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Pennsylvania Licensed Utilization Nurse

Location: Remote
Compensation: Salary
Reviewed: Mon, Aug 17, 2026
This job expires in: 28 days

Job Summary

To support a growing healthcare team, the full-time Pennsylvania Licensed Utilization Nurse will review patient medical records, craft appeal letters, and ensure compliance with policies while working remotely.

Key responsibilities:
  • Compose well-written appeal letters using data extraction and established templates while adhering to company policies
  • Maintain HIPAA confidentiality and support the goals of OPAS and Optum
  • Collaborate with peers to ensure effective communication and meet quality and productivity expectations
Required qualifications:
  • Associate's degree
  • Unrestricted Registered Nurse license in Pennsylvania
  • 3+ years of bedside nursing experience in ED, telemetry, ICU, or CCU
  • Advanced proficiency with Microsoft Office and internet navigation
  • Ability to type 45 words per minute

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