Nexus Health Systems is seeking a seasoned Utilization Review Registered Nurse (UR RN) for a fully remote role in the US. The ideal candidate will have experience in utilization review, case management, or behavioral health, and will ensure medically necessary care and regulatory compliance.
You will work with the Utilization Management team, applying InterQual or similar criteria, coordinating with clinicians, and supporting timely authorizations, discharge planning, and transitions of care.
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