California Licensed Utilization Management Nurse

Job Summary

A company is looking for a Utilization Management Nurse - Remote.

Key Responsibilities

• Perform all functions of a Utilization Management Nurse
• Review patient referrals and ensure compliance with utilization management policies and regulatory timeframes
• Communicate authorization or denial of services to relevant parties and maintain accurate documentation

Required Qualifications

• Graduation from an accredited school of Nursing
• Current California RN license
• Ability to work Pacific Standard Time (PST)
• 2+ years of prior authorization Utilization Management experience (preferred)