Remote Utilization Management RN — Clinical Review Leader
Guidehealth
Chicago, IL
- Remote job
Guidehealth is seeking a Utilization Management Registered Nurse (RN) for a fully remote, full-time position. The role involves applying medical necessity criteria to reviews, documenting findings, and interfacing with providers and members to ensure timely, compliant determinations. Illinois license active and 3+ years clinical experience preferred. Responsibilities include collaboration with Medical Director, AI workflow integration, and participation in quality initiatives. #J-18808-Ljbffr Guidehealth
Vacancy posted 1 day ago
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