Registered Nurse Peer Reviewer

Job Summary

Working remotely on a full-time basis, the Peer-to-Peer Nurse Author will review denied authorization cases, evaluate documentation for admission status, and advise clients to ensure proper billing and authorization levels.

Key responsibilities

• Write clinical consultations evaluating authorization requests and supporting documentation
• Evaluate and interpret various types of hospital documentation related to authorization requests
• Provide actionable feedback and analysis to client hospitals regarding submitted cases

Required qualifications

• Active RN license
• 1+ year of hospital-based utilization management experience preferred
• 3+ years of recent acute, hospital-based clinical experience in a medical/surgical unit, emergency department, and/or ICU