RN Utilization Review
Review patient medical records to assess the appropriateness and medical necessity of hospital admissions, continued stays, and services, while coordinating with providers and payers to ensure compliance with clinical guidelines, regulatory requirements, and efficient use of healthcare resources.
Minimum Required Qualifications
- FL/compact RN license
- BLS
- CCM/CMCN
- 2-5 years utilization management experience (hospital-based)
- Skilled experience with remote work
Length of assignment: 13 weeks
Shift / hours per week: M-F 8A-4:30P, with every fifth weekend rotation
Systems: Epic, Dragonfly - DragonFly experience is required
Start date: 09/07/2026
RN Utilization Review in Remote at Unknown Company
This position is listed as full time and able to be worked remotely.