Oregon Licensed Utilization Review Nurse

A company is looking for a Utilization Review Nurse.

Key Responsibilities

Monitor utilization practices from preadmission to discharge to ensure cost-effective resource use and quality patient care

Review medical records to confirm documentation meets medical necessity according to regulatory guidelines

Communicate with care team members to secure accurate documentation and admission status

Required Qualifications

2 years of recent progressive nursing experience in an acute care setting, preferably in discharge, utilization, or case management

Registered Nurse licensed by the Oregon State Board of Nursing required upon start

Bachelor's degree in nursing preferred

Certified Case Manager (CCM) or Accredited Case Manager (ACM) preferred