Arizona Licensed RN Care Reviewer

Job Summary

A company is looking for a RN Utilization Management Care Reviewer.

Key Responsibilities

• Evaluate patient care and conduct reviews to identify issues that may delay services
• Collaborate with case management teams to ensure safe and proper discharge coordination
• Assess inpatient services for compliance with regulations and analyze clinical services against evidence-based guidelines

Required Qualifications

• Bachelor's degree in nursing or equivalent working knowledge
• Active, unrestricted State Registered Nursing (RN) license in good standing
• Five years of clinical nursing experience or equivalent working knowledge
• Proficiency in computer usage, including Microsoft Suite and medical record review
• MCG certification or ability to obtain within six months of hire