Remote RN Utilization Review Analyst Associate

Job is Expired

Location: Arkansas

Compensation: To Be Discussed

Staff Reviewed: Thu, Jul 01, 2021

Job Category: Healthcare

Remote Level: 100% Remote

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Education Level: Bachelors

Job Summary

A nonprofit mutual insurance company needs applicants for an opening for a Remote RN Utilization Review Analyst Associate.

Must be able to:

  • Perform pre-payment, post-payment or concurrent claims review analysis
  • Facilitate and promote appropriate utilization review toward cost effective and cost containment measures based on evidence
  • Assess and evaluate the efficiency and appropriateness of services for medical necessity through interpretation and review with evidenced-based criteria, clinical guidelines, corporate guidelines and policies and mandates and standards

Must meet the following requirements for consideration:

  • Registered nurse license, active and unencumbered state license in the state where job duties are performed is required. BSN preferred
  • Four (4) years of clinical practice nursing experience required, with experience preferred, but not limited to one of the following areas: medical-surgical nursing, surgical nursing, intensive care or critical care nursing
  • Proficiency using basic computer skills in Microsoft Office such as Word, Excel, Outlook, and PowerPoint, including the ability to navigate multiple systems and keyboarding
  • Experience in utilization review and/or medical review preferred
  • Current Unrestricted Registered Nurse License
  • Ability to prioritize and make sound nursing judgments through critical thinking

COMPLETE JOB DESCRIPTION

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