Job Summary
A software provider is searching for a person to fill their position for a Remote Utilization Review Registered Nurse.
Core Responsibilities Include:
- Providing quality care in a compassionate patient- and family- centered environment
- Reviewing medical records and prepare clinical appeals
- Working with multidisciplinary team to assess and improve the denial management, documentation, and appeals process of such findings
Qualifications for this position include:
- Bachelor of Science in Nursing
- Inpatient case managements and/or utilization review experience
- Successful completion of annual age and job specific competencies and skill validation tools
- Excellent interpersonal skills and ability to relate well with all levels within the organization and community
- Flexibility and excellent verbal, written, organizational and critical decision-making skills
