Telecommute Utilization Review Nurse in Tallahassee

Job ID: Available for Members

Location: Florida

Compensation: To Be Discussed

Staff Reviewed: Wed, Feb 13, 2019

Job Category: Healthcare, Nursing, Quality Assurance

Telecommute Level: Majority

Travel Requirements: Possible Travel

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Education Level: Some College

Job Summary

A healthcare provider has an open position for a Telecommute Utilization Review Nurse in Tallahassee.

Individual must be able to fulfill the following responsibilities:

  • Provide clinical information to patient Insurance Plans to receive authorization / certification
  • Follow the X-Code process and maintain communication with the facility case managers, physicians and the Insurance Plans
  • Focus on initial and continued stay utilization review and denials

Qualifications Include:

  • B.S. in Business Administration, Nursing or Healthcare Administration preferred or equivalent work experience
  • Registered Nurse (RN) or Licensed Practical Nurse (LPN) required
  • Certification in Case Management or UR preferred or is willing to pursue in the first year (or when eligible)
  • InterQual experience required, minimum of one year.