Compact RN Utilization Management Nurse
A company is looking for a Utilization Management Nurse RN - Remote. Key Responsibilities Conduct utilization management through Prior Authorization Review for various care facilities Evaluate medical appropriateness of care levels based on guidelines and benefit determinations Provide resources and solutions for complex, non-standard requests and issues Required Qualifications Active, unrestricted RN license in state of residency or Compact RN License 3+ years of Managed Care and/or Clinical experience Basic computer skills with MS Outlook, Word, and Excel Weekend availability Ability to work in AZ Time Zone
A company is looking for a Utilization Management Nurse RN - Remote.
Key Responsibilities
Conduct utilization management through Prior Authorization Review for various care facilities
Evaluate medical appropriateness of care levels based on guidelines and benefit determinations
Provide resources and solutions for complex, non-standard requests and issues
Required Qualifications
Active, unrestricted RN license in state of residency or Compact RN License
3+ years of Managed Care and/or Clinical experience
Basic computer skills with MS Outlook, Word, and Excel
Weekend availability
Ability to work in AZ Time Zone
