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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