Washington Licensed Utilization Nurse

Job is Expired
Location: Remote
Compensation: Salary
Reviewed: Sat, May 10, 2025

Job Summary

A company is looking for a Utilization Management Nurse.

Key Responsibilities:
  • Conducts reviews of requested healthcare services to determine medical necessity and appropriateness of inpatient services
  • Collaborates with medical directors and stakeholders to ensure effective care transitions and resource availability
  • Manages utilization review authorizations and responds to appeal requests within specified timeframes


Required Qualifications:
  • Graduation from an accredited school of nursing
  • Active, unrestricted Registered Nurse license in State of Hire
  • 2+ years of experience in Utilization Review for Insurance or Community Based facility
  • 2+ years of clinical nursing experience

COMPLETE JOB DESCRIPTION

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