Colorado Licensed Utilization Management Nurse
A company is looking for a Utilization Management Nurse RN - Remote in MST Hours. Key Responsibilities: Conduct prior authorization reviews for skilled nursing facilities, acute inpatient rehabilitation, and long-term acute care hospitals Evaluate medical appropriateness of levels of care based on medical guidelines and benefit determinations Provide resources and explanations on complex issues while identifying solutions to non-standard requests 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 Mountain Standard Time Zone
A company is looking for a Utilization Management Nurse RN - Remote in MST Hours.
Key Responsibilities:
Conduct prior authorization reviews for skilled nursing facilities, acute inpatient rehabilitation, and long-term acute care hospitals
Evaluate medical appropriateness of levels of care based on medical guidelines and benefit determinations
Provide resources and explanations on complex issues while identifying solutions to non-standard requests
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 Mountain Standard Time Zone
