Job Summary
A patient-to-payment solutions company is searching for a person to fill their position for a Remote Utilization Review Registered Nurse.
Candidates will be responsible for the following:
- Performing concurrent review of acute and sub-acute services
- Developing and maintaining relationships with third-party payers
- Ensuring prior authorizations are entered into the UM Module
Skills and Requirements Include:
- Associate degree in nursing
- 3+ years of direct patient care experience as a registered nurse
- Knowledge of Medicare and Medicaid payment rules, policies, etc
- Ability to work rotations of weekend and after-hours coverage
