Ohio Licensed Utilization Management RN

A company is looking for a Utilization Management RN Reviewer.

Key Responsibilities

Conduct admission, concurrent, and retrospective reviews of patient charts and clinical systems

Collaborate with physicians and enterprise advisors to ensure compliance with regulatory guidelines

Document and report on utilization management processes and participate in special projects as needed

Required Qualifications

Graduate from an accredited school of professional Nursing

Current state licensure as a Registered Nurse (RN)

Basic Life Support (BLS) Certification through the American Heart Association (AHA)

Three years of full-time clinical RN experience

Knowledge of medical terminology, anatomy, physiology, and basic disease processes