Utilization Review RN (Weekend F-M)

March 11, 2026

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Utilization Review Nurse – Contract Opportunity

Location: 100% Remote (working EST hours)

Schedule: Friday-Monday either 9am-7:30pm or 8am-6:30pm

Contract Length: 6 months with potential for extension or hire

Pay Rate: $39/hour (W2)

Start Date: ASAP

Equipment: Provided

Position Overview

We are seeking a Utilization Review Registered Nurse with strong recent bedside clinical experience and 2–3+ years of hospital-based Utilization Review. The ideal candidate is someone who has been actively patient-facing within the past 3–5 years (medsurg, ICU, trauma, or similar) and has transitioned into UR. Extensive UR experience without recent clinical exposure is not preferred.

In this role, you will perform first-level admission and continued stay case reviews, determine appropriate level of care using clinical documentation, and apply evidence-based criteria (InterQual required; MCG preferred).

Required Qualifications

Active RN license in state of residence
Minimum 3 years of direct bedside clinical nursing experience (medsurg, ICU, trauma; no psych/GYN-only)
At least 2–3 years of recent hospital-based Utilization Review experience
InterQual experience required; MCG preferred
Epic EMR exposure (must complete Epic compliance training)
Strong analytical, documentation, and decision-making skills
Knowledge of Medicare rules and UR regulatory standards

Training & Productivity Expectations

Training:

2 weeks, Monday–Friday, 8:30 AM–4:30 PM CST
Practice cases before transitioning to live reviews

Productivity:

Expected completion of 3 case reviews per hour
Two 15-minute breaks and a 30-minute lunch are deducted from productivity tracking

Responsibilities

Conduct initial and continued stay reviews using InterQual and MCG criteria
Confirm appropriate documentation and orders are present
Abstract clinical data across multiple medical record formats
Maintain quality, timeliness, and productivity standards
Communicate effectively with internal stakeholders
Support departmental goals and complete required HIPAA and compliance training

Job Types: Full-time, Contract

Pay: From $39.00 per hour

Expected hours: 40 per week

Benefits:

Dental insurance
Health insurance
Vision insurance

Application Question(s):

When is the most recent time you were working in a bedside clinical setting as an RN ?
What hospital units have you worked in? (trauma, medsurg, etc...)
Do you currently hold a California RN or Compact RN license?
How many years of Utilization Review/Utilization Management experience do you have?
How many years experience do you have working w MCG criteria?
How many years of InterQual experience do you have?
How many years of EPIC experience do you have?
What is your ideal pay rate/hr?
Are you comforable working either schedule:

Friday-Monday 9am-7:30pm or 8am-6:30pm

Work Location: Remote

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