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.
...Podiatrist Westfield NY (1 hr S of Buffalo) Urgently Hiring We are looking for a motivated, enthusiastic Podiatrist to join our outpatient private practice full-time in Westfield NY area. We are looking for a compassionate Podiatrist, who enjoys helping others, is...
...Gather all paperwork needed for the day (Packing slips, OJR, ship records, ship pending) Input data from pull reports Print, Staple and Sort packing slips Interact with Account Managers via email or verbal communication Maintain box inventory Order all supplies...
...Inpatient Coder - Strong academic, trauma and/or research university coding experience. Principal Duties and Responsibilities: Assigns ICD-10... ...CCS Certification Minimum 3 years experience Inpatient medical record coding Knowledge of medical terminology and...
...Job Title: MDS Nurse (RN) Department: Nursing Reports To: Director of Nursing / Administrator Employment Type: Full-Time Job Summary: We are seeking a detail-oriented and experienced MDS Nurse to join our long-term care team. The MDS Nurse...
Maintenance Mechanic Job SummaryThis position is responsible in repairing and maintaining high-speed manufacturing production... ...including 401(k). We are consistently employing individuals in the Coal, Oil & Gas, Construction, Manufacturing and Industrial industries.