Remote Utilization Review Nurse Auditor

ExamWorks, Inc.; Mount Laurel Township (NJ); Remote; USD 75,000 - 105,000; Full time

Benefits offered by this job

Remote work

Competitive benefits

401(k)

Paid time off

Job summary

ExamWorks is seeking a Utilization Review Nurse Auditor for a 100% remote role. You will perform quality utilization reviews and approve medically necessary care according to evidence-based guidelines.

A nursing license and coding certification are required, with 3–5 years of direct patient care experience preferred. Schedule is Monday–Friday, 8:00am–5:00pm EST, remote work supported.

Qualifications

• Nursing license must be active and unencumbered.
• Coding certification in UR AC, RAC-CT, CCS, CPC, RHIT or RHIA preferred.
• Minimum 3–5 years direct patient care experience.

Responsibilities

• Perform quality utilization review using evidence-based guidelines.
• Identify level, intensity and duration of care with providers.
• Document findings and evaluate medical necessity for required care.

Skills

Nursing license

Coding certification

Medical terminology

40 WPM typing

MS Office proficiency

Education

High school diploma or equivalent

Accredited nursing program graduate

Tools

Microsoft Office

Job description

ExamWorks is seeking a Utilization Review Nurse Auditor for a 100% remote role. You will perform quality utilization reviews and approve medically necessary care according to evidence-based guidelines.

A nursing license and coding certification are required, with 3–5 years of direct patient care experience preferred. Schedule is Monday–Friday, 8:00am–5:00pm EST, remote work supported.