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Remote Utilization Review RN - Case Management

Remote / Online - Candidates ideally in
Boise, Ada County, Idaho, 83701, USA
Listing for: HealthEdge
Full Time, Remote/Work from Home position
Listed on 2026-11-01
Job specializations:
  • Nursing
    RN Nurse
Salary/Wage Range or Industry Benchmark: 85000 - 110000 USD Yearly USD 85000.00 110000.00 YEAR
Job Description & How to Apply Below

Health Edge is seeking a motivated Utilization Review RN to join our team. You will perform prospective, concurrent and retrospective reviews of inpatient, outpatient, ambulatory and ancillary services to ensure medical necessity, length of stay and level of care, including appeals.

Responsibilities include authorizing requests, coordinating discharge planning, analyzing care patterns, resolving benefits issues, and educating providers on policies and benefits. This is a remote, full-time US role.

Our organisation is growing, and we are hiring a Remote Utilization Review RN
- Case Management 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 role in the description above.

We appreciate your interest in this position.

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