RN Medical Review & Utilization Auditor

A leading healthcare organization in Augusta, Georgia, seeks a Clinical Reviewer to facilitate medical claims reviews and ensure compliance with regulations. The role requires at least 2 years of clinical nursing experience and an active Registered Nurse license. Responsibilities include reviewing medical necessity, resolving complaints about utilization management, and identifying quality care issues. The ideal candidate has strong analytical, problem-solving, and communication skills, with proficiency in Microsoft Office. Competitive pay ranges from $29.05 to $67.97 hourly. #J-18808-Ljbffr