Compact RN Utilization Management Nurse

A company is looking for a Utilization Management Nurse RN - Remote.

Key Responsibilities

Conduct prior authorization reviews for skilled nursing facilities, acute inpatient rehabilitation, and long-term acute care hospitals

Evaluate medical appropriateness of levels of care based on guidelines and benefit determinations

Provide resources and solutions for complex, non-standard requests and issues

Required Qualifications

Active, unrestricted RN license in state of residency or Compact RN License

3+ years of hospital experience (e.g., Med Surg, Telemetry, ICU)

Basic computer skills with MS Outlook, Word, and Excel

Availability to work weekends (Saturday or Sunday)

Ability to work standard business hours in the Pacific Time zone