Job Summary
A provider of healthcare services is filling a position for a Telecommute Utilization Review RN Lead in St Petersburg.
Individual must be able to fulfill the following responsibilities:
- Review patient admissions and concurrent stays using hospital software tool
- Integrate patient clinical data with the appropriate selection of Medical Necessity Criteria
Must meet the following requirements for consideration:
- Ability to travel to the WFD hospitals and division as needed
- Graduate of an accredited School of Nursing and active license
- 4 years experience in acute care setting and/or insurance in Case Management
- Excellent communication skills (oral and written) and customer service oriented
- Ability to work with data for trends and use of reports
- Ability to orient new CM in appropriate use of Medical Necessity tool