Remote Utilization Management RN – Medical Necessity

A leading health insurance provider is seeking a Utilization Management Nurse 2 to utilize clinical nursing skills for coordinating and documenting medical services. Ideal candidates will have at least three years of clinical experience and an active RN license. Responsibilities include coordinating with providers, conducting medical necessity reviews for Medicaid claims, and making independent decisions in ambiguous situations. This role offers remote work opportunities and a schedule of Monday to Friday, 8 AM to 5 PM. #J-18808-Ljbffr