Remote Utilization Review Registered Nurse
Job Summary
A provider of consulting services to the public sector and commercial markets is in need of a Remote Utilization Review Registered Nurse.
Individual must be able to fulfill the following responsibilities:
- Support the care management model as a working partner with providers
- Adhere to communicated utilization management productivity metrics
- Adhere to quality standards for utilization management per policy
Skills and Requirements Include:
- Graduate of an accredited school of nursing, RN
- Current Registered Nurse license in the state of hire
- Minimum of 3 years clinical experience
- Minimum of 2 years Utilization Management experience
- Clinical Denials Experience
- Attention to detail, strong organizational skills and self-motivated
COMPLETE JOB DESCRIPTION
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