Utilization Review RN

Utilization Review RN specialists examine medical records and develop concise clinical reviews to support authorization obtainment, avoid payment denial, and optimize reimbursement. The role requires acute knowledge and skills in utilization management, medical necessity, and patient status determination.

Requirements

• Current Registered Nurse license issued by the state in which services will be provided
• Three years of healthcare clinical experience
• Bachelor's Degree in Nursing or Associate of Science in Nursing Degree (ASN)
• Medical Management for Medicare and/or Medicaid populations
• Utilization Management experience

Benefits

• Generous Paid Time Off
• 401k Matching
• Retirement Plan
• Relocation Assistance