Remote Utilization Review Nurse (PRN)

Dane Street, LLC; United States; Hybrid; USD 70,000 - 110,000; Full time

Benefits offered by this job

Health insurance

401k with company match

Apple equipment and media stipend for

Paid time off

Job summary

Dane Street, LLC seeks an Utilization Management Nurse Reviewer to ensure efficient and appropriate use of medical services. You will review records, coordinate care, and advise on treatment pathways in a PRN staffing model.

Requirements include an active LVN/RN license, 2+ years of clinical nursing and 1+ year in Utilization Management, plus strong communication and IT skills. Remote work support and comprehensive benefits are included.

Qualifications

• Active LVN/RN license required.
• Minimum 2 years clinical nursing experience.
• At least 1 year in Utilization Management.

Responsibilities

• Assess medical services for appropriateness using established guidelines.
• Review patient records to verify care quality and necessity.
• Collaborate with providers, insurers, and patients to optimize care.
• Serve as clinical reference for non-clinical staff.

Skills

Clinical nursing

Medical record review

Communication

Multitasking

Organizational skills

Problem solving

Education

LVN/LPN or RN license

Tools

MS Word

Excel

PowerPoint

Outlook

Job description

Dane Street, LLC seeks an Utilization Management Nurse Reviewer to ensure efficient and appropriate use of medical services. You will review records, coordinate care, and advise on treatment pathways in a PRN staffing model.

Requirements include an active LVN/RN license, 2+ years of clinical nursing and 1+ year in Utilization Management, plus strong communication and IT skills. Remote work support and comprehensive benefits are included.