Job Description

HIRING: Utilization Review Nurse | Remote | UM Training Provided

5 Clinical Nurses Wanted for an Exciting UM Pilot Program!

Have you been working in bedside nursing and looking to transition into Utilization Management This is a unique opportunity! While this team typically hires nurses with prior UM experience, they are opening the door for 5 experienced clinical nurses who are eager to learn. Selected candidates will receive training in Utilization Management and case management from the ground up.

Type - Contract to hire (eligble at 800 working hours) Based on performance/attendance*

In this role, you will:

• Perform frequent clinical case reviews
• Review medical records and assess patient care
• Communicate with care providers regarding treatment when needed
• Research diagnoses and applicable standards of care
• Make recommendations regarding the appropriateness of care
• Apply clinical judgment to support appropriate utilization and outcomes

✅ Required Qualifications

• Active, unrestricted RN license in your state of residence OR an active compact multistate RN license (NLC)
• Must be willing and able to obtain additional state licenses as business needs require
• ADN, nursing diploma from an accredited nursing school, or BSN
• 3+ years of bedside/clinical nursing experience
• Strong clinical assessment and critical-thinking skills
• ED, ICU, or Med Surg experience preferred
• SNF and Rehab backgrounds will also be considered
• Strong computer/technology skills — this is a tech-forward healthcare environment
• Comfortable working on a MacBook
• Reliable, quiet, dedicated, and HIPAA-compliant home office
• Adaptable attitude and genuine interest in learning a new clinical discipline

Schedule Options

Full-time schedule options include:

4 x 10-hour shifts (Sunday–Wednesday or Wednesday–Saturday)

OR

5 days per week, 8:00 AM–5:00 PM in your applicable time zone, including one weekend day

Available schedules:

• Sunday–Thursday
• Tuesday–Saturday

Why This Opportunity?

If you're an experienced clinical RN ready to move beyond traditional bedside nursing, this pilot offers a chance to break into Utilization Management without needing previous UM experience.

We're looking for nurses who are clinically strong, tech-savvy, adaptable, and excited to learn.

Interested? Apply now or message me for more information!

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