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
Rn Utilization Review • Grand Rapids, Michigan, United States