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Winston Staffing

Utilization Review Nurse

Pay: Not specified

Posted: 1 week ago

Location: Maplewood, NJ (Remote)

Last Updated: 3 days ago

Hours: Full-Time

Expires: 10/2/2026

Job Description

Utilization Review Nurse at Winston Staffing Utilization Review Nurse at Winston Staffing in Maplewood, New Jersey Posted in 3 days ago.

Type:

full-time

Job Description:

100% remote but would need to go to Newark, NJ first day to pick up equipment and orientation Review insurance claims

Analyze medical records and documentation
Compare cases with clinical guidelines and insurance policies
Write appeal recommendations or determinations
Work with providers, insurance companies, and case managers
Ensure decisions follow regulatory and medical necessity standards