Inpatient Utilization Review RN - Remote (PST/MST)
NHSHP
Sacramento, CA
- Remote job
Optum is seeking a Utilization Review Nurse, RN to perform inpatient utilization management, applying evidence-based guidelines and medical necessity criteria. The role involves day-to-day clinical reviews, documentation, and collaboration with Medical Leadership across Pacific/Mountain time zones. The ideal candidate has 3+ years in clinical nursing, 1+ year in Utilization Management, and familiarity with Medicare/Medicaid guidelines, MCg/InterQual, and care coordination processes. #J-18808-Ljbffr NHSHP
Vacancy posted 1 day ago
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