Registered Nurse Utilization Review

Job Summary

A company is looking for a PAS Utilization Review Author.

Key Responsibilities

• Perform initial admission and continued stay reviews using evidence-based criteria to determine appropriate levels of care
• Abstract data from medical records to ensure accurate clinical data
• Adhere to quality, timeliness, and productivity standards while providing excellent customer service

Required Qualifications

• Bachelor's Degree
• Current Registered Nurse license
• 2 years of recent hospital-based Utilization Review preferred
• At least 3 years of clinical nursing experience
• Knowledge of current Medicare rules and regulations related to Utilization Review