Remote Registered Nurse Utilization Review Services Regional Director

Job ID: Available for Members

Location: Nationwide

Compensation: To Be Discussed

Staff Reviewed: Thu, Dec 26, 2019

This job expires in 5 days

Job Category: Healthcare

Telecommute Level: Occasionally

Travel Requirements: Some Travel

Weekly Hours: Full Time

Employment Status: Permanent

Employer Type: Employer

Career Level: Experienced

Education Level: Bachelors

Additional Information: Benefits Available

Job Summary

A for-profit health care organization has an open position for a Remote Registered Nurse Utilization Review Services Regional Director.

Core Responsibilities of this position include:

  • Monitoring authorizations/certification procurement and concurrent denial metrics
  • Performing and validating adherence of established standards and processes
  • Monitoring the daily Utilization Review process at the division level

Must meet the following requirements for consideration:

  • Travel will be required
  • Bachelor's degree in Nursing
  • 3+ years of experience in InterQual Certified Instructor (IQCI)
  • 7+ years of experience in professional work experience
  • Currently licensed as a registered professional nurse in the state in which he or she practices