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
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