Nevada Licensed Utilization Management Nurse

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

Key Responsibilities

Determine the appropriateness of inpatient and outpatient services based on medical guidelines and benefit determination

Identify solutions to non-standard requests and problems

Act as a resource for others by providing explanations and information on difficult issues

Required Qualifications

Unrestricted RN license in state of residence

3+ years of Managed Care and / or Clinical experience

Proficiency in MS Office, including Excel

Utilization Management experience

Experience working with multiple EMRs (electronic medical records)