It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.
Summary
We are seeking a skilled Utilization Review Nurse to conduct prior authorization, prospective, concurrent, and retrospective reviews for medical necessity and appropriateness of services, following clinical criteria, coverage policies, and contract guidelines. This involves reviewing medical documentation, accurately documenting findings, and ensuring policy compliance.
Your role in our mission
What we're looking for
What you should expect in this role
This position is for pipeline purposes, and we welcome applications on an ongoing basis.
#LI-AC1
#LI-REMOTE
The pay range for this position is $65,000.00 - $78,000.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits , and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.
We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.
Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
...among the first 25 applicantsOverview Portuguese Document Reviewer Contact Review (Washington, DC). Location: Remote. Start Date: Negotiable. Base pay range: $34.00... ...high-quality, high-accountability, barred attorneys tailored to project needs. We seek attorneys to...
...DOT physical exam (Required)* Must pass pre-employment drug testing (Required)* Extensive knowledge of FMCSA and DOT regulations... ...8 drop tarps *Bonus Programs include:** Safety Bonus * Performance Bonus * Tenure Pay (up to $75/week)* Extra stop off pay, and...
Job Description Join a global community of talented professionals to shape the future of AI. Earn up to $15 USD/hr and additional rewards based on quality of submission. \n Outlier is committed to improving the intelligence & safety of AI models. Owned and operated...
...email ~ Experience with Sage 100 and Vista systems a plus How to Apply: Call our team today at (***) ***-**** or email your resume to ****@*****.*** #HIACC Express Office: Pearl City 945 Kamehameha Highway Unit 5 Pearl City, HI 96782
...Board of Directors, Volunteer Member About the Company Mission-driven organization developing a local science & technology center Industry Museums and Institutions Type Non Profit Founded 2015 Employees 1-10 About the Role Join us as a...