Job Summary
A healthcare company has a current position open for a Telecommute Utilization Review Case Manager.
Must be able to:
- Maintain current knowledge of regulatory guidelines for Utilization Review
- Expedite timely response on cases requiring external physician advisor reviews and/or follow up
- Perform admission review and concurrent review to determine the clinical appropriateness
Must meet the following requirements for consideration:
- Ability to travel to the hospitals approximately 10% of the time on as needed bases
- 3-7 years of acute care experience
- BSN required
- RN license or compact license required
- 1-3 years of case management/utilization review experience