Utilization Management Nurse, RN

Job Summary

A company is looking for a Utilization Management Nurse, RN.

Key Responsibilities:

• Input medical coding and provider information for authorization requests
• Review and ensure completeness and accuracy of authorization requests and medical records
• Coordinate with Case Management team as needed

Required Qualifications:

• Current unrestricted RN licensure
• Experience with medical billing, utilization management, or managed care
• Knowledge of medical coding, authorization processes, and healthcare terminology
• Legally authorized to work in the United States