Utilization Review Nurse- Remote

We are seeking a skilled Utilization Review Nurse to conduct prior authorization, prospective, concurrent, and retrospective reviews for medical necessity and appropriateness of services, following clinical criteria, coverage policies, and contract guidelines.

Requirements

• Active RN license.
• 3+ years of inpatient clinical experience.
• 1+ year in prior authorization reviews using InterQual or MCG.
• Strong written communication skills in a fast-paced setting.
• Proficient in Microsoft Office and other computer applications.

Benefits

• Generous, flexible vacation policy
• 401(k) employer match
• Comprehensive health benefits
• Educational assistance