Job Summary

A healthcare company has an open position for a Remote Utilization Review Health Care Professional.

Core Responsibilities Include:

• Performing an evaluation of the medical data for the request
• Collecting additional relevant data as needed to make a decision on medical necessity
• Analyzing the collected data to determine medical necessity as per evidence-based guidelines

Must meet the following requirements for consideration:

• Graduate of an accredited school of nursing
• Valid LVN, RN, DC, or PT license in good standing with no restrictions
• Possesses and can demonstrate the professional and technical skills of a Registered Nurse
• Excellent written and oral communication skills
• Excellent interpersonal skills
• Strong organization skills