Oregon Licensed Utilization Management Nurse - job 1 of 2

Job Summary

A company is looking for a Utilization Management Nurse RN - Remote - PST HOURS.

Key Responsibilities

• Conduct utilization management including prior authorization reviews for various care facilities
• Evaluate medical appropriateness of care levels based on guidelines and benefit determinations
• Provide resources and solutions for complex and non-standard requests

Required Qualifications

• Active, unrestricted 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