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Remote Utilization Review Nurse - Denials & Compliance

Remote / Online - Candidates ideally in
Pennsauken, Camden County, New Jersey, 08110, USA
Listing for: Virtua
Remote/Work from Home position
Listed on 2026-01-03
Job specializations:
  • Healthcare
    Healthcare Nursing
Salary/Wage Range or Industry Benchmark: 77405 - 123574 USD Yearly USD 77405.00 123574.00 YEAR
Job Description & How to Apply Below
A leading health care provider seeks a qualified Utilization Management specialist. This remote position requires an RN with at least 3 years of clinical experience and familiarity with Medicare and managed care. Responsibilities include managing medical necessity determinations and concurrent denials while ensuring compliance with regulations. The role offers a competitive salary ranging from $77,405 to $123,574, depending on experience, alongside a comprehensive benefits package including insurance, retirement plans, and tuition assistance.
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