Remote (NY/NJ based-ONLY) RN Utilization Management Nurse (MLTC) Remote | NY RN License Required $62/hour We are seeking an experienced Registered Nurse (RN) with MLTC experience for a Remote Utilization Management role with a leading healthcare organization. Must have perm address in New York or New Jersey. Responsibilities: • Review clinical records and evaluate requests for medical services • Perform prior authorization and concurrent reviews • Determine medical necessity and appropriate level of care • Collaborate with providers, care managers, and interdisciplinary teams • Ensure compliance with state and federal regulations Requirements: Active NY RN License MLTC experience required Utilization Review / Case Management experience preferred Strong clinical assessment and documentation skills Weekend rotation required If interested, please apply or message me directly.
Job Title
MLTC UM RN