Oklahoma Licensed Utilization Review RN

Job Summary

A company is looking for a Care Management Utilization Review RN (Levels 1-3) to work remotely in specific states.

Key Responsibilities

• Conduct comprehensive assessments of patients' health status and ongoing care needs
• Coordinate with the healthcare team and Payors to ensure appropriate patient status and financial reimbursement
• Educate patients and families on healthcare stays and compliance with regulatory expectations

Required Qualifications, Training, and Education

• Associate's Degree in Nursing required for Level 1; Bachelor's Degree 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
• Current Registered Nurse License (RN) issued by the appropriate state board or multistate compact RN license required
• Care Management experience preferred for Levels 2 and 3