Job Summary
A professional services firm needs applicants for an opening for a Remote Acute Hospital Concurrent Review Nurse in Phoenix.
Core Responsibilities Include:
- Determining medical appropriateness of inpatient and outpatient services
- Ensuring proper utilization of health services
- Identifying solutions to problems and non-standard requests
Applicants must meet the following qualifications:
- 2+ years of acute hospital clinical experience
- 4+ years of utilization management experience
- Current RN license in Arizona and any other compact states
- Knowledge of current standard of medical practices and insurance benefits
- Familiarity with Milliman and InterQual guidelines