RN Utilization Review Specialist

Job in Greensboro, Guilford County, North Carolina, 27497, USA

Listing for: Cone Health

Full Time position
Listed on 2026-01-24

Job specializations:

Nursing
Healthcare Nursing, RN Nurse, Nurse Practitioner, Clinical Nurse Specialist

Job Description & How to Apply Below

A healthcare provider in Greensboro, NC is seeking an experienced Utilization Review RN to perform admission and continued stay reviews. Responsibilities include collaborating with medical staff to ensure appropriate level of care, documenting reviews in EPIC, and acting as a liaison between physicians and payors. Candidates must have a Bachelor's degree in Nursing, at least 3 years of nursing experience, and a current RN license in North Carolina.

This role plays a critical part in ensuring compliance with regulatory standards and providing quality patient care.
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