RN Utilization Management Nurse

Job Summary

A company is looking for a Utilization Management Nurse - Remote.

Key Responsibilities

• Perform initial and concurrent review of inpatient cases and collaborate with Medical Directors for adverse determinations
• Discuss care plans with healthcare professionals and facilitate timely care and discharge planning
• Maintain compliance with regulations and identify opportunities for improved communication and processes

Required Qualifications

• A current, unrestricted RN license in resident state
• 3+ years of clinical experience in an inpatient/acute setting
• Experience in acute, long-term care, or skilled nursing facilities
• Experience performing discharge planning and in Utilization review/management
• Proven solid computer skills