Job Summary

A health care company is filling a position for a Remote Utilization Review Nurse.

Must be able to:

• Review and audit of patient medical records
• Perform the review of requests for prior authorization of medical services
• Serve as a clinical resource and liaison for site and hospital referral staff

Skills and Requirements Include:

• 2 years of clinical nursing experience and one year of experience in performing prior authorization review
• Florida RN license or ability to obtain license
• Utilization management experience
• Experience using medical management software programs
• Must be able to pass background investigation and obtain agency security clearance