Remote RN - Alabama Clinical Utilization Reviewer

Council of State and Territorial Epidemiologists is hiring a Clinical Utilization Review Nurse (RN) to work remotely while assessing the medical necessity of healthcare services. This role requires an active RN license in Alabama and a minimum of 3 years direct patient care experience. Responsibilities include applying Medicaid criteria, completing timely reviews, and communicating effectively with stakeholders. Reliable internet is essential for this home-based role, and occasional travel may be needed for meetings. Competitive candidates will possess strong skills in provider relations and reporting.
#J-18808-Ljbffr