Registered Nurse for AI Integration

A company is looking for a Clinical Nurse to work at the intersection of healthcare and AI technology.

Key Responsibilities

Partner with health plan utilization review nurses to validate and improve AI-driven prior authorization workflows

Review and structure medical policies for AI-powered automation of utilization review decisions

Manage small-scale projects, including organizing digitization initiatives and tracking timelines

Required Qualifications

Registered Nurse (RN) with an active license

3+ years of experience in utilization management or related clinical roles

Strong understanding of payer policies and the prior authorization process

Working knowledge of medical coding systems (ICD-10, CPT, HCPCS)

Demonstrated project management skills to organize complex workflows and manage deliverables