Guidehealth, a data-powered healthcare company, seeks a Utilization Management Registered Nurse (RN) to perform utilization review remotely. The role supports compliance with federal and state regulations and URAC standards, applying medical necessity criteria to documentation from medical records for determinations.
You will collaborate with the Medical Director and Peer Reviewers, communicate determinations to providers and members, and integrate AI into daily workflow while maintaining
#J-18808-LjbffrRemote Utilization Management RN Data-Driven, Impactful Care in workfromhome at Unknown Company
- Typical pay
- $71,760–$123,760
For context, most registered nurses earn between $71,760–$123,760 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.