Remote Utilization Review & Appeals Nurse Job at Northwell Health, Melville, NY

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  • Northwell Health
  • Melville, NY

Job Description

A leading healthcare provider is seeking a Registered Professional Nurse to work fully remote in Melville, New York. The ideal candidate will have a Bachelor's Degree in Nursing or be enrolled in an accredited BSN program. Responsibilities include serving as the liaison between patients and healthcare providers, preparing essential documentation, and conducting utilization management. Prior experience in case management and familiarity with Milliman Care Guidelines or InterQual is preferred. This position offers a structured schedule from Sunday to Thursday, 8:00 AM to 4:00 PM.

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