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Remote Utilization Review RN

7/7/2025

Remote

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

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