Utilization Review RN

The Utilization Review RN provides timely, evidence-based utilization review services to maximize quality care and cost-effective outcomes for injured employees in a remote work environment. This role involves performing clinical assessments, evaluating patient conditions and treatment utilization, and collaborating with physicians and claims examiners to negotiate appropriate levels of care. The position requires an active RN license and direct clinical experience to advocate for effective medical treatment while maintaining strict confidentiality and regulatory standards.