Remote Utilization Management RN — Data-Driven, Impactful Care
Merrillville, Lake County, Indiana, 46410, USA
Listed on 2026-10-04
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Nursing
RN Nurse
Guidehealth, a data-powered healthcare company, seeks a Utilization Management Registered Nurse (RN) to perform utilization review remotely. The role supports compliance with federal and state regulations and URAC standards, applying medical necessity criteria to documentation from medical records for determinations.
You will collaborate with the Medical Director and Peer Reviewers, communicate determinations to providers and members, and integrate AI into daily workflow while maintaining
We are seeking a motivated Remote Utilization Management RN — Data-Driven, Impactful Care to join Smart Recruiters, Inc. in Gary, IN, United States.
This role, Remote Utilization Management RN — Data-Driven, Impactful Care at Smart Recruiters, Inc., could be your next opportunity.
Are you ready to take on the Remote Utilization Management RN — Data-Driven, Impactful Care role at Smart Recruiters, Inc.?
We would love to welcome a new Remote Utilization Management RN — Data-Driven, Impactful Care to our group in Gary, IN, United States.
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