Oklahoma Licensed Utilization Review RN

Job Summary

A company is looking for a Care Management Utilization Review RN (Levels 1-3).

Key Responsibilities

• Conduct comprehensive assessments of patients' health status and ongoing care needs
• Coordinate with healthcare teams and payors to ensure appropriate patient status and financial reimbursement
• Provide education to patients and families regarding healthcare stays and compliance with regulatory expectations

Required Qualifications, Training, and Education

• Associate's Degree or higher in Nursing required for Level 1; Bachelor's Degree or higher for Levels 2 and 3
• 0-3 years of RN experience required for Level 1; at least 3 years for Level 2; 5 or more years for Level 3, with Care Management experience preferred
• Current Registered Nurse License (RN License issued by the Oklahoma State Board of Nursing or a current multistate compact Registered Nurse (eNLC))