Utilization Review Nurse / Managed Care Expert
Ethos • Remote
Education
Not stated
Type
Hourly
Pay Rate
$85/hr
Listed
66d ago
Apply opens Ethos in a new tab.
Apply Now → ⚡ Boost your chances - Optimize your resume with Rezi.aiAbout this role
From the Ethos listing
This $85/hour opening wants an active RN license with 4+ years specifically in utilization review or managed care, evaluating AI-generated content against medical necessity criteria and payer review processes. That's a specific skill set most nurses don't carry, which is likely why Ethos keeps this one filled through referral rather than general applications. The work is remote and flexible, built around judgment calls a utilization reviewer makes daily on the job.
Requirements
- Must be eligible to work in Remote
- Fluent proficiency in English (Written & Verbal)
- Reliable high-speed internet connection
- Bachelor's degree or equivalent professional experience
- Demonstrated expertise in Healthcare
- Valid professional license or certification in the relevant clinical/health field (MD, DO, RN, RD, NBHWC, etc.)
- Current knowledge of medical standards and practices
How long hiring takes
Across the AI training platforms we refer candidates to, the median gap between referral and hire is about 30 days. It varies by platform and role, so treat it as a rough guide for this one.
Why this role
At $85/hr, this Utilization Review Nurse / Managed Care Expert position compensates Healthcare expertise on its own terms, the kind of rate that would otherwise only show up inside a law firm, hospital, or research lab.
Talent pool
We're light on Healthcare candidates
We've matched 33 people with a Healthcare background against 373 Healthcare listings we've tracked, so most go out without one. Set up a profile and we'll consider you for a role like this one.
Set up your profileSkills and categories
Explore other opportunities in related specializations:
Related jobs
Browse All Jobs from Ethos
Discover more opportunities on Ethos that match your skills and interests.
View All Ethos Jobs →Verified Reviews
Community Reviews
Share your experience with Ethos
Help other candidates make better decisions by leaving a review.
Sign in to leave a reviewLeave your review
Common questions
How and when does Ethos pay experts?
Within 30 days of invoice submission after a project closes. That net-30 schedule is standard for enterprise expert networks, but it's slower than the weekly payouts some AI training platforms offer, so plan your cash flow around it.
Is Ethos regular AI training work like rating chatbot responses?
No. Ethos is an expert network, not a task queue. AI labs, investment funds, and Fortune 500s pay to access your specific domain knowledge (deal analysis, clinical reasoning, legal logic, financial modeling) through three formats: multi-week consulting engagements, 30-60 minute advisory calls, and targeted research surveys.
What does task-based AI training work look like?
Practical, hands-on data work: recording short videos, categorizing images, rating text responses, or analyzing data. Tasks are designed to be short and distinct, typically 5 to 60 minutes each.
What does asynchronous AI training work mean in practice?
No set hours, no check-ins, no meetings. You log in when you want, pick up an available task, complete it, and submit; nobody is waiting on you in real time. That's different from remote employment, where you're expected online during business hours. The tradeoff: you're competing with others for available tasks, so an empty queue means there's simply nothing to do until more work is released.
What does Healthcare work look like for an Utilization Review Nurse / Managed Care Expert?
Tasks here are scoped to Healthcare, not generic labeling. As an Utilization Review Nurse / Managed Care Expert, expect to draw on real domain judgment (evaluating outputs, correcting errors, or providing expert reasoning specific to Healthcare) rather than following a one-size-fits-all rubric. If you don't have hands-on Healthcare background, this is likely not the right listing to start with.
What specific skills does this listing call for?
Expert is named directly in the listing. If you don't have hands-on experience with this, expect the screening process to test for it directly rather than accepting adjacent experience as a substitute.
How much does this specific role pay?
This listing is posted at $85/hr, an hourly rate. Pay can change between when we last checked the listing and when you apply, so confirm the current number on the platform's own application page before committing time.
What happens when I click Apply on this listing?
You'll be taken to Ethos's external site to complete your application there. This listing links through a referral, but the process is identical to applying directly; the link just routes you correctly. Create an account on their site and follow their onboarding steps.
Who built Ethos and is it legitimate?
Yes, it's legitimate and well-funded: Ethos raised $3.5M from General Catalyst and was co-founded by Daniel Mankowitz (Google DeepMind research scientist and lead author of AlphaDev) and James Lo (McKinsey, SoftBank Vision Fund). Over 17,000 experts have signed up, and it's actively working with 25+ PE firms, hedge funds, and consultancies. The referral link on this page is an affiliate link; it doesn't affect your pay or opportunities.