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Winston Staffing

Utilization Review Nurse

Pay: Not specified
Posted: 4 weeks ago
Location: South Orange, NJ (Remote)
Last Updated: 2 days ago
Hours: Full-Time
Expires: 10/26/2026
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Job Description

Utilization Review Nurse at Winston Staffing Utilization Review Nurse at Winston Staffing in South Orange, New Jersey Posted in 2 days ago.

Type:

full-time 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