Job Summary

A healthcare company has an open position for a Virtual Weekend Utilization Review Specialist.

Must be able to:

• Utilize proactive triggers to identify potential over/under utilization of services
• Conduct medical necessity review of all admissions
• Coordinate the P2P process with the physician or physician advisor, FCC, Revenue Cycle team

Qualifications Include:

• 4 year/Bachelor's Degree; Specialty/Major: Nursing
• Current unrestricted LPN or RN license to practice nursing in Ohio, or a compact license
• Five years nursing experience in an acute care environment
• Excellent interpersonal, communication and negotiation skills
• Remain focused on customer service at all times
• Communicate ideas and thoughts effectively verbally and in written form