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Prior Authorization Utilization Review Nurse

Gainwell Technologies · Utilization Review Nurse · Prior Authorization · Remote
RemoteFull-timeRemote
Posted 9/28/2026
Role summary

Review and evaluate prior authorization requests for medical necessity and clinical appropriateness. This remote role involves collaboration with healthcare providers to facilitate timely care decisions.

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).

Gainwell Technologies is hiring a Prior Authorization Utilization Review Nurse. You will be responsible for reviewing clinical documentation against established criteria and guidelines. The role requires strong analytical skills and an active nursing license.

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