Job is Expired
Location: Arizona, Arkansas, California, Colorado, Idaho, Illinois, Iowa, Kansas, Louisiana, Mississippi, Montana, Nebraska, Nevada, New Mexico, North Dakota, Oregon, South Dakota, Utah, Washington, Wisconsin
Compensation: To Be Discussed
Staff Reviewed: Thu, Aug 13, 2020
Job Summary
A healthcare technology solutions company needs applicants for an opening for a Telecommute Utilization Review RN.
Individual must be able to fulfill the following responsibilities:
- Evaluate, monitor and assure the appropriateness and medical necessity of selected care for members
- Perform initial clinical appropriateness review of requests for services
- Manage utilization and, if necessary, discuss utilization of service and standards of patient management
Qualifications Include:
- Minimum of 3-5 years of clinical experience
- RN required
- Registered Nurse with an active nursing license to practice in the state of the contracted Client (i.e. in Arizona)
- Minimum one year of care management, utilization management experience, clinical documentation or clinical auditing experience
