Remote Utilization Review Nurse

Job ID: Available for Members

Location: Idaho, Oregon, Utah, Washington

Compensation: To Be Discussed

Staff Reviewed: Fri, Jul 31, 2020

Job Category: Healthcare

Remote Level: 100% Remote

Employer Type: Employer

Career Level: Experienced

Education Level: Some College

Job Summary

A nonprofit healthcare company is searching for a person to fill their position for a Remote Utilization Review Nurse.

Candidates will be responsible for the following:

  • Performing prospective, concurrent and retrospective review
  • Consulting with physician advisors to ensure clinically appropriate determinations
  • Applying clinical expertise and judgment to ensure compliance with medical policy

Skills and Requirements Include:

  • An associate or bachelor’s degree in nursing or related field
  • 3 years of case management, utilization management, or retrospective review experience
  • Current and unrestricted registered nurse license and at least 3 years
  • Ability to interpret policies and procedures and communicate complex topics effectively
  • Strong organizational and time management skills
  • General computer skills