Job Summary
A healthcare service company is seeking a Remote Maryland Licensed Utilization Review Registered Nurse.
Core Responsibilities Include:
- Performing real-time chart reviews in regards to compliance and physician documentation
- Reviewing admission service requests within assigned unit for medical compliance reimbursement
- Communicating with third party payers and initial denials
Must meet the following requirements for consideration:
- Graduate of an accredited nursing program, BSN
- Current Maryland RN license
- Minimum of 5 years recent nursing experience with a broad clinical nursing background
- 2-5 years acute Case Management experience
- Experience in a Managed Care environment
- Very strong computer and typing skills (35-40 wpm)