Remote Utilization Management RN — Clinical Review Leader
Chicago, Cook County, Illinois, 60290, USA
Listed on 2026-10-07
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Nursing
Clinical Nurse Specialist, RN Nurse, Healthcare Nursing, Nurse Practitioner
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.
We are seeking a motivated Remote Utilization Management RN — Clinical Review Leader to join Guidehealth in Chicago, IL, United States.
Join us at Guidehealth as our next Remote Utilization Management RN — Clinical Review Leader in Chicago, IL, United States.
We are currently recruiting a Remote Utilization Management RN — Clinical Review Leader for our team in Chicago, IL, United States.
This is an excellent position to take on the Remote Utilization Management RN — Clinical Review Leader role at Guidehealth.
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