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Utilization Review Nurse Auditor

ExamWorks • Mount Laurel, NJ, US • published 2026-10-02 09:58:52.595331

Description

**ExamWorks is looking for a Utilization Review Nurse Auditor to join their team!****The Utilization Review Nurse Auditor i**s responsible for performing quality utilization review services and approving care that is medically necessary and appropriate according to evidenced based guidelines and criteria. This position ensures reports are completed with the highest quality and integrity and that all work is in full compliance with client contractual agreements, regulatory agency standards and/or federal and state mandates.* ***This positions requires a Nursing License and Coding Certification*** The position is **100% remote** with a schedule of**Monday through Friday:** **8:00am\-5:00pm EST*** Perform quality utilization review through the use of acquired knowledge and application of evidenced based guidelines for peer review reports, correspondences, addendums and/or supplemental reviews. * Work directly with providers to identify level, intensity and duration of care. * Document findings, continue to evaluate medical necessity for frequency, intensity and length of required care. * Assure that the consistency and quality of reviews meets or exceeds industry standards. * Work to ...

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