Remote – MUST live in IL
Pay Rate – $40/hr
Overview
We are seeking a licensed Registered Nurse (RN) with active Illinois licensure to join our remote Utilization Review team.
Responsibilities:
Evaluating treatment plans using medically accepted criteria to ensure medical necessity and appropriateness within the insurance or managed care industry.
Key Qualifications
- Active, unrestricted RN license in Illinois
- Prior Utilization Review experience
- Familiarity with MCG and ASAM criteria
- Strong clinical judgment and analytical skills
- Ability to work independently in a remote setting