Remote Utilization Review RN – Denials & Care Management

Ensemble Health Partners is seeking a Virtual Utilization Review Specialist to join our remote team. You will review medical necessity, coordinate denial management, and support CMS-compliant care across the patient care continuum.

Required are 5+ years in acute care, 2+ years utilization review, 1+ year denial management, and proficiency with Epic EMR. You will work with a multidisciplinary team to optimize patient outcomes while maintaining regulatory standards.

Consider building your career as a Remote Utilization Review RN – Denials & Care Management at Ensemble Health Partners.

We are currently recruiting a Remote Utilization Review RN – Denials & Care Management for our team in KY, United States.

This is a genuine opening to take on the Remote Utilization Review RN – Denials & Care Management role at Ensemble Health Partners.