More jobs:
Utilization Review RN: Impactful Clinical Decisions
Job in
Jacksonville, Duval County, Florida, 32290, USA
Listed on 2026-08-04
Listing for:
Personify Health
Full Time
position Listed on 2026-08-04
Job specializations:
-
Nursing
RN Nurse
Job Description & How to Apply Below
Personify Health is seeking a skilled registered nurse reviewer to evaluate medical-necessity reviews against benefit language and recognized criteria. You will document decisions with precision, maintain HIPAA compliance, and ensure timely, defensible determinations that protect members and the organization.
In this role you will manage a caseload by urgency and regulatory deadlines, escalate when needed, and collaborate with physicians to build solid appeals and summaries.
#J-18808-LjbffrTo View & Apply for jobs on this site that accept applications from your location or country, tap the button below to make a Search.
(If this job is in fact in your jurisdiction, then you may be using a Proxy or VPN to access this site, and to progress further, you should change your connectivity to another mobile device or PC).
(If this job is in fact in your jurisdiction, then you may be using a Proxy or VPN to access this site, and to progress further, you should change your connectivity to another mobile device or PC).
Search for further Jobs Here:
×