# Job Position
**Position:** 'Prior Auth Utilization Review Nurse - RN - PBM/Managed Care' : Fully Remote

**Company:** LanceSoft, Inc.

**Location:** United States

**Work Type:** Contract

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## Job Description

Job Description:Job Title: ‘Utilization Review Nurse - Quality Management Nurse Consultant’Location: Fully RemoteDuration: 02+ Months Contract with Possible Extension
Schedule:Monday through Friday; 8 AM to 5 PM DutiesReviews documentation and evaluates potential quality of care issues based on clinical policies and benefit determinations. Considers all documented system information as well as any additional records/data presented to develop a determination or recommendation. Data gathering requires navigation through multiple system applications. Staff may be required to contact the providers of record, vendors, or internal Client departments to obtain additional information. -Evaluates documentation/information to determine compliance with clinical policy, regulatory and accreditation gu