Job Summary

• Ensemble Health Partners offers a career opportunity with bonus incentives, paid certifications, tuition reimbursement, comprehensive benefits, and career advancement.
• The Virtual Utilization Review Specialist role involves conducting medical necessity reviews, collaborating with interdisciplinary teams, and managing denials for third-party payers.
• This remote position requires a compressed weekend work schedule and offers competitive pay based on RN or LPN pay scales, with potential shift differentials.

Matching Summary

Salary

RN pay scale $32.65 - $35.85/hr; LPN pay scale $24.65 - $26.35/hr; Shift Differential for Select Shifts

Skills & Requirements

Key Requirements

• Current unrestricted LPN or RN license
• RN compact license preferred
• Five years nursing experience in acute care preferred
• Utilization review/discharge planning experience preferred
• Recent medical necessity review criteria knowledge preferred
• Ability to work compressed weekend schedule
• High-speed internet access required

Work Rights