Job Summary
A software development company needs applicants for an opening for a Remote Utilization Review Nurse.
Candidates will be responsible for the following:
- Verifying that documentation meets medical necessity requirements
- Working with physicians on their plan of care and documentation
- Doing concurrent utilization review within an acute inpatient setting
Applicants must meet the following qualifications:
- Active RN licensure in your state of residency
- 5 years’ clinical experience in an acute care setting in Emergency Department, Critical Care, or Medical/Surgical Care
- At least 3 years’ experience in concurrent utilization review within an inpatient acute care setting
- Experience with InterQual is a must
- Able to work two weekends per month and two holidays per year
