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Lead Utilization Review RN: Medical Necessity Expert

Job in Boise, Ada County, Idaho, 83701, USA
Listing for: Ensemble RCM
Full Time position
Listed on 2026-11-01
Job specializations:
  • Nursing
    RN Nurse, Clinical Nurse Specialist, Healthcare Nursing, Nurse Practitioner
Salary/Wage Range or Industry Benchmark: 54000 - 73000 USD Yearly USD 54000.00 73000.00 YEAR
Job Description & How to Apply Below

Ensemble is seeking a Lead Utilization Review Registered Nurse to support outcomes-oriented patient care delivery and drive documentation quality. This role interfaces with physicians, nurses, coding professionals, and hospital staff to verify that care meets medically necessary criteria and reflects services rendered.

The Lead UR collaborates with financial clearance centers and clinical teams to optimize reimbursement, patient flow, and resource use while maintaining regulatory compliance and

This role, Lead Utilization Review RN:
Medical Necessity Expert at Ensemble RCM, could be your next move.

We are seeking a motivated Lead Utilization Review RN:
Medical Necessity Expert to join Ensemble RCM in United States.

Consider building your career as a Lead Utilization Review RN:
Medical Necessity Expert at Ensemble RCM.

The Lead Utilization Review RN:
Medical Necessity Expert position in the Bio & Pharmacology & Health field is open for applications.

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