Remote Telephone Utilization Review Nurse in Woodland Hills

Job ID: Available for Members

Location: California

Compensation: To Be Discussed

Staff Reviewed: Mon, Apr 29, 2019

Job Category: Healthcare, Nursing, Quality Assurance

Telecommute Level: Majority

Travel Requirements: Possible Travel

Weekly Hours: Full Time

Employment Status: Permanent

Employer Type: Staffing Agency

Career Level: Experienced

Education Level: Some College

Additional Information: Benefits Available

Job Summary

A staffing agency is seeking a Remote Telephone Utilization Review Nurse in Woodland Hills.

Individual must be able to fulfill the following responsibilities:

  • Telephonically provide appropriate care and setting, following guidelines and policies
  • Approve services or forward requests to the appropriate medical director with recommendations
  • Review clinical data to determine claim payment based on company policies and National Committee for Quality Assurance

Skills and Requirements Include:

  • LPN Diploma; Associate Degree required; BSN preferred
  • Active RN / Registered Nurse or LPN / Licensed Practical Nurse in the State of California
  • 3+ years clinical nursing experience
  • Managed Care & Utilization Review experience required