Remote Utilization Review Nurse: Elevate Care & Compliance
Remote / Online - Candidates ideally in
Philadelphia, Philadelphia County, Pennsylvania, 19117, USA
Listed on 2026-08-13
Philadelphia, Philadelphia County, Pennsylvania, 19117, USA
Listing for:
Santa Barbara Cottage Hospital
Remote/Work from Home
position Listed on 2026-08-13
Job specializations:
-
Healthcare
Job Description & How to Apply Below
Nexus Health Systems is seeking a seasoned Utilization Review Registered Nurse (UR RN) for a fully remote role in the US. The ideal candidate will have experience in utilization review, case management, or behavioral health, and will ensure medically necessary care and regulatory compliance.
You will work with the Utilization Management team, applying Inter Qual or similar criteria, coordinating with clinicians, and supporting timely authorizations, discharge planning, and transitions of care.
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