Oregon Licensed RN Utilization Management

Job Summary

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