Registered Nurse Utilization Reviewer

Job Summary

A company is looking for a Utilization Review Nurse.

Key Responsibilities

• Perform inpatient utilization reviews for acute and post-acute cases
• Complete a minimum of 9 authorization determinations per day
• Evaluate clinical information to determine medical necessity and appropriate level of care

Required Qualifications

• Active Registered Nurse (RN) license
• Minimum 2+ years of acute Utilization Management (UM) experience
• Strong clinical knowledge of inpatient acute and post-acute care
• Ability to work independently and maintain productivity standards
• Proficiency in clinical documentation and electronic systems