A company is looking for an RN Utilization Review.
Key Responsibilities
Perform clinical assessments and evaluate injured employees' treatment utilization and compliance
Collaborate with healthcare professionals and negotiate appropriate care levels based on medical guidelines
Maintain client privacy and adhere to ethical, legal, and regulatory standards
Required Qualifications, Training, and Education
Active unrestricted RN license in a U.S. state or territory; compact licensure preferred
Bachelor's degree in nursing (BSN) or equivalent work experience preferred
Certification in case management, pharmacy, rehabilitation nursing, or related specialty highly preferred
Two (2) years of direct clinical experience as an RN required
Rn Utilization Review • Fullerton, California, United States