Texas Licensed Utilization Review Nurse

A company is looking for a Utilization Review Nurse RN or LVN. Key Responsibilities Perform concurrent review and prior authorization assessments per company policy Evaluate member eligibility, benefits, and appropriate level of care Participate in interdepartmental collaboration and assist in onboarding new team members Required Qualifications Completion of an accredited Registered Nursing or Vocational Nursing program Minimum 2 years of UM or case management experience in a managed care organization Active, unrestricted RN or LVN license in Texas or a compact state Familiarity with InterQual criteria and UM software Proficiency in Microsoft Office (Word, Excel, Outlook)

Jun 19, 2025 - 20:20

A company is looking for a Utilization Review Nurse RN or LVN. Key Responsibilities Perform concurrent review and prior authorization assessments per company policy Evaluate member eligibility, benefits, and appropriate level of care Participate in interdepartmental collaboration and assist in onboarding new team members Required Qualifications Completion of an accredited Registered Nursing or Vocational Nursing program Minimum 2 years of UM or case management experience in a managed care organization Active, unrestricted RN or LVN license in Texas or a compact state Familiarity with InterQual criteria and UM software Proficiency in Microsoft Office (Word, Excel, Outlook)