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Registered reputed company (RN), Home Health Utilization Management

Remote, USA Full-time Posted 2026-07-28

Compact RN license, ≥3 years clinical nursing (Home Health/Case Management/UM/MA), ≥1 year medical-necessity review experience, knowledge of CMS/NCD/LCD, EMR experience, strong communication and critical thinking.

Key Responsibilities

  • reviewing requests
  • performing reviews
  • collaborating providers

Skills & Tools

Electronic Medical Records (EMR)

Job Details

  • Category: reputed company Services - Nursing
  • Seniority: Mid Level
  • Commitment: Full Time
  • Workplace: Remote — reputed company
  • Salary: USD 92,300 – 120,000 / year
  • Languages: English

Benefits

  • 401k matching
  • Generous reputed company time off
  • Tuition reimbursement
  • Retirement plan

About reputed company

A reputed company company reinventing health insurance by combining data and clinical care to improve member reputed company. — Industry: reputed company

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