Senior UM Review Nurse
Oscar Health(1 day ago)
About this role
Oscar is hiring a Senior Utilization Management (UM) Review Nurse to join its Utilization Review team supporting member-focused health insurance services. The role is a remote, individual contributor position reporting to the UM Nurse Manager and supports clinical decision-making around medical appropriateness of services. The position is open to candidates in specified U.S. states and includes eligibility for company benefits.
Required Skills
- Clinical Judgment
- Utilization Review
- Medical Necessity
- Case Review
- MCG
- Documentation
- Process Improvement
- Regulatory Knowledge
- Precepting
- Communication
Qualifications
- Active Unrestricted RN Licensure
- Nurse Licensure Compact (NLC) Multistate License
- Associate Degree in Nursing
- Bachelor of Science in Nursing (BSN)
About Oscar Health
hioscar.comOscar Health is a technology-driven health insurance company offering individual, family, and Medicare plans in select U.S. markets. It pairs insurance coverage with consumer-focused digital tools — a mobile app, telemedicine, and dedicated care teams — to simplify enrollment, care navigation, and claims management. Using data and provider partnerships, Oscar emphasizes preventive care, personalized support, and greater cost transparency for members.
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