Gainwell Technologies LLC is seeking a Nurse Reviewer (RN) to perform clinical reviews ensuring medical necessity based on criteria, policies, and guidelines. You will access proprietary systems, document findings accurately, and support review determinations.
The role is full-time with remote options for US-based employees. Expect to review records, provide policy support, and mentor new Nurse Reviewers while maintaining RN licensure and knowledge of current regulations.
#J-18808-LjbffrRemote Nurse Reviewer (RN) Utilization & Review Expert in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.