Remote RN Utilization Management: Drive Efficient Care

AMN Healthcare; Boston (MA); Remote; USD 4,259,000 - 5,915,000; Full time

Benefits offered by this job

Medical, dental and vision benefits

Earned time off and paid holidays

Paid continuing education time

401(K) retirement planning

Short-term disability, life insurance

Job summary

AMN Healthcare is seeking a Remote RN Utilization Management professional for an 11-week assignment in the Boston area. The role involves reviewing medical records remotely to assess medical necessity, payer compliance, and care efficiency to support optimal patient outcomes across the hospital system.

Qualified candidates will hold an MA RN license with 2-4 years in utilization management and managed care, plus InterQual experience. EPIC proficiency is preferred.

Qualifications

• MA RN license is required.
• 2-4 years Utilization Management experience.
• 2-4 years managed care experience.
• Line of Business experience (Medicaid, Medicare, Commercial)
• InterQual experience required.

Responsibilities

• Review medical records remotely to evaluate medical necessity and appropriateness.
• Ensure compliance with payer guidelines and optimize patient outcomes across the hospital system.
• Utilize EPIC and InterQual for documentation and decision support.

Skills

RN license

Utilization management

Managed care

InterQual experience

Education

MA RN license

Tools

EPIC

InterQual system

Job description

AMN Healthcare is seeking a Remote RN Utilization Management professional for an 11-week assignment in the Boston area. The role involves reviewing medical records remotely to assess medical necessity, payer compliance, and care efficiency to support optimal patient outcomes across the hospital system.

Qualified candidates will hold an MA RN license with 2-4 years in utilization management and managed care, plus InterQual experience. EPIC proficiency is preferred.