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)
Utilization Review Nurse • Baton Rouge, Louisiana, United States