State Licensed Inpatient Care Nurse

Job Summary

A company is looking for an Inpatient Care Management Nurse RN - Remote.

Key Responsibilities

• Perform initial and concurrent reviews of inpatient cases using evidence-based criteria
• Collaborate with healthcare professionals and medical directors to ensure proper care plans and utilization management
• Facilitate timely care and discharge planning while maintaining compliance with relevant regulations

Required Qualifications

• Active, unrestricted RN license in state of residence
• 3+ years of clinical nursing experience in acute inpatient, skilled nursing facilities, or similar settings
• 1+ years of experience in Utilization Review utilizing InterQual
• Experience with guidelines in an acute hospital or health insurance setting
• Demonstrated proficiency in computer skills, including Microsoft Suite and clinical platforms