Utilization Review Nurse - 257945

Job Description

HIRING: Utilization Review Nurse | Remote | UM Training Provided

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5 Clinical Nurses Wanted for an Exciting UM Pilot Program!

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Have you been working in bedside nursing and looking to transition into Utilization Management This is a unique opportunity! While this team typically hires nurses with prior UM experience, they are opening the door for 5 experienced clinical nurses who are eager to learn. Selected candidates will receive training in Utilization Management and case management from the ground up.

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Type - Contract to hire (eligble at 800 working hours) Based on performance/attendance*

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In this role, you will:

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• Perform frequent clinical case reviews
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• Review medical records and assess patient care
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• Communicate with care providers regarding treatment when needed
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• Research diagnoses and applicable standards of care
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• Make recommendations regarding the appropriateness of care
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• Apply clinical judgment to support appropriate utilization and outcomes
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✅ Required Qualifications

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• Active, unrestricted RN license in your state of residence OR an active compact multistate RN license (NLC)
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• Must be willing and able to obtain additional state licenses as business needs require
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• ADN, nursing diploma from an accredited nursing school, or BSN
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• 3+ years of bedside/clinical nursing experience
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• Strong clinical assessment and critical-thinking skills
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• ED, ICU, or Med Surg experience preferred
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• SNF and Rehab backgrounds will also be considered
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• Strong computer/technology skills — this is a tech-forward healthcare environment
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• Comfortable working on a MacBook
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• Reliable, quiet, dedicated, and HIPAA-compliant home office
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• Adaptable attitude and genuine interest in learning a new clinical discipline
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Schedule Options

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Full-time schedule options include:

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4 x 10-hour shifts (Sunday–Wednesday or Wednesday–Saturday)

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OR

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5 days per week, 8:00 AM–5:00 PM in your applicable time zone, including one weekend day

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Available schedules:

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• Sunday–Thursday
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• Tuesday–Saturday
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Why This Opportunity?

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If you're an experienced clinical RN ready to move beyond traditional bedside nursing, this pilot offers a chance to break into Utilization Management without needing previous UM experience.

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We're looking for nurses who are clinically strong, tech-savvy, adaptable, and excited to learn.

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Interested? Apply now or message me for more information!

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