GRIEVANCE AND APPEALS UTILIZATION RN-REMOTE- NYS LICENSE REQUIRED

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Registered Nurse (RN) – Utilization Management / Grievance & Appeals

Location: Fully Remote
Pay: $60/hour
Schedule: Monday–Friday
License: Active New York State RN License Required

About the Role

We are seeking an experienced Registered Nurse (RN) to join a fully remote healthcare team supporting utilization management and related managed care functions.

This is an excellent opportunity for an RN with experience in Utilization Management, Prior Authorization, Grievance & Appeals, or Managed Care who is looking for a remote Monday–Friday position.

Candidates may reside outside of New York State as long as they maintain an active New York State RN license.

Qualifications

  • Active and unrestricted New York State RN license – required
  • Previous experience in one or more of the following areas:
    • Utilization Management / Utilization Review
    • Prior Authorization
    • Grievance & Appeals
    • Managed Care
  • Medicare and Medicaid experience preferred
  • Previous Grievance & Appeals (G&A) experience is highly preferred but not required
  • Strong clinical judgment and ability to review medical documentation
  • Excellent written and verbal communication skills
  • Strong organizational skills and attention to detail
  • Comfortable working independently in a fully remote environment

Position Highlights

  • $60/hour
  • 100% Remote
  • Monday–Friday schedule
  • No requirement to reside in New York
  • Opportunity to utilize clinical RN experience in a non-bedside setting

Interested candidates must hold an active New York State RN license to be considered.

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