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Utilization Management Nurse RN

7/4/2025

No location specified

Job Summary

A company is looking for a Utilization Management Nurse RN - Remote - MST HOURS.

Key Responsibilities
  • Conduct prior authorization reviews for skilled nursing facilities and acute care hospitals
  • Determine medical appropriateness of care levels based on established guidelines
  • Provide resources and solutions for complex issues and non-standard requests
Required Qualifications
  • Active RN license in state of residency or Compact RN License
  • 3+ years of Managed Care and/or Clinical experience
  • Basic computer skills with MS Outlook, Word, and Excel
  • Weekend availability
  • Must work Pacific Time Zone hours

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