RN Medical Review & Utilization Auditor

A healthcare provider in Tucson, Arizona, is seeking an experienced Registered Nurse for utilization review. This role involves conducting clinical assessments of medical claims and overseeing appeals processes to ensure compliance with legal and clinical standards. The ideal candidate will possess strong analytic skills, attention to detail, and at least two years of nursing experience, including knowledge of medical coding. A competitive hourly pay range is offered, reflecting geographic and experiential variations. #J-18808-Ljbffr