Florida Licensed RN Utilization Management

Job Summary

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

Key Responsibilities

• Conducts pre-admission status reviews and ensures appropriate patient status upon admission
• Performs concurrent and retrospective medical necessity reviews and monitors UM program effectiveness
• Collaborates with interdisciplinary teams, physicians, and payors to address medical necessity and status concerns

Required Qualifications

• Graduate of an accredited school of nursing
• Current RN license in Oregon
• Three years of acute care clinical nursing experience
• Two years of Utilization Management experience or equivalent professional experience
• Experience working in electronic health records