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Registered Nurse (RN) – Clinical Operations & Utilization Review | Remote

Registered Nurse (RN) – Clinical Operations & Utilization Review | Remote Medix is hiring an experienced Registered Nurse to support a growing healthcare technology organization focused on improving care coordination, clinical operations, and patient access.This is a fully remote, hands-on clinical role for an RN who enjoys reviewing complex cases, working through documentation and care-access issues, and applying clinical judgment outside of a traditional bedside setting. The role will initially be focused on the day-to-day clinical work, with opportunities to contribute to quality improvement, workflow development, and broader clinical operations as you become familiar with the organization and its programs. Key Details<ul><li>Fully remote within the U.S.</li><li>Monday–Friday, 9:00 AM–6:00 PM EST</li><li>$48–$65/hour</li><li>Target start: Early October</li><li>Indefinite contract through Medix</li><li>Company-issued equipment provided</li><li>Weekly payroll</li></ul> What You’ll Do<ul><li>Review clinical cases and documentation requiring RN-level judgment</li><li>Support prior authorization, utilization review, appeals, and care coordination workflows</li><li>Identify missing or incomplete clinical information and help resolve barriers to care</li><li>Support patient follow-up, clinical escalation, and documentation review</li><li>Conduct quality reviews and help maintain strong clinical and operational standards</li><li>Work independently through a high volume of cases while maintaining accuracy and timely completion</li><li>Collaborate with nurses, providers, and operations teams to resolve clinical and workflow issues</li><li>Help improve clinical workflows, SOPs, and processes over time</li></ul> What We’re Looking For<ul><li>Active RN license in good standing</li><li>BSN required</li><li>2+ years of relevant nursing experience</li><li>Strong clinical judgment, organization, and communication skills</li><li>Comfortable working independently in a fast-paced remote environment</li><li>Experience in areas such as:</li><li>Care or case management</li><li>Utilization review / utilization management</li><li>Prior authorization</li><li>Remote triage or virtual care</li><li>Clinical documentation or chart review</li><li>Population health</li><li>Managed care</li><li>Clinical operations</li><li>Quality review</li></ul>Experience within digital health, virtual care, healthcare technology, or payer/managed-care environments is strongly preferred. EquipmentCompany-issued equipment will be provided.A temporary refundable equipment deposit applies:<ul><li>$50 per week deducted for the first 10 weeks</li><li>Total refundable deposit: $500</li><li>Fully refunded after equipment is returned or upon conversion to permanent employment</li></ul>There is no upfront payment required. About the OpportunityMedix will serve as the employer of record for payroll, benefits, and HR support, while you’ll work directly with the client’s clinical and operations teams.This is a strong opportunity for an RN looking to move beyond traditional bedside care and apply their experience in a more operational, technology-enabled healthcare environment.