Remote Utilization Review RN: Denials & Medical Necessity
Los Angeles, Los Angeles County, California, 90001, USA
Listed on 2026-10-27
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Nursing
RN Nurse, Healthcare Nursing, Clinical Nurse Specialist, Nurse Practitioner
Ensemble Health Partners is seeking a Virtual Utilization Review Specialist to join our remote team. You will perform medical necessity reviews, manage denials, and coordinate with FCC and care management to optimize patient care while controlling costs.
Qualified candidates hold a current RN license, have at least 1 year in denials management and utilization review, and are proficient with Epic EMR. This remote role requires strong communication, collaboration, and adherence to CMS guidelines.
Are you ready to take on the Remote Utilization Review RN:
Denials & Medical Necessity role at Ensemble Health Partners?
We are currently recruiting a Remote Utilization Review RN:
Denials & Medical Necessity for our team in United States.
This is an excellent position to take on the Remote Utilization Review RN:
Denials & Medical Necessity role at Ensemble Health Partners.
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