Utilization Management Nurse RN

Job Summary

A company is looking for a Utilization Management Nurse RN - Remote - MST HOURS.

Key Responsibilities

• Conduct prior authorization reviews for skilled nursing facilities and acute care hospitals
• Determine medical appropriateness of care levels based on established guidelines
• Provide resources and solutions for complex issues and non-standard requests

Required Qualifications

• Active RN license in state of residency or Compact RN License
• 3+ years of Managed Care and/or Clinical experience
• Basic computer skills with MS Outlook, Word, and Excel
• Weekend availability
• Must work Pacific Time Zone hours