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Sedgwick
Rn Utilization Review
Remote · United States · Full time · Mid level
$73k–$75k / year
About the role
Provide timely, evidence-based utilization review services to maximize quality care and cost-effective outcomes.
What you’ll do
• Identify treatment plan requests and analyze medical records. • Clarify unclear requests by contacting providers. • Use evidence-based criteria for utilization review. • Negotiate treatment plans when appropriate. • Document outcomes in utilization review software.
What you’ll bring
• Active unrestricted RN license in US state or territory. • Associate degree required, Bachelor's preferred. • Utilization review certification preferred. • Four years related experience required. • Work authorization for United States.
Life at Sedgwick
Offers blended work environment and professional growth opportunities. Provides comprehensive benefits including medical, dental, 401K matching, PTO, and tuition reimbursement.
About Sedgwick
Sedgwick supports people facing unexpected events with a caring culture and work-life balance. Recognized as a top workplace in financial services and insurance.