Remote Utilization Review RN - AI & Prior Authorization
Lakeville, Dakota County, Minnesota, 55044, USA
Listed on 2026-11-01
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Nursing
RN Nurse
Pride Health is seeking an experienced Registered Nurse (RN) with Utilization Management experience to support clinical quality review and AI model development for prior authorization use cases. The ideal candidate will review records, apply Inter Qual/MCG criteria, and lead calibration sessions to ensure consistent application of guidelines and improve annotation accuracy for AI models.
The role requires Minnesota RN licensure, 3+ years in UM or prior authorization, strong CPT/HCPCS and ICD-10
Our organisation is growing, and we are hiring a Remote Utilization Review RN - AI & Prior Authorization in Minneapolis, MN, United States.
Learn more about the Remote Utilization Review RN - AI & Prior Authorization role in the description above.
We appreciate your interest in this position.
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