Compact RN Utilization Management Nurse

Job Summary

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

Key Responsibilities

• Conduct utilization management through Prior Authorization Review for various care facilities
• Evaluate medical appropriateness of care levels based on guidelines and benefit determinations
• Provide resources and solutions for complex, non-standard requests and issues

Required Qualifications

• Active, unrestricted RN license in state of residency or Compact RN License
• 3+ years of Managed Care and/or Clinical experience
• Basic computer skills with MS Outlook, Word, and Excel
• Weekend availability
• Ability to work in AZ Time Zone