Job Summary
A healthcare risk management services company is searching for a person to fill their position for a Telecommute Utilization Review Nurse.
Candidates will be responsible for the following:
- Identifying the necessity of the review process
- Communicating concerns to the claims examiner/client
- Making decisions regarding certification or denial of treatment
Qualifications for this position include:
- Associate Degree in Nursing
- New York RN licensure
- 4 years clinical experience
- Thorough knowledge of both C.P.T. and I.C.D.9 codes
- Computer literate