Utilization Review Nurse, Remote
$88,000–$95,000 year
Remote · Fort Lauderdale, Florida, United States or United States
Fort Lauderdale, Florida, United States or United StatesRemoteFull Time$88,000–$95,000 yearMid LevelBachelors DegreeStartup
Type
Full Time
Level
Mid Level
Education
Bachelors Degree
Company size
Startup
Job Summary
Utilization Review Nurse position at Sidecar Health, responsible for assessing medical necessity and appropriateness of treatments using MCG guidelines, drafting member-facing letters, and collaborating with providers. Requires RN credentials, 5+ years of nursing experience, and 3+ years in utilization review.
Required Qualifications
- Bachelor's degree
- Clinical credentials (RN)
- 5+ years of experience as a nurse providing direct patient care
- 3+ years of utilization review experience
- Hands-on experience using Milliman Care Guidelines (MCG)
- Experience in medical billing and/or coding
Additional Requirements
- Must reside in Florida, Georgia, Minnesota, North Carolina, Ohio, Texas, Utah
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