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Healthcare Nursing Clinical Nurse Specialist RN Nurse Nurse Practitioner

Remote Utilization Review Nurse — Clinical Case Oversight

Remote / Online - Candidates ideally in
Oregon, Dane County, Wisconsin, 53575, USA
Listing for: Oscar Health Insurance
Remote/Work from Home position
Listed on 2026-01-12
Job specializations:
  • Nursing
    Healthcare Nursing, Clinical Nurse Specialist, RN Nurse, Nurse Practitioner
Salary/Wage Range or Industry Benchmark: 80000 - 100000 USD Yearly USD 80000.00 100000.00 YEAR
Job Description & How to Apply Below
A leading health insurance provider is hiring a Utilization Review Nurse to perform case reviews and make care recommendations. Responsibilities include reviewing medical necessity and applying clinical guidelines. Candidates must have an active RN license, a nursing degree, and at least one year of utilization review experience. The position is remote, but candidates must reside in specific states. The role offers competitive pay and employee benefits including medical, dental, and 401(k) plans.
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