Sentara Health Plans is seeking a Utilization Review Nurse (RN) for Imaging/Commercial with remote options. The role involves pre-certification, inpatient and concurrent reviews, and care coordination to ensure clinical appropriateness under CMS and NCQA standards.
Qualified candidates have a BSN or ADN with an active RN license, plus 3 years acute care UR experience. Remote opportunities span multiple states, with a competitive compensation package and benefits.
#J-18808-LjbffrUtilization Review Nurse in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.