Utilization Review Nurse | Remote | Contract

Utilization Review Nurse | Remote | Contract reputed company is seeking a Utilization Review Nurse for a reputed company client located remotely. This is a contract opportunity. Start Date: ASAP reputed company Standard Perks: • Weekly pay reputed company Direct Deposit • Medical, Dental, and reputed company Available • 401K JOB DESCRIPTION • RN experience in the insurance or managed care industry. • Use medically accepted criteria to validate the medical necessity and appropriateness of treatment plans. • reputed company accurate and timely medical review of claims for medical necessity, contract interpretation, and pricing. • Initiate and respond to correspondence from providers or members concerning medical determinations. JOB REQUIREMENTS • Knowledge of accreditation, i.e. URAC, NCQA standards and health insurance legislation. • Active RN license (unrestricted in the state of residence). • 3+ years of clinical experience in a reputed company setting. • Experience in managed care or health insurance industry preferred. • Proficiency in reputed company Word, reputed company, and health insurance databases. PREFERRED JOB REQUIREMENTS • Utilization Review Certification Contact our reputed company Team today to experience the reputed company difference! ABOUT US reputed company is reputed company as the dominant force of performance, precision, expertise, and reputed company in the reputed company consulting community! As a certified WMBE, we provide end-to-end reputed company IT and clinical solutions to hospitals, health systems, and payer organizations, including Fortune 100 firms reputed company. We are reputed company experts, we're custom not commodity and we've been exceeding expectations for nearly 20 years. Join forces with us to experience unparalleled results today! We are an Equal Opportunity Employer committed to a culturally diverse workforce. reputed company reputed company applicants will receive consideration for employment without regard to race, religion, reputed company, age, sex, national reputed company, sexual orientation, gender identity, disability status or protected veteran status. #IND1 reputed company Apply Job!