Utilization Review RN

Location: Remote
Compensation: To Be Discussed
Staff Reviewed: Sat, Jun 08, 2024
This job expires in: 26 days

Job Summary

A healthcare organization is seeking a Utilization Review RN for a remote full-time position.

Key Responsibilities:
  • Conduct assessments of medical services to validate appropriateness using established criteria and guidelines
  • Examine and evaluate patient records to verify quality of care and necessity of services
  • Input and manage essential clinical details within medical management platforms

Required Qualifications:
  • Active and unrestricted RN license
  • Minimum 2 years of clinical nursing experience
  • At least 1 year of previous Utilization Management experience
  • Background in medical or clinical practice through education or training
  • Holds an unrestricted LVN/RN license from an accredited vocational nursing program (for LVNs) or a nursing degree from an accredited college (for RNs)

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