Remote Utilization Review RN – Insurance​/URAC Expertise

A leading healthcare organization is seeking a full-time remote RN responsible for validating medical necessity in the insurance industry. This role involves performing medical reviews on claims and requires a nursing license, alongside experience in claims processing and knowledge of accreditation standards. Candidates must reside in IL or TX and possess strong communication skills to interact with providers and members.
This posting is for the Remote Utilization Review RN – Insurance/URAC Expertise role at Innovative Systems Group, based in Richardson, TX, United States. Please review the full job details above before applying. If your experience matches this role, we encourage you to apply. All applications are reviewed carefully by our team. This is a Full Time role. The position is based in Richardson, TX, United States.