Oregon Licensed Utilization Management Nurse

Job Summary

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

Key Responsibilities

• Conduct utilization management including prior authorization reviews for various care settings
• Evaluate medical appropriateness of care levels based on established guidelines
• Serve as a resource for complex issues and provide solutions to non-standard requests

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