State Licensed Utilization Review Nurse

A company is looking for a Utilization Review Nurse - Full-Time.

Key Responsibilities

Review and evaluate electronic medical records for emergency admissions and assess medical necessity

Apply clinical guidelines to ensure proper utilization of healthcare resources

Participate in discussions with physicians regarding documentation and admission status

Required Qualifications

Current and unrestricted RN license

At least 3 years of clinical experience in an acute care setting

At least 2 years of utilization management experience in acute admissions

Intermediate experience with InterQual and / or MCG criteria

Proficiency in medical record review in an electronic medical record (EMR)