Florida Licensed RN Utilization Manager

Location: Remote
Compensation: To Be Discussed
Reviewed: Thu, May 08, 2025
This job expires in: 7 days
Utilization Management Medical Necessity Concurrent Reviews Retrospective Reviews

Job Summary

A company is looking for an RN Utilization Management (Relief).

Key Responsibilities
  • Perform concurrent and retrospective utilization management reviews and ensure appropriate data tracking
  • Collaborate with interdisciplinary teams, physicians, and payors to address medical necessity and patient status concerns
  • Monitor the effectiveness of the utilization management program and assist in process improvement initiatives
Required Qualifications
  • Graduate of an accredited school of nursing
  • Current RN license in Oregon
  • Three years of acute care clinical nursing experience
  • Two years of experience in utilization management or equivalent professional experience
  • Experience working in electronic health records
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