State Licensed Utilization Review Nurse

A company is looking for a PRN Utilization Review Nurse Reviewer. Key Responsibilities Conduct assessments of medical services to ensure appropriateness and medical necessity Examine patient records to verify quality of care and necessity of services Provide clinical expertise and manage clinical details within medical management platforms Required Qualifications and Education Licensed Practical/Vocational Nurse with an active and unrestricted license or a nursing degree from an accredited college Minimum of 2 years clinical nursing experience required At least 1 year of experience in Utilization Management is required Background in medical or clinical practice through education or professional engagement Experience with Microsoft tools such as Word, Excel, and Outlook

Feb 26, 2025 - 16:54

A company is looking for a PRN Utilization Review Nurse Reviewer. Key Responsibilities Conduct assessments of medical services to ensure appropriateness and medical necessity Examine patient records to verify quality of care and necessity of services Provide clinical expertise and manage clinical details within medical management platforms Required Qualifications and Education Licensed Practical/Vocational Nurse with an active and unrestricted license or a nursing degree from an accredited college Minimum of 2 years clinical nursing experience required At least 1 year of experience in Utilization Management is required Background in medical or clinical practice through education or professional engagement Experience with Microsoft tools such as Word, Excel, and Outlook