Arizona Licensed Utilization Management Nurse
A company is looking for a Utilization Management Nurse RN - Remote. Key Responsibilities Conduct prior authorization reviews for skilled nursing facilities, acute inpatient rehabilitation, and long-term acute care hospitals Evaluate medical appropriateness of care levels based on medical guidelines and benefit determinations Provide guidance and solutions for complex issues and act as a resource for others Required Qualifications Active, unrestrictive RN license in state of residency or Compact RN License 3+ years of Managed Care and/or Clinical experience Proven basic computer skills with MS Outlook, Word, and Excel Weekend availability Must work in the AZ Time Zone
A company is looking for a Utilization Management Nurse RN - Remote.
Key Responsibilities
Conduct prior authorization reviews for skilled nursing facilities, acute inpatient rehabilitation, and long-term acute care hospitals
Evaluate medical appropriateness of care levels based on medical guidelines and benefit determinations
Provide guidance and solutions for complex issues and act as a resource for others
Required Qualifications
Active, unrestrictive RN license in state of residency or Compact RN License
3+ years of Managed Care and/or Clinical experience
Proven basic computer skills with MS Outlook, Word, and Excel
Weekend availability
Must work in the AZ Time Zone
