Utilization Management Nurse Reviewer

A company is looking for a PRN Utilization Management Nurse Reviewer for weekend shifts. Key Responsibilities Conduct assessments of medical services to validate their appropriateness based on established criteria Examine patient records to ensure the quality of care and necessity of services provided Coordinate care and provide clinical expertise while communicating with healthcare providers and management teams Required Qualifications, Training, and Education Licensed Practical/Vocational Nurse with an active and unrestricted license or a nursing degree from an accredited college Minimum of 2 years of clinical nursing experience required At least 1 year of previous experience in Utilization Management is required Background in medical or clinical practice through education, training, or professional engagement Proficiency in Microsoft tools such as Word, Excel, and Outlook

Feb 21, 2025 - 16:12

A company is looking for a PRN Utilization Management Nurse Reviewer for weekend shifts. Key Responsibilities Conduct assessments of medical services to validate their appropriateness based on established criteria Examine patient records to ensure the quality of care and necessity of services provided Coordinate care and provide clinical expertise while communicating with healthcare providers and management teams Required Qualifications, Training, and Education Licensed Practical/Vocational Nurse with an active and unrestricted license or a nursing degree from an accredited college Minimum of 2 years of clinical nursing experience required At least 1 year of previous experience in Utilization Management is required Background in medical or clinical practice through education, training, or professional engagement Proficiency in Microsoft tools such as Word, Excel, and Outlook