Remote Utilization Review RN — Case Management Expert
Caldwell, Canyon County, Idaho, 83605, USA
Listed on 2026-10-26
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Nursing
Healthcare Nursing, Nurse Practitioner, RN Nurse, Clinical Nurse Specialist
Health Edge Software, Inc. seeks an experienced Utilization Review RN to perform prospective, concurrent and retrospective reviews across inpatient and outpatient services, ensuring medical necessity and appropriate levels of care.
The role includes coordinating care, discharge planning, and addressing benefits and coordination of care for members. The ideal candidate will hold an RN license with 2+ years of clinical experience and may have Case Management certification in progress or preferred.
This posting is for the Remote Utilization Review RN — Case Management Expert role at Health Edge Software, Inc., based in , United States.
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