Utilization Review Nurse - RN
Personify Health is seeking a remote Utilization Review Nurse to evaluate medical services against benefit language and medical necessity guidelines. This is a full-time role offering benefits from the first day.
Work this role from any clinic, anywhere in the country — as long as your license, certifications and ID documents are current and valid for the employer's required state(s).
Candidates will conduct medical-necessity reviews and evaluate requested services for health plan members. You will be responsible for ensuring clinical documentation aligns with plan language and regulatory requirements. Utilization management experience is preferred for this remote opportunity.
Listed on indeed. Free to read, free to apply yourself.
For a $1 maintenance fee we write, submit and personally endorse your application for this role. You can pick more roles in the same category too.
Real recruiters apply for you with priority placement — 10 applications in 30 days, or your money back.