NurseAug 20, 2026

Humana International Group·United States·USD 71,100 - 97,800 / annual

registered-nurseutilization-managementcase-managementnursingutilization-reviewutilization-management-nurse

Remote utilization review nurse jobs: what to know

RemoShift tracks 55 live remote Utilization Review 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 review nurse are open to candidates in the USA, NI, MO. 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

55 remote utilization review nurse jobs

Top employers

Centene Corporation, Humana, Devoted Health

Common locations

the USA, NI, MO

Data sources

Himalayas

Frequently asked questions

How many remote utilization review nurse jobs are there right now?

There are 55 live remote utilization review 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 review nurse role from anywhere?

Many utilization review nurse roles are fully remote and open to candidates in the USA, NI, MO. 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 review nurse staff?

Current remote utilization review nurse openings include roles at Centene Corporation, Humana, Devoted Health, Personify Health, Lifelancer and other employers. The list changes constantly as new roles are posted — browse the page above for the live set.

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