State Licensed Utilization Review Nurse

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

Key Responsibilities

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

Apply clinical guidelines to assess healthcare resource utilization

Participate in discussions with physicians regarding documentation and admission status

Required Qualifications

Current and unrestricted RN license

At least 3 years clinical experience in an acute care setting

At least 2 years utilization management experience

Intermediate experience with InterQual and / or MCG criteria

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