Remote California Licensed Utilization Review Registered Nurse

Job ID: Available for Members

Location: Nationwide

Compensation: Salary

Posted: Tuesday, April 03, 2018

Job Category: Case Management, Healthcare, Nursing

Telecommute Level: 100% Telecommute

Travel Requirements: No Travel

Weekly Hours: Day Shift, Full Time

Employment Status: Permanent

Employer Type: Staffing Agency

Career Level: Experienced

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