eNLC Licensed Clinical Nurse

Job is Expired
Location: Remote
Compensation: To Be Discussed
Reviewed: Fri, Jun 06, 2025

Job Summary

A company is looking for a Utilization Management - Clinical Nurse to work from home.

Key Responsibilities
  • Analyze clinical information and treatment plans for authorization requests
  • Conduct telephonic and concurrent reviews of hospitalizations and outpatient treatments
  • Ensure compliance with regulatory standards and timely processing of denial determinations
Required Qualifications
  • RN license in an eNLC state with multistate privileges
  • 3+ years of nursing experience
  • 1+ years of utilization management experience
  • Familiarity with medical terminology and clinical documentation standards
  • Proficiency in Microsoft Office and experience with healthcare systems

COMPLETE JOB DESCRIPTION

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