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Remote RN - Clinical Utilization Reviewer (Alabama)

Palo Verde Community College District

Comagine Health seeks Clinical Utilization Review Nurses (RN) to assess medical necessity and quality of care through prospective, concurrent, and retrospective reviews. This full-time, remote position requires Alabama licensure and focuses on compliant, cost-effective care within contract guidelines. Applicants must be an active RN in Alabama with at least 3 years of direct patient care experience and a BA/BS in Nursing. Experience in long-term care, provider relations, and PA reviews is valued. #J-18808-Ljbffr

Vacancy posted 8 hours ago
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