Job Summary
A healthcare company is in need of a Remote Utilization Review Registered Nurse.
Must be able to:
- Perform real-time chart reviews in regards to compliance and physician documentation
- Review admission service requests within assigned uni
- Communicate with third party payers and initial denials
Qualifications for this position include:
- Graduate of an accredited nursing program, BSN
- Current Maryland RN license
- Minimum of 5 years recent nursing experience with a broad clinical nursing background
- Very strong computer and typing skills (35-40 wpm)
- 2-5 years acute Case Management experience
- Experience in a Managed Care environment