A company is looking for a Utilization Management Nurse RN - Remote - MST HOURS. Key Responsibilities Conduct prior authorization reviews for skilled nursing facilities and acute care hospitals Determine medical appropriateness of care levels based on established guidelines Provide resources and solutions for complex issues and non-standard requests Required Qualifications Active RN license in state of residency or Compact RN License 3+ years of Managed Care and / or Clinical experience Basic computer skills with MS Outlook, Word, and Excel Weekend availability Must work Pacific Time Zone hours
Utilization Management Rn • Huntington, West Virginia, United States