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RN Utilization Review Nurse: InterQual & Care Collaboration

Job in Houston, Harris County, Texas, 77246, USA
Listing for: Segwae
Full Time position
Listed on 2026-07-23
Job specializations:
  • Nursing
    RN Nurse, Healthcare Nursing
Salary/Wage Range or Industry Benchmark: 65000 - 90000 USD Yearly USD 65000.00 90000.00 YEAR
Job Description & How to Apply Below

Segwae in Houston seeks an experienced RN for concurrent inpatient utilization review using Inter Qual criteria to determine medical necessity for admissions, continued stays, and transitional care reviews. You will collaborate with physicians and care teams to support appropriate level-of-care decisions and ensure policy-compliant documentation.

The role requires an active RN license in the U.S., with 2+ years in acute care and utilization management preferred.

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