Amergis Healthcare Staffing

Utilization Review Nurse (Remote)

Posted on

June 11, 2025

Job Type

Full-Time

Role Type

Utilization Review

License

RN

State License

California

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Company Description

Amergis, formerly known as Maxim Healthcare Staffing, has served our clients and communities by connecting people to the work that matters since 1988. We provide meaningful opportunities to our extensive network of healthcare and school-based professionals, ready to work in any hospital, government facility, or school. Through partnership and innovation, Amergis creates unmatched staffing experiences to deliver the best workforce solutions.

Job Description

Requirements

Current license for the state in which the nurse practices if nursing licensure is required by contract A Bachelor’s Degree in Nursing or at least two years’ experience in Utilization Review preferred Certification in Utilization Review or Utilization Management preferred Experience with Microsoft Office Suite and the ability to learn new information systems and software programs General knowledge of managed care delivery system Current CPR if applicable TB questionnaire, PPD or chest x-ray if applicable Current Health certificate (per contract or state regulation) Must meet all federal, state and local requirements Must be at least 18 years of age

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Responsibilities

The Utilization Review Specialist is responsible for the assessment and review of the healthcare delivery system with a concentration on tasks that promote cost-effective quality care and cost containment in accordance with various federal and/or state statutes, regulations and guidelines as well as facility policy.

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