Sagility
The RN Utilization Management Reviewer is responsible for conducting timely clinical and service authorization reviews to determine medical necessity and ensure CMS compliance standards. This fully remote role requires a licensed Massachusetts RN with clinical experience to apply established criteria for service decisions across various healthcare settings. The position involves collaborating with clinical teams and providers to facilitate reviews and maintain accurate documentation of clinical decisions.
Transform healthcare operations with decision intelligence that drives measurable outcomes across engagement, claims, and clinical workflows.
Headquarters
San Francisco, CA
Company Size
201-500 employees
Founded
2018
Industry
Technology
Glassdoor Rating
4.2 / 5
Sarah Johnson
Chief Executive Officer
Michael Chen
Chief Technology Officer
Emily Williams
VP of Engineering
David Rodriguez
VP of Product
Jessica Thompson
Chief Financial Officer
Andrew Park
VP of Sales
View leadership team, funding history,
and employee contacts for Sagility.
14% below the average for this role
RN Utilization Management Reviewer
Sagility
RN Utilization Management Reviewer
Sagility
Nurse Reviewer, Utilization Management
Brighton Marine
Utilization Management (UM) Reviewer RN
NeighborHealth Center
Physician Utilization Management
Jobgether
Utilization Management Reviewer
amerihealthcaritas.phenompeople.com