Oregon Licensed Utilization Management Nurse

Job Summary

A company is looking for a Utilization Management Nurse RN - Remote.

Key Responsibilities

• Conduct prior authorization reviews for various care facilities and determine medical appropriateness of care levels
• Work independently on complex issues and provide solutions to non-standard requests
• Act as a resource for team members by offering explanations and information on difficult issues

Required Qualifications

• Active, unrestrictive RN license in state of residency or Compact RN License
• 3+ years of Managed Care and/or Clinical experience
• Proven basic computer skills with MS Outlook, Word, and Excel
• Weekend availability
• Must work Pacific Time Zone hours