Utilization Review Nurse – Medical Necessity Expert
Listed on 2026-11-05
-
Nursing
RN Nurse, Healthcare Nursing, Clinical Nurse Specialist, Nurse Practitioner
Med Watch is seeking a Medical Review Specialist (RN) to conduct utilization review for hospital admissions and outpatient procedures. You will verify medical necessity, coordinate with providers, and ensure compliance with URAC standards and state guidelines.
The role requires an RN with at least five years of clinical nursing experience, strong organization, and excellent communication skills. The position offers a hybrid work arrangement and opportunities to contribute to quality management.
The Utilization Review Nurse – Medical Necessity Expert position in the Bio & Pharmacology & Health field is open for applications.
We are currently recruiting a Utilization Review Nurse – Medical Necessity Expert for our team in OR, United States.
This is an excellent opportunity to take on the Utilization Review Nurse – Medical Necessity Expert role at Med Watch.
As a Utilization Review Nurse – Medical Necessity Expert, you will play an important part at Med Watch in OR, United States.
(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).