Oregon Licensed RN Utilization Management

A company is looking for a RN Utilization Management (Relief).

Key Responsibilities

Perform pre-admission and concurrent medical necessity reviews to determine appropriate patient status

Collaborate with interdisciplinary teams, physicians, and payors to ensure compliance with medical necessity and status guidelines

Monitor and report on the effectiveness of the Utilization Management program, implementing process improvements as needed

Required Qualifications

Graduate of an accredited school of nursing

Current Oregon RN license

Three years of acute care clinical nursing experience

Two years of Utilization Management experience or equivalent professional experience

Experience working with electronic health records