A company is looking for a Utilization Review Nurse. Key Responsibilities Performs medical record reviews for severity of illness and intensity of service Monitors care levels for appropriateness and communicates variances Provides information to external review organizations and documents communications Required Qualifications, Training, and Education Registered Nurse (RN) licensure required BSN preferred; 2-5 years of Utilization Review experience preferred Current CPR certification required Experience in hospital nursing, case management, or utilization management preferred
Utilization Review Nurse • Lansing, Michigan, United States