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Remote Utilization Review Nurse – EMR & Criteria Expert
Remote / Online - Candidates ideally in
Boise, Ada County, Idaho, 83701, USA
Listed on 2026-08-13
Boise, Ada County, Idaho, 83701, USA
Listing for:
Netsmart
Remote/Work from Home
position Listed on 2026-08-13
Job specializations:
-
Nursing
Healthcare Nursing, RN Nurse, Emergency Medicine
Job Description & How to Apply Below
Netsmart is seeking a Remote Utilization Review Nurse to evaluate ED admissions using Inter Qual/MCG criteria and apply evidence-based guidelines to ensure proper resource utilization. You will discuss documentation and admission status with ED physicians and enter reviews for insurance authorization.
Ideal candidates have an active RN license, 3+ years in acute care (ER/ICU/medical-surgical), and 2+ years UM experience, plus EMR and MS Office proficiency in a fast-paced, remote setting.
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