Washington RN Utilization Manager

Job Summary

A company is looking for a Utilization Management RN - Remote in WA.

Key Responsibilities

• Manage utilization of administrative and IBSS determinations and oversee outpatient service requests
• Review clinical information and determine medical appropriateness using established guidelines
• Facilitate meetings for Complex/High Risk members and provide guidance to less experienced staff

Required Qualifications

• Current, unrestricted independent WA RN license
• 3+ years of clinical experience
• 1+ years of Utilization Management experience
• 1+ years of experience with MS Office, including Word, Excel, and Outlook
• Willingness to adhere to a Monday - Friday 8a - 5p MST work schedule