Remote Preservice Review RN - Utilization & Compliance

UnitedHealthcare is seeking a Preservice Review RN to evaluate requests from providers using Milliman Care Guidelines or Healthcare Operations Protocols. The RN will determine medical necessity, adjust benefit levels, and assess provider eligibility for self-funded plans. This role offers remote work within the United States, Monday–Friday 8:00 am–5:00 pm PST, with emphasis on accuracy, compliance with NCQA, DOL, state regulations, and precepting new staff as needed. #J-18808-Ljbffr Texas Health Institute