Utilization Review Nurse - 249106
🚨 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! #NowHiring #RemoteNursing #UtilizationManagement #NurseJobs #HealthcareCareers #RNJobs #CaseManagement #ManagedCare