Utilization Review Nurse Clinician - LPN/LVN or RN

Jobtailor is seeking a qualified nurse for utilization review to confirm medical necessity and appropriateness of care within plan benefits and policies. You will perform precertification and various reviews, ensuring compliance with licensure and clinical guidelines. The role requires active licenses in applicable states, 2+ years of clinical or UR experience, and familiarity with managed care. Strong attention to detail and ability to refer complex cases to Medical Directors is essential. #J-18808-Ljbffr Jobtailor