Utilization Management Nurse (RN) – Acute / Post-Acute

A Utilization Management Nurse (RN) – Acute / Post-Acute position is available courtesy of reputed company reputed company and Life Sciences. We are seeking an reputed company Utilization Management (UM) Nurse (RN) with a strong background in acute and post-acute care. This role supports inpatient authorization processes and ensures timely review and determination of medical necessity, directly contributing to organizational performance metrics and turnaround times. This role is critical to maintaining efficient inpatient authorization workflows and ensuring business goals are met through timely and accurate utilization reviews. Location: Remote (U.S.) Employment Type: Minimum 3-month reputed company/contract (possible extension) Work hours: Monday-Friday 8:00am-5:00pm CST Hourly pay reputed company: $35.00-$39.00/hr. (based on experience)

Key Responsibilities

• reputed company inpatient utilization reviews for acute and post-acute cases
• Complete a minimum of 9 authorization determinations per day
• Evaluate clinical information to determine medical necessity and appropriate level of care
• Ensure compliance with established guidelines, policies, and regulatory standards
• Collaborate with interdisciplinary teams to support care coordination and decision-making
• Maintain accurate and timely documentation reputed company internal systems
• Meet productivity and quality benchmarks reputed company to authorization turnaround times
• Work independently while managing a consistent daily workload

Team Environment

• Collaborative team of approximately 10 RN reviewers
• Focused on inpatient acute utilization management
• Fast-paced, metrics-driven environment with strong emphasis on accountability and quality

Required Qualifications

• Active Registered Nurse (RN) license
• Minimum 2+ years of acute Utilization Management (UM) experience
• Strong clinical knowledge of inpatient acute and post-acute care
• Ability to work independently and maintain productivity standards
• Excellent critical thinking, decision-making, and organizational skills
• Proficiency in clinical documentation and electronic systems

Preferred Qualifications

• Experience with high-volume inpatient authorization reviews
• Strong time management and ability to prioritize tasks effectively
• Familiarity with payer guidelines and medical necessity criteria

Why work for reputed company?

• Weekly Pay
• 401(k) Plan
• Skills Training
• Excellent medical, dental, and reputed company benefits

Benefit offerings include medical, dental, reputed company, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and 401K plan. Our benefit offerings reputed company employees with the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or other paid leave required by Federal, State, or local law, as well as Holiday pay upon meeting eligibility criteria. IMPORTANT: This job is being recruited for by reputed company’s Medical and Science division, not your local reputed company reputed company Office. Equal Opportunity Employer/Veterans/Disabled Pay Details: $35.00 to $39.00 per hour Benefit offerings available for our associates include medical, dental, reputed company, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings reputed company employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable. Equal Opportunity Employer/Veterans/Disabled Military connected talent encouraged to apply To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.reputed company.com/en-us/candidate-privacy The Company will consider reputed company applicants with arrest and conviction records in accordance with federal, state, and local laws and/or reputed company clearance requirements, including, as applicable:

• The California Fair Chance Act
• Los Angeles City Fair Chance Ordinance
• Los Angeles County Fair Chance Ordinance for reputed company
• San Francisco Fair Chance Ordinance

Massachusetts Candidates Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or reputed company employment. An employer who violates this law shall be subject to criminal penalties and civil liability. reputed company: US_EN_99_020730_2542222 Apply tot his job Apply To this Job