Job is Expired
Location: Alaska, Arizona, Arkansas, California, Florida, Idaho, Illinois, Iowa, Kansas, Louisiana, Minnesota, Mississippi, Montana, Nebraska, Nevada, New Mexico, North Dakota, Oregon, South Dakota, Utah, Washington, Wisconsin
Compensation: To Be Discussed
Staff Reviewed: Thu, Jul 29, 2021
Job Summary
A healthcare company is filling a position for a Remote Utilization Review Registered Nurse.
Candidates will be responsible for the following:
- Performing initial, concurrent, and/or retrospective review of services
- Documenting clinical appropriateness reviews and care management activities in managed care operating Systems
- Facilitating cost effective and quality patient care by effective communication with physicians, providers and members
Applicants must meet the following qualifications:
- Minimum of 3-5 years of clinical experience
- One year of care management, utilization management experience, clinical documentation or clinical auditing experience
- Successful work history in a clinical setting and/or health insurance environment
- Required: Registered Nurse with an active nursing license to practice in the state of the contracted Client (single state AZ RN license OR a multi-state/compact RN license)
- Office Hours: 10am – 6:30pm CST Monday – Friday
