GRIEVANCE AND APPEALS UTILIZATION RN-REMOTE- NYS LICENSE REQUIRED
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.
