Utilization Review Nurse - TX, GA, AZ, FLVirtualVocations • Washington, District of Columbia, United States
[error_messages.no_longer_accepting]
Utilization Review Nurse - TX, GA, AZ, FL
VirtualVocations • Washington, District of Columbia, United States
[job_card.variable_days_ago]
[job_preview.job_type]
- [job_card.full_time]
[job_card.job_description]
A company is looking for a Utilization Review Nurse to join their Utilization Review team.
Key Responsibilities
Complete medical necessity and level of care reviews using clinical judgment and established guidelines
Gather necessary information to assess members' clinical conditions and apply evidence-based guidelines
Refer members for further care engagement and ensure compliance with applicable laws and regulations
Required Qualifications
Active, unrestricted RN licensure from the United States or a compact multistate unrestricted RN license
Associate or Bachelor's Degree in Nursing or a graduate of an accredited school of nursing
Experience with MCG or InterQual tooling
1+ year of utilization review experience in a managed care setting
1+ years of clinical experience in an acute care setting
[job_alerts.create_a_job]
Utilization Review Nurse • Washington, District of Columbia, United States
[internal_linking.similar_jobs]
LRS Healthcare - Nursing is seeking an experienced Stepdown Unit Registered Nurse for an exciting Travel Nursing job in Clinton, MD.
Shift : Inquire Start Date : ASAP Duration : 13 weeks Pay : $1813 / W...[show_more]
Atlas MedStaff is seeking an experienced Progressive Care Unit Registered Nurse for an exciting Travel Nursing job in Alexandria, VA.
Shift : 3x12 hr nights Start Date : 01 / 05 / 2026 Duration : 13 weeks ...[show_more]
Premier Medical Staffing Services, LLC is seeking an experienced Progressive Care Unit Registered Nurse for an exciting Travel Nursing job in Clinton, MD.
Shift : 3x12 hr nights Start Date : 01 / 12 / 202...[show_more] Premier Medical Staffing Services, LLC is seeking an experienced Progressive Care Unit Registered Nurse for an exciting Travel Nursing job in Clinton, MD.
Shift : 3x12 hr nights Start Date : 01 / 12 / 202...[show_more] 
Nightingale Nurses is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Alexandria, Virginia.
Job Description & Requirements.You may not realize it, but as an RN ...[show_more]
Premier Health Group is a leading home care organization headquartered in Washington, DC.We deliver world-class pediatric and adult home care services while leveraging cutting-edge technology and A...[show_more]
Explore opportunities with VNA of Maryland a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide.
As members of the Optum family of businesses, we ...[show_more]
We are seeking two experienced and motivated.Utilization Management team, specializing in.This role plays a vital part in ensuring the accuracy and quality of care plans and service hour determinat...[show_more]
Cynet Health is seeking an experienced Progressive Care Unit Registered Nurse for an exciting Travel Nursing job in Clinton, MD.
Shift : 3x12 hr days Start Date : 01 / 12 / 2026 Duration : 13 weeks Pay : $2...[show_more]
Coast Medical Service is seeking an experienced Stepdown Unit Registered Nurse for an exciting Travel Nursing job in Clinton, MD.
Shift : 3x12 hr flex Start Date : 01 / 12 / 2026 Duration : 13 weeks Pay : $...[show_more]
The Utilization Review Manager oversees the utilization review process, ensuring efficient and effective use of hospital resources, compliance with regulatory requirements, and optimal patient care...[show_more] Coast Medical Service is seeking an experienced Stepdown Unit Registered Nurse for an exciting Travel Nursing job in Alexandria, VA.
Shift : 3x12 hr nights Start Date : 01 / 05 / 2026 Duration : 13 weeks P...[show_more] 
ADEX Healthcare Staffing LLC is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Alexandria, Virginia.
Job Description & Requirements.Work 12-hour night shifts from ...[show_more]
THE GEORGE WASHINGTON UNIVERSITY HOSPITAL DESIGNATED A ‘BEST REGIONAL HOSPITAL’ BY U.The George Washington University Hospital (GW Hospital) continues to be a leader in providing the hi...[show_more]
Responsible for evaluating the necessity, appropriateness and efficiency of the use of medical services procedures and facilities.
Responsible for clinical review of all acute services for appropria...[show_more] LRS Healthcare - Nursing is seeking an experienced Stepdown Unit Registered Nurse for an exciting Travel Nursing job in Clinton, MD.
Shift : Inquire Start Date : ASAP Duration : 13 weeks Pay : $1813 / W...[show_more] 
LeaderStat is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Alexandria, Virginia.Job Description & Requirements.
The above pay package is an estimate, please cont...[show_more]
The Utilization Review Manager oversees the utilization review process, ensuring efficient and effective use of hospital resources, compliance with regulatory requirements, and optimal patient care...[show_more]
Travel Nurse - RN - SDU - Stepdown Unit - $1813 / Week
LRS Healthcare - Nursing • Clinton, MD, US
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]
Travel Nurse - RN - PCU - Progressive Care Unit - $1910.82 / Week - Hiring Now
Atlas MedStaff • Alexandria, VA, US
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]
Travel Nurse - RN - PCU - Progressive Care Unit - $1800.63 / Week - Hiring Now
Premier Medical Staffing Services, LLC • Clinton, MD, US
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]
Travel Nurse - RN - PCU - Progressive Care Unit - $1800.63 / Week
Premier Medical Staffing Services, LLC • Clinton, MD, US
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]
Travel PCU Float Pool Registered Nurse
Nightingale Nurses • Alexandria, VA, US
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]
Quality Improvement Nurse (RN) - Home Health
Premier Health Services, Inc • Washington, DC, US
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]
RN ICU-Progressive Care Unit-Nights
Optum • Waldorf, MD, US
[job_card.full_time]
[last_updated.last_updated_variable_hours] • [promoted] • [new]
Utilization Review Nurse
Medix • Washington, DC, US
[job_card.full_time]
[last_updated.last_updated_1_day] • [promoted]
Travel Nurse - RN - PCU - Progressive Care Unit - $2045.03 / Week - Hiring Now
Cynet Health • Clinton, MD, US
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]
Travel Nurse - RN - SDU - Stepdown Unit - $1991.83 / Week - Hiring Now
Coast Medical Service • Clinton, MD, US
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]
Utilization Review Manager
Virginia Hospital Center • Washington, DC, US
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]
Travel Nurse - RN - SDU - Stepdown Unit - $2336.78 / Week - Hiring Now
Coast Medical Service • Alexandria, VA, US
[job_card.full_time]
[last_updated.last_updated_1_day] • [promoted]
Travel PCU Float Pool Registered Nurse - $2,144 per week
ADEX Healthcare Staffing LLC • Alexandria, VA, United States
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]
RN
The George Washington University Hospital • None, Washington, DC, US
[job_card.full_time]
[last_updated.last_updated_variable_hours] • [promoted] • [new]
Nurse Manager Utilization Management
MedStar Southern Maryland Hospital Center • Washington, DC, United States
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]
Travel Nurse - Registered Nurse - SDU - Stepdown Unit - $1813 / Week
LRS Healthcare - Nursing • Clinton, MD, US
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]
Travel PCU Float Pool Registered Nurse - $2,399 per week
LeaderStat • Alexandria, VA, United States
[job_card.full_time] +1
[last_updated.last_updated_variable_days] • [promoted]
Utilization Review Manager
VHC Health • Arlington, VA, US
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]