Remote RN: Clinical Utilization Review (Alabama)

COMAGINE HEALTH is seeking Clinical Utilization Review Nurses (RN) for a full-time remote position focused on assessing the medical necessity of healthcare services in Alabama. Candidates must hold an active RN license and possess a BA/BS in nursing, alongside a minimum of 3 years of direct patient care experience. The role involves applying Medicaid program criteria, completing timely reviews, and collaborating with physicians for complex cases. A supportive remote work environment is emphasized, with opportunities for professional growth and effective patient care delivery.
#J-18808-Ljbffr