Part-Time, Temporary UM Concurrent Review Nurse

Overview

Role involves reviewing medical necessity for outpatient services and managing inpatient admissions.

Ideal candidate should have 2-3 years of clinical experience and be a licensed RN or LPN.

Locations

• United States

Requirements

• Licensed RN or LPN required
• 2-3 years clinical experience
• Managed care experience preferred

Responsibilities

• Perform utilization reviews
• Evaluate member needs
• Prepare cases for MD review
• Maintain UR records
• Ensure compliance with regulations