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RN/Utilization Review - 1099 Contractor (Remote)

February 14, 2026

Who We Are - Motivated by Purpose. Powered by Clinical Expertise. Founded in 1983, we’re a clinically driven, tech-enabled utilization management company offering expert clinical reviews, regulatory guidance, and actionable insights to healthcare organizations. Excellence starts with our people. POSITION OVERVIEW We are seeking a qualified and detail-oriented Registered Nurse (RN) for a PRN (1099 Contractor) Case Reviewer position. The role involves completing minimum of approximately 100 cases per month, with an expectation of working 15 hours per week. This is a paid per-case position, with a quality expectation of 95% or better. You will be responsible for reviewing cases in a timely manner and responding to supervisor correspondence within 48 hours. Roles:<ul><li>To provide objective clinical utilization and peer review activities as requested by the company for cases submitted for independent external review. </li><li>To provide objective clinical utilization management and peer review services as requested by the company for standard cases. </li><li>To provide input and feedback and/or general comments to the company as requested </li></ul> Major Responsibilities or Assigned Duties:<ul><li>Complete a minimum of approximately 100 cases per month (~15 hours per week). </li><li>Maintain a 95% or better quality in case completion. </li><li>Respond to supervisor correspondence within 48 hours. </li><li>Will need to use your own computer and internet to perform the work. </li><li>Demonstrate strong attention to detail and ensure accuracy in all cases reviewed. </li><li>To carry out the terms and conditions of the Master Agreement between reviewer and company </li><li>To carry out the policies and procedures as documented in the Reviewer Handbook and Code of Conduct </li><li>To be familiar with the laws, regulations and accreditation standards that govern the activities of the company </li><li>To be familiar with the legal and regulatory issues and requirements applicable for the company’s independent external review activities </li><li>To complete initial company orientation and training activities </li><li>To actively participate in ongoing company and/or client training and education programs at least annually. </li><li>To actively participate in the company’s quality management and quality improvement activities related to the clinical review process </li></ul> <h3>Requirements</h3> Skills and Experience: <ul><li>Minimum of 3 years' experience in Emergency Room, Urgent Care, Critical Care, Medical/Surgical, or a combination of these areas. </li><li>Utilization Management experience is preferred. </li><li>Ability to comprehend and communicate effectively through written text. </li><li>Strong attention to detail and ability to meet quality standards. </li><li>Designated workstation with access to reliable internet connection and laptop/desktop, monitor, keyboard, mouse </li></ul> Education: <ul><li>High school diploma or equivalent </li><li>Current, unrestricted Compact Registered Nurse license. </li></ul> Note: This is a remote, PRN (1099 Independent Contractor) position requiring independent work and self-sufficiency. Work Environment:Ability to sit at a desk, utilize a computer, telephone, and other basic office equipment is required. This role is designed to be a remote position (work-from-home). Diversity Statement:Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for work without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. California Consumer Privacy Act (CCPA) Information (California Residents Only):<ul><li>Sensitive Personal Info: MRIoA may collect sensitive personal info such as real name, nickname or alias, postal address, telephone number, email address, Social Security number, signature, online identifier, Internet Protocol address, driver’s license number, or state identification card number, and passport number.</li><li>Data Access and Correction: Applicants can access their data and request corrections. For questions and/or requests to edit, delete, or correct data, please email the Medical Review Institute at HR@mrioa.com. </li></ul>

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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

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