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Healthcare Nursing

Remote RN Utilization Review Specialist

Remote / Online - Candidates ideally in
Rhode Island, USA
Listing for: Blue Cross & Blue Shield of Rhode Island
Remote/Work from Home position
Listed on 2026-01-15
Job specializations:
  • Nursing
    Healthcare Nursing
Job Description & How to Apply Below
A leading healthcare provider seeks an UM Nurse Reviewer responsible for conducting medical reviews, identifying at-risk patients, and ensuring continuity of care. The ideal candidate will have an active RN license, strong analytical and communication skills, and experience in utilization review. This position offers the flexibility of remote work and opportunities for professional development within a supportive team environment focused on the wellbeing of Rhode Islanders.
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