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