RN Concurrent Review Nurse

Job Summary

A company is looking for a Part-Time, Temporary UM Concurrent Review Nurse.

Key Responsibilities

• Conducts prospective, concurrent, and retrospective utilization reviews for inpatient and outpatient services
• Evaluates the severity of illness and intensity of service for inpatient admissions
• Maintains accurate records of utilization review activities and ensures compliance with regulations

Required Qualifications

• Licensed RN or LPN required
• Minimum of two to three years of varied clinical experience
• Managed care experience preferred
• Ability to read and interpret documents and calculate figures
• Proficient in MS Office with basic computer skills