Utilization Review Registered Nurse (RN)

About the Role

Hybrid role. Work from home part-time. $55K-$71K. No explicit call or weekend info. Flexible work options. Join a global team. Grow your career. Make a difference.

Work-Life Balance Factors

Remote/telehealth

Key Responsibilities

• Identify opportunities to reduce costs while maintaining quality of care
• Maintain documentation and confidentiality standards
• Perform other duties as assigned
• Ability to work independently and manage multiple priorities
• Comfortable working with providers, clients, and internal partners
• Paid time off: We provide attractive paid time off packages designed for you to enjoy your life away from work.

Requirements

• Complete precertification, concurrent, and retrospective reviews
• Communicate with providers, patients, and clients to exchange certification information
• Required Experience, Skills and Licensure
• Minimum of 3 years of nursing experience (acute care or related setting)
• Active, unrestricted Registered Nurse (RN) license in Missouri
• Valid driver’s license

Benefits & Compensation

• Refer cases for quality or post-pay review when needed
• Health and Welfare Benefits: Our health and welfare benefits can be tailored to fit you and your family's needs and start on the first day of employment.
• Retirement Savings: We will support you as you save for your future.
• Paid Training: Earn while you learn and continue to grow with access to award-winning learning platforms throughout your Conduent career.

Work Schedule

• Flexible Working