Remote Utilization Review Rn Jobs in New York, NY

• Fully Remote (U.S.)
• $48-$55/hour
• Monday-Friday | 9:00 AM - 6:00 PM EST
• Start Date: August 3 (TBD)
• Indefinite contract opportunity (6+ months)

Medix Staffing solutions, the exclusive hiring partner for an innovative, AI-enabled healthcare organization, is seeking an experienced Registered Nurse (RN) to join its Clinical Operations team as a Clinical Expert within their Care Team Operations department.

This organization partners with healthcare systems and physician practices to improve patient access, care coordination, and clinical workflows through technology-enabled solutions.

This is an excellent opportunity for an RN looking to leverage their clinical expertise beyond direct patient care while making a meaningful impact on healthcare delivery at scale.

This is an indefinite contract opportunity. During the assignment, you'll be employed by Medix, which serves as the employer of record for payroll, benefits, and HR, while working directly with the client's clinical and operational leadership team.

• Perform clinical care coordination activities, including patient outreach, chronic disease management support, and preventive care follow-up
• Review complex clinical and administrative cases requiring licensed clinical judgment
• Support utilization review, prior authorization reviews, appeals, and clinical documentation validation
• Conduct quality and compliance audits while identifying opportunities for workflow improvement
• Develop clinical guidelines, standard operating procedures (SOPs), workflow documentation, and educational materials
• Train and mentor clinical team members on workflows, quality standards, and operational best practices
• Partner closely with Operations, Product, and Technology teams to improve healthcare workflows and patient outcomes
• Participate in workflow testing, implementation of new initiatives, and special projects that improve efficiency and scalability

Required

• Active Registered Nurse (RN) license in good standing
• Bachelor's Degree in Nursing (BSN)
• 2-5+ years of experience in one or more of the following:
  • Care Management
  • Care Coordination
  • Case Management
  • Utilization Management
  • Population Health
  • Clinical Operations
  • Managed Care
• Strong clinical judgment and critical thinking skills
• Excellent written and verbal communication
• Comfortable working independently in a fully remote environment

Preferred

• Experience within healthcare technology, digital health, or technology-enabled healthcare organizations
• Experience reviewing clinical documentation and quality metrics
• Continuous improvement mindset with the ability to thrive in a fast-paced environment

• $48-$55/hour
• Weekly Pay
• Fully Remote
• Company-issued laptop provided
• Indefinite contract opportunity

Company-issued equipment will be provided.

To receive company equipment, a temporary refundable equipment deposit applies:

• $50 per week deducted for the first 10 weeks
• Total refundable deposit: $500
• Fully refunded after equipment return or conversion to permanent employment

This is not an upfront payment.

• Start Date: August 3 (TBD)
• Schedule: Monday-Friday | 9:00 AM-6:00 PM EST
• This position is staffed exclusively through Medix, the client's exclusive staffing partner.
• Medix will serve as your employer of record for payroll, benefits, and HR throughout the assignment.
• Candidates selected to move forward will participate in a three-stage interview process with the client.

For California Applicants:

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).

This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.

Here at Medix, we are dedicated to providing workforce solutions to clients throughout multiple industries. We have been named among the Best and Brightest Companies to Work For in the Nation for two consecutive years. Medix has also been ranked as one of the fastest growing companies by Inc. Magazine.

Our commitment to our core purpose of positively impacting 20,000 lives affects not only the way we interact with our clients and talent, but also with our co-workers! The goal is lofty, but it is made attainable through the hard work and dedication of our teams and their willingness to lock arms together. Are you ready to lock arms with us?