Clinical Review Nurse (Remote)

Actalent is currently hiring for Remote Utilization Review RNs!Job Description:

Reviewing authorization requests

Utilizing evidence-based criteria and making a medically necessary determination.

Outreach calls to providers to request additional details if applicable.

Qualifications:

Active RN License

Prior Utilization management/Concurrent review experience

Experience with MCG

Why Actalent?

Work with a dedicated career partner specialized in your skill set

We advocate on your behalf so you get what you want and need out of your job

Get performance feedback, career advice, and access to ongoing professional development tools

Build your career and learn new skills through projects as diverse as your curiosity

You are eligible for benefits and competitive wages that are paid weekly

About Diversity, Equity & Inclusion:At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DEI is embedded into our culture through:

Hiring diverse talent

Maintaining an inclusive environment through persistent self-reflection

Building a culture of care, engagement, and recognition with clear outcomes

Ensuring growth opportunities for our people

About Actalent:Actalent connects passion with purpose. We help visionary companies advance their engineering and science initiatives through access to specialized experts that drive scale, innovation, and speed to market. With a network of almost 30,000 engineering and sciences consultants and more than 4,500 clients across the U.S., Canada, Asia, and Europe, Actalent serves many of the Fortune 500. An operating company of Allegis Group, the global leader in talent solutions, Actalent launched as a new specialized engineering and sciences services and workforce solutions brand in 2021. Actalent is an equal opportunity employerAbout Actalent Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.Diversity, Equity & Inclusion At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:

Hiring diverse talent

Maintaining an inclusive environment through persistent self-reflection

Building a culture of care, engagement, and recognition with clear outcomes

Ensuring growth opportunities for our people

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com (%20actalentaccommodation@actalentservices.com) for other accommodation options.