PHAXIS
New York, NY, USA
Utilization Review Registered Nurse (UM RN) – 100% Remote (NYS Licensed Required) Employment Type: Full-Time | Long-Term Temporary Role | Start: ASAP Schedule: Monday–Friday, 37.5 hours/week (bonus for weekend rotation availability) Shift Options: 8:30 AM – 4:30 PM 9:00 AM – 5:00 PM Hourly Rate: $62 Key Responsibilities: Conduct utilization review assessments and make clinical determinations in line with policies and regulations Review provider, member, and internal requests for medical services Deliver timely, accurate clinical notifications Collaborate with physicians, care managers, discharge planners, and member representatives to ensure coordinated care Monitor utilization trends and support tracking initiatives for efficient care delivery Ensure documentation meets regulatory, accreditation, and organizational standards Exercise independent clinical judgment under general supervision Required Qualifications: Active New York State...

