Job Summary
A company is looking for a Utilization Management Nurse RN - Remote - MST HOURS.
Key Responsibilities
- Conduct prior authorization reviews for skilled nursing facilities and acute care hospitals
- Determine medical appropriateness of care levels based on established guidelines
- Provide resources and solutions for complex issues and non-standard requests
Required Qualifications
- Active RN license in state of residency or Compact RN License
- 3+ years of Managed Care and/or Clinical experience
- Basic computer skills with MS Outlook, Word, and Excel
- Weekend availability
- Must work Pacific Time Zone hours
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