Job Summary
A health services company has an open position for a Remote Utilization Management Nurse.
Individual must be able to fulfill the following responsibilities:
- Perform risk-identification, pre-admission, concurrent, and retrospective review
- Partner with PCP and other medical providers to coordinate treatments
- Report and escalate questionable healthcare services
Applicants must meet the following qualifications:
- Associate's degree in nursing or a related discipline; Bachelor's degree or higher preferred
- Active RN or LPN License in Utah or a Compact State
- 2+ years of acute care clinical nursing experience and 1+ years of utilization review experience
- Experience identifying care alternatives and discharge planning
- Demonstrated ability to manage large caseloads and effectively work in a fast-paced environment