Remote Utilization Review RN — Case Management Expert
Twin Falls, Twin Falls County, Idaho, 83301, USA
Listed on 2026-10-28
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Nursing
RN Nurse, Healthcare Nursing, Clinical Nurse Specialist, Nurse Practitioner
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.
We invite applications for the Remote Utilization Review RN — Case Management Expert position located in , United States.
We aim to respond to suitable candidates as soon as possible.
Full responsibilities and requirements are described in the listing above.
Learn more about the Remote Utilization Review RN — Case Management Expert role in the description above.
We appreciate your interest in this position.
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