Remote Utilization Review RN

Job Summary

A company is looking for a Remote Utilization Review RN.

Key Responsibilities:

• Review clinical documentation to determine medical necessity and coverage eligibility
• Conduct telephonic or electronic utilization reviews based on established guidelines
• Collaborate with providers, case managers, and interdisciplinary teams

Required Qualifications:

• Active and unrestricted RN license in state of residence
• Minimum 2 years of experience in clinical or administrative nursing roles