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Utilization Review RN — Care Pathway & Outcomes Leader

Job in Houston, Harris County, Texas, 77246, USA
Listing for: Oscar Health
Full Time position
Listed on 2026-10-02
Job specializations:
  • Nursing
    Healthcare Nursing, RN Nurse
Salary/Wage Range or Industry Benchmark: 70000 - 90000 USD Yearly USD 70000.00 90000.00 YEAR
Job Description & How to Apply Below

Oscar Health is seeking an experienced Registered Nurse to perform complete medical necessity reviews and determine level of care for requested services.

You will collect information by phone and fax, apply MCG or Inter Qual guidelines, and ensure timely decisions, meeting SLAs and referring members for further care engagement. Weekend availability is required; we value an inclusive environment and offer comprehensive benefits including medical, dental, vision, and a 401(k).

We are looking to fill the Utilization Review RN — Care Pathway & Outcomes Leader position at Oscar Health in United States.

We appreciate your interest in this position.

Join Oscar Health and contribute to our ongoing work.

Take a moment to read everything above and see whether this role is right for you.

This posting is for the Utilization Review RN — Care Pathway & Outcomes Leader role at Oscar Health, based in United States.

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