Per Diem Utilization Management Nurse RN

Job Summary

A company is looking for a Per Diem Utilization Management Nurse RN.

Key Responsibilities

• Review case details from patient records and complete high-quality reviews within time expectations
• Compose appeal letters using appropriate data extraction and adherence to company policies
• Collaborate with peers to ensure continuity of communication and maintain professionalism within the team

Required Qualifications

• Associate's degree (or higher)
• Active Registered Nurse (RN) licensure
• 3+ years of med/surg and/or critical care experience
• 2+ years of Utilization Management experience
• 2+ years of experience in performing reviews with both InterQual and MCG criteria