Oregon Licensed Utilization Review RN

Job Summary

A company is looking for a Utilization Review RN in Case Management.

Key Responsibilities

• Monitor utilization practices from preadmission to discharge to ensure cost-effective resource use and quality patient care
• Conduct utilization reviews, evaluate clinical information, and communicate findings to payors in compliance with regulations
• Collaborate with the interdisciplinary team to improve delivery of cost-effective services and monitor patient outcomes

Required Qualifications

• 2 years of progressive nursing experience in an acute care setting, preferably in discharge, utilization, or case management
• Registered Nurse licensed by the Oregon State Board of Nursing or an active RN license in a state approved for remote work
• Preferred: Bachelor's degree in nursing
• Preferred: Certified Case Manager (CCM) or Accredited Case Manager (ACM)