Utilization Review Nurse - RN

A company is looking for a Utilization Review Nurse- RN.

Key Responsibilities

Conduct assessments and reviews for medical necessity of treatment requests and plans

Process appeals for non-certification of services and complete necessary documentation

Collaborate with hospital staff to prepare patients for discharge and ensure proper referrals

Required Qualifications

Current RN license in the United States or U.S. territory

Associate's degree or diploma from a Nursing program required

Minimum of 1 year clinical experience required