Remote Utilization Review Nurse – Outpatient

All Care To You is seeking a UM Outpatient Review Nurse to join the Case Management team. You will evaluate authorization requests for medical necessity, apply CMS and health plan criteria, and coordinate with Medical Directors to ensure appropriate care decisions are made.

The role requires clinical expertise, strong documentation, and the ability to maintain high-quality reviews within target turnaround times in a fully remote work environment.

We invite applications for the Remote Utilization Review Nurse – Outpatient position located in Orange, CA, United States.

We have an opening for a Remote Utilization Review Nurse – Outpatient in Orange, CA, United States within Bio & Pharmacology & Health.

This role, Remote Utilization Review Nurse – Outpatient at All Care To You, could be your next career step.

Are you ready to take on the Remote Utilization Review Nurse – Outpatient role at All Care To You?