…our employees both professionally and personally. We are seeking a detail-oriented Utilization Review Registered Nurse to be responsible for prior authorizations

…words per minute with 0-2 errors; proof work.Maintain knowledge of insurance, utilization review , scheduling requirements and support of front desk

…program. 2 years of hospital-based case management, including discharge planning and utilization review experience preferred. Experience with utilization

…+ 2 years of case management experience + Certification in case management or utilization review preferred + InterQual experience preferred Schedule: + Per Diem

…with previous managerial or leadership experience required. . Prior experience in utilization /quality review and/or PRO review required or equivalent

…technician personnel. + You will maintain knowledge pertaining to facility utilization of automated dispensing processes including the use of automated dispensing

…of processes for monitoring and improving the financial performance and resource utilization of the Trauma Center. + Complies with and assists in enforcement

…and decision making. 5. Performs medical clearances via telephone and documents review for pre-screening for medical conditions and infectious diseases to determine

…of intra and interdepartmental activities.** + **Concurrently monitor resource utilization , including payroll, supplies and expenses, client volume and revenue

…accreditation standards. Activities include but are not limited to integrity reliability review , medical chart reviews, data abstraction for CMS Core Measures and