Remote Utilization Management RN — Clinical Review Leader
Berwyn, Cook County, Illinois, 60402, USA
Listed on 2026-09-29
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Nursing
RN Nurse, Clinical Nurse Specialist, Healthcare Nursing
Guidehealth is seeking a Utilization Management Registered Nurse (RN) for a fully remote, full-time position. The role involves applying medical necessity criteria to reviews, documenting findings, and interfacing with providers and members to ensure timely, compliant determinations.
Illinois license active and 3+ years clinical experience preferred. Responsibilities include collaboration with Medical Director, AI workflow integration, and participation in quality initiatives.
As a Remote Utilization Management RN — Clinical Review Leader, you will play an important part at Guidehealth in Chicago, IL, United States.
The following opportunity is for a Remote Utilization Management RN — Clinical Review Leader with Guidehealth.
Our group is growing, and we are hiring a Remote Utilization Management RN — Clinical Review Leader in Chicago, IL, United States.
This Full Time opportunity is for the Remote Utilization Management RN — Clinical Review Leader role at Guidehealth.
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