Evaluates AI-generated medical content against medical necessity criteria and payer review processes. Suits licensed nurses with utilization review or managed care experience who can work flexible remote hours.
About the role
This $85/hour opening wants an active RN license with 4+ years specifically in utilization review or managed care, evaluating AI-generated content against medical necessity criteria and payer review processes. That's a specific skill set most nurses don't carry, which is likely why Ethos keeps this one filled through referral rather than general applications. The work is remote and flexible, built around judgment calls a utilization reviewer makes daily on the job.
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