Remote Utilization Review Nurse — Evidence‑ Care
San Diego, San Diego County, California, 92101, USA
Listed on 2026-10-30
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Nursing
RN Nurse, Nurse Practitioner, Travel Nurse, Nurse Educator
Netsmart is seeking a registered nurse to perform utilization management reviews for ED admissions, applying Inter Qual/MCG criteria and evidence-based guidelines to ensure appropriate resource use.
You will collaborate remotely with ED physicians, document reviews, and transmit authorizations to insurers while analyzing utilization patterns for continuous improvement. ED/ACU and case management experience is preferred.
We would love to welcome a new Remote Utilization Review Nurse — Evidence‑Based Care to our organisation in United States.
Take a moment to read everything above and see whether this role is right for you.
This posting is for the Remote Utilization Review Nurse — Evidence‑Based Care role at Netsmart, based in United States.
We are looking to fill the Remote Utilization Review Nurse — Evidence‑Based Care position at Netsmart in United States.
The Remote Utilization Review Nurse — Evidence‑Based Care role at Netsmart is now open for applications in United States.
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