Utilization Review Nurse

~ Registered Nurse residing in California

~ Fulltime Remote- Equipment will be provided

~ The organization is a Medicaid Managed care program in California

~Must have 3 years of recent utilization review experience using InterQual or MCG criteria

~Must reside in California- Either Redding, Fairfield, or Sacramento areas

~Must be a critical thinker

~Must be articulate and have strong communication skills

~One step interview- Panel Interview- Video Interview

~Onsite training required- depending on experience

~Not for Profit- 2025 starting a new Medicare product

~1 million members