Tennessee Licensed RN Utilization Review

Job Summary

A company is looking for an RN Utilization Review.

Key Responsibilities

• Perform clinical assessments and evaluate patient conditions, including treatment utilization and compliance
• Collaborate with healthcare professionals to negotiate appropriate levels of care and recommend alternative treatments
• Maintain client privacy and adhere to ethical, legal, and regulatory standards while performing treatment utilization management reviews

Required Qualifications, Training, and Education

• Active unrestricted RN license in a state or territory of the United States; compact licensure preferred
• Bachelor's degree in nursing (BSN) from an accredited institution or equivalent work experience preferred
• Certification in case management, pharmacy, rehabilitation nursing, or a related specialty is highly preferred
• Two (2) years of direct clinical experience as an RN is required