California Licensed Utilization Nurse

Job Summary

A company is looking for an RN, Utilization Management - Remote.

Key Responsibilities

• Performs all functions of a Utilization Management Nurse
• Reviews patient referrals and ensures compliance with utilization management policies and regulatory timeframes
• Communicates authorization or denial of services to appropriate parties and maintains accurate documentation

Required Qualifications

• Graduation from an accredited school of Nursing
• Current California RN license
• 2+ years of Prior Authorization Utilization Management experience (preferred)