Utilization Review Nurse

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Remote - MUST live in IL
Pay Rate - $40/hr

Overview
We are seeking a licensedRegistered Nurse (RN)with active Illinois licensure to join our remote Utilization Review team.

Responsibilities:
Evaluating treatment plans using medically accepted criteria to ensure medical necessity and appropriateness within the insurance or managed care industry.

Key Qualifications

  • Active, unrestrictedRN license in Illinois
  • PriorUtilization Review experience
  • Familiarity withMCGandASAMcriteria
  • Strong clinical judgment and analytical skills
  • Ability to work independently in a remote setting
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