Wisconsin Licensed Utilization Management RN
Job Summary
A company is looking for a Utilization Management RN to support a Medicare-focused population through remote work.
Key Responsibilities
- Evaluate and process prior authorization requests and referrals from providers
- Perform pre-service, concurrent, and post-service utilization reviews
- Provide education on utilization management processes to stakeholders
Required Qualifications
- Associate degree in nursing
- Active Wisconsin RN license
- 4+ years of clinical experience as an RN
- Experience with appeals, inpatient, and post-acute reviews
- Availability to work Monday-Friday, 8:00am-4:30pm CT (remote)
COMPLETE JOB DESCRIPTION
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