🚨 We’re Hiring: Utilization Review Nurse (RN) – 100% Remote 🚨
Looking for your next opportunity in Utilization Review? If you’re an experienced RN with a strong background in utilization review and a passion for evidence-based care, this is your chance to join a mission-driven organization from the comfort of home.
💼 Position Details
Role: Utilization Review Nurse (RN)
Type: Contract-to-Hire (eligible after 800 hours)
Location: 100% Remote
🕒 Schedule Options
Sunday–Thursday or Tuesday - Saturday
8:30 AM – 5:00 PM or 4x10s
Training: Monday–Friday, 8:30 AM – 5:00 PM (4-5 weeks)
🩺 What You’ll Do
Reviews current inpatient or ongoing treatment plans
Checks medical records, labs, and physician notes
Communicates with doctors, case managers, and care teams
Applies clinical guidelines like MCG
Determines if the level of care (inpatient vs observation) is appropriate
Recommends continued stay, discharge, or alternative care settings
✅ Required Qualifications
Active, unrestricted RN license (single state or compact/NLC)
Associate or Bachelor’s Degree in Nursing (or accredited program graduate)
Experience with MCG guidelines
Ability to obtain additional state licenses if needed
1+ year of utilization review experience doing concurrent reviews (managed care)
1+ year of clinical experience in an acute care setting (ER, hospital, etc.)
⭐ Preferred Qualifications
BSN
Experience with concurrent or inpatient reviews for a health plan
📩 Interested or know someone who is?
Apply today or message me directly to learn more!
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