Remote Clinical Appeals Nurse I – Utilization Review

Job description

Medical Mutual in Brooklyn, OH, is seeking a Registered Nurse for a remote utilization management role, with preference for applicants living within 50 miles of the Brooklyn office. You will evaluate clinical information using evidence‑based guidelines to ensure safe, timely, and appropriate care.

Under supervision, you will review claims, collaborate with providers and internal teams, stay current on regulations and coding practices, and support patient care across the continuum.

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Who can apply

Review the original listing for work authorization, qualifications and employer requirements.