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Healthcare Nursing

Remote UM RN: Utilization Management & TOC Expert

Remote / Online - Candidates ideally in
Oregon, Dane County, Wisconsin, 53575, USA
Listing for: HJ Staffing
Remote/Work from Home position
Listed on 2026-02-04
Job specializations:
  • Healthcare
    Healthcare Nursing
Job Description & How to Apply Below
A healthcare staffing agency is seeking a dedicated Utilization Management Registered Nurse (UM RN) for a critical remote position. The ideal candidate will have at least 3 years of experience in Utilization Management and a strong understanding of Medicare Advantage regulations. Responsibilities include conducting clinical reviews, processing prior authorizations, and collaborating with healthcare teams to ensure efficient care delivery. Candidates must possess excellent documentation skills and be adept at navigating healthcare systems.

A passion for patient-centered care is essential.
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