Seeking an experienced Registered Nurse - Utilization Management, the full-time remote position will manage case reviews, support coverage determinations, and coordinate care to ensure members receive appropriate healthcare services. Key responsibilities Review clinical information and apply evidence-based criteria for utilization and coverage recommendations Collaborate with providers and healthcare teams to support treatment plans and care coordination Identify opportunities to enhance healthcare quality, outcomes, and benefit utilization Required qualifications Active, unrestricted RN license in the state of residence 2+ years of RN experience in an adult acute care or critical care setting Associates Degree in Nursing Proficiency in navigating multiple computer systems Strong communication and critical thinking skills
Registered Nurse - Utilization Management in workfromhome at Unknown Company
- Typical pay
- $84,500–$132,233
For context, most registered nurses earn between $84,500–$132,233 a year according to Bureau of Labor Statistics wage data. What this particular role pays is set by the employer — check the description above.
This position is listed as full time and able to be worked remotely.