Utilization Review RN

This is a utilization review position. Nurses will be responsible for collaborating with healthcare providers and members to promote quality member outcomes to optimize member benefits and to promote effective use of resources.

Essentially they will be reviewing patient records and treatment profiles to ensure proper and cost effective treatment, member satisfaction, and quality results. They will be doing both inpatient and outpatient UM.

Job Description:

This is a utilization review position. Nurses will be responsible for collaborating with healthcare providers and members to promote quality member outcomes to optimize member benefits and to promote effective use of resources.

Essentially they will be reviewing patient records and treatment profiles to ensure proper and cost effective treatment, member satisfaction, and quality results. They will be doing both inpatient and outpatient UM.

Hours for this Position: M-F: 8am-4:30pm

Advantages of this Opportunity: 

• Competitive salary, negotiable based on relevant experience

• Benefits offered, Medical, Dental, and Vision

• Fun and positive work environment

Additional Information: 6-12 month long term contract

Interested in being considered? 

If you are interested in applying to this position, please click the Green I’m Interested Button to email your resume.