Oregon Licensed Nurse Reviewer

Job Summary

A company is looking for a UM Nurse Reviewer.

Key Responsibilities

• Perform quality utilization reviews using evidence-based guidelines
• Document findings and evaluate medical necessity for care
• Maintain compliance with regulatory requirements and client agreements

Required Qualifications and Education

• High school diploma or equivalent required; nursing degree preferred
• Active unencumbered Nursing license required
• Three to five years of direct professional patient care experience required
• Utilization Management experience preferred
• Strong knowledge of medical terminology and treatment protocols