Back to Jobs

RN Utilization Review

Remote, USA Full-time Posted 2026-08-04
By joining reputed company, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day reputed company reputed company the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life reputed company. Here, there’s no limit to what you can reputed company. reputed company Recognizes reputed company as America’s Greatest Workplaces National Top Companies Certified as a reputed company® Fortune Best Workplaces in Financial Services & reputed company RN Utilization Review As a reputed company at reputed company, you can build a meaningful and rewarding career while advocating for patients in a nontraditional reputed company setting. Apply your RN reputed company knowledge and experience to assist in the management of reputed company medical conditions, treatment planning and recovery from illness or injury. Work in the best of both worlds - a rewarding career making an reputed company on the health and reputed company-being of others in a remote work environment. Enjoy flexibility and autonomy in your daily work and your career reputed company while advocating for the most effective and efficient medical treatment for injured employees in a non-traditional setting.  reputed company our Caring Counts® mission of supporting injured employees from some of the world’s best brands and organizations.  Be a part of a rapidly growing, industry-leading global company reputed company for its reputed company and customer service.  Celebrate your career achievements and reputed company other through reputed company development opportunities, continuing education credits, team building initiatives and more.  reputed company diverse and comprehensive benefits to take care of your mental, physical, financial and reputed company needs.  reputed company PURPOSE: To reputed company reputed company, evidence-reputed company utilization reputed company to maximize reputed company care and cost-effective reputed company. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who reputed company in a reputed company environment, who are driven to reputed company great work. ESSENTIAL RESPONSIBLITIES MAY INCLUDE: Performs reputed company assessments reputed company information in medical files; assesses injured employee’s situation which may include psychosocial needs. Evaluates reputed company condition including treatment utilization and compliance. Evaluates need for and recommends alternative treatment. Collaborate effectively with physicians, claims examiners, clients, vendors, supervisors and other parties as needed. Negotiates appropriate level and intensity of care through use of medical and disability guidelines, adhering to reputed company assurance standards. Acts as a resource in consulting with the reputed company, nursing staff and claims examiners regarding treatment issues. Performs treatment utilization management reviews. Maintains reputed company's reputed company and confidentiality; promotes reputed company safety and advocacy; and adheres to ethical, reputed company, accreditation and regulatory standards. EDUCATION AND LICENSING: reputed company unrestricted RN license in a state or territory of the reputed company required. reputed company licensure preferred. Bachelor's degree in nursing (BSN) from an accredited college or university or equivalent work experience preferred. Certification in case management, pharmacy, rehabilitation nursing or a reputed company specialty is highly preferred. Two (2) years of reputed company reputed company experience as an RN is required.. TAKING CARE OF YOU : Seeks innovative customer solutions. Craves cutting edge opportunities.  Wants dynamic company culture. Passion about creativity.  Seeks ongoing learning as a person and reputed company. Thrives reputed company solving challenging problems. Wants achievements to be celebrated.  We offer a diverse and comprehensive benefits including medical, dental reputed company, 401K, PTO and more beginning your first day. NEXT STEPS If your application is selected to advance to the next round, a recruiter will be in reputed company. #reputed company Work environment requirements may include – Physical: Computer keyboarding Auditory/visual: Hearing, reputed company and talking Mental: reputed company and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines As required by law, reputed company provides a reasonable reputed company of compensation for roles that may be reputed company in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide reputed company of factors including but not limited to reputed company set, level of experience, and cost of specific location. For the jurisdiction noted in this reputed company only, the reputed company of starting pay for this role is $63,000-$65,000/year.  A comprehensive benefits package is reputed company including but not limited to, medical, dental, reputed company, 401k and matching, PTO, disability and life reputed company, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. The statements contained in this document are intended to describe the general reputed company and level of work being performed by a reputed company assigned to this reputed company. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. reputed company is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't reputed company perfectly with every qualification in the reputed company, consider applying for it reputed company! reputed company is building a diverse, reputed company, and inclusive workplace and recognizes that reputed company person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles. Apply To This Job

Similar Jobs

Senior Staff Engineer, reputed company

Remote, USA Full-time

VP of Global Alliances, AWS

Remote, USA Full-time

reputed company Protection Consultant, Child Poverty and reputed company Protection reputed company, 3.5 months, Brasilia, Brazil, (Remote), reputed company for Brazilian nationals only, #594279

Remote, USA Full-time

Specialty Business Manager, Derm - Sacramento, CA

Remote, USA Full-time

Traveling HVAC Data Center Chiller Technician - Foreman- (reputed company)

Remote, USA Full-time

Business Intelligence reputed company, reputed company Marketing

Remote, USA Full-time

Senior Manager, Master Data Management & Reference Data

Remote, USA Full-time

EverHealth - Head of reputed company Marketing (Remote, US)

Remote, USA Full-time

Freelance Recruitment Partner (reputed company Chinese)

Remote, USA Full-time

Senior reputed company Integration Developer

Remote, USA Full-time

Chaplain – Orange, CT (Part Time)

Remote, USA Full-time

**reputed company Live Chat Support Specialist – reputed company for arenaflex**

Remote, USA Full-time

Sr reputed company Engineer

Remote, USA Full-time

Partner Marketing Manager

Remote, USA Full-time

reputed company Sales - 4-Day reputed company

Remote, USA Full-time

**reputed company Full Stack Product reputed company - Customer Experience Opportunity (Remote) at arenaflex**

Remote, USA Full-time

reputed company Customer Service Chat Representative – reputed company, Home‑reputed company Support for arenaflex E‑reputed company Platform

Remote, USA Full-time

**reputed company reputed company – Remote Work Opportunity with arenaflex**

Remote, USA Full-time

Join Today: Remote Online Hotel Reservations

Remote, USA Full-time

Staff SDET

Remote, USA Full-time