Job Summary

A staffing agency has a current position open for a Remote California Licensed Utilization Review Registered Nurse.

Core Responsibilities of this position include:

• Conducting pre-certification, inpatient, retrospective, out of network and appropriateness of treatment setting reviews
• Assessing the medical necessity of inpatient admissions, outpatient services
• Interpreting appropriateness of care and accurate claims payment

Skills and Requirements Include:

• 2 years of acute care clinical experience or utilization management experience
• Must have a clear and active RN license in state CA
• Must have high speed internet at home