Remote Utilization Review Nurse Part-Time

Advanced Health Coordinated Care Organization is hiring a part-time remote Utilization Review Nurse. The ideal candidate will be a licensed RN with experience in acute care and utilization review. Responsibilities include reviewing prior authorizations, ensuring quality care, and applying medical necessity criteria. Strong critical thinking, communication skills, and attention to detail are essential. Preferred candidates will have experience in managed care and the OHP program. This role requires flexibility and the ability to work independently. #J-18808-Ljbffr