Remote Utilization Management RN – Medical Necessity

A leading healthcare company is seeking a Utilization Management Nurse 2 to support medical service coordination and ensure appropriate care for members. This remote position requires an active RN license and three years of clinical nursing experience, ideally in acute or skilled nursing. The role involves coordinating care with providers, conducting medical necessity reviews, and engaging in independent decision-making in patient care. A Bachelor's degree and prior experience in utilization management are preferred, along with strong communication and critical thinking skills. #J-18808-Ljbffr