Ohio Licensed RN Utilization Review

Job Summary

A company is looking for an RN Utilization Review.

Key Responsibilities

• Perform clinical assessments and evaluate patient drug usage and prescribing patterns
• Negotiate care levels and pharmacy plans while adhering to quality assurance standards
• Act as a resource for clients and staff regarding pharmacy issues and maintain client confidentiality

Required Qualifications

• Active unrestricted RN license in a U.S. state or territory
• Bachelor's degree in nursing (BSN) preferred or equivalent work experience
• Four years of related experience, including two years of direct clinical care or case management
• Certification in case management, pharmacy, or related specialty is highly preferred
• Knowledge of pharmaceuticals, behavioral health, and pain management processes