Telecommute Utilization Review Nurse in Tallahassee

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.