Remote Utilization Review Nurse - Outpatient
Austin, Travis County, Texas, 73301, USA
Listed on 2026-10-30
-
Nursing
Healthcare Nursing, RN Nurse, Nurse Practitioner, Nursing Home
All Care To You is seeking a UM Outpatient Review Nurse to join our Case Management team. This remote role emphasizes clinical review, medical necessity determinations, and collaboration with health plans, providers, and members to support high-quality patient outcomes.
You will apply CMS, NCQA, and clinical guidelines to determine coverage, maintain high interrater reliability, and meet turnaround times for urgent and routine reviews.
As a Remote Utilization Review Nurse - Outpatient, you will play an important part at All Care To You in United States.
Please review the full job details above before applying.
If your experience matches this role, we encourage you to apply.
All applications are reviewed carefully by our team.
This is a Full Time role.
The position is based in United States.
This opportunity is part of our work in Bio & Pharmacology & Health.
(If this job is in fact in your jurisdiction, then you may be using a Proxy or VPN to access this site, and to progress further, you should change your connectivity to another mobile device or PC).