Remote Utilization Review Nurse: Flexible Hours & Growth

kozmetickesluzby.vecnakraska.sk - Jobboard; Caribou (ME); Remote; USD 49,200 - 70,300; Full time

Benefits offered by this job

Flexible vacation policy

401(k) employer match

Comprehensive health benefits

Educational assistance

Job summary

Gainwell Technologies LLC is looking for a Utilization Review Nurse to work remotely in Maine. You will conduct reviews for medical necessity and appropriateness of services, utilizing clinical criteria and guidelines.

Qualified candidates should have an active Maine RN license and at least 3 years of inpatient clinical experience. Additional benefits include flexible work hours and opportunities for career growth in a collaborative environment.

Qualifications

• 3+ years of inpatient clinical experience required.
• 1+ year in prior authorization reviews using InterQual.
• Must have strong written communication skills.

Responsibilities

• Review admissions and procedures for medical necessity.
• Use clinical criteria for decision-making.
• Document findings in medical management systems.

Skills

Inpatient clinical experience

Prior authorization reviews using InterQual

Strong written communication skills

Proficient in Microsoft Office

Education

Active Maine RN license

Job description

Gainwell Technologies LLC is looking for a Utilization Review Nurse to work remotely in Maine. You will conduct reviews for medical necessity and appropriateness of services, utilizing clinical criteria and guidelines.

Qualified candidates should have an active Maine RN license and at least 3 years of inpatient clinical experience. Additional benefits include flexible work hours and opportunities for career growth in a collaborative environment.