UTILIZATION REVIEW NURSE

City/State

Work Shift

·         BSN (preferred)

·         Registered Nurse (required)

·         3 years of acute care clinical experience (required)

·         Previous Utilization Review experience (preferred)

·         Milliman experience (preferred)

·         Knowledge of NCQA (preferred)

·         Microsoft suite (Word, Excel, Outlook) (preferred)

·         Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills

Keywords: Talroo- Health, Utilization Review Nurse, RN, Care Coordination, or Discharge Planning, Case Management, Milliman, NCQA

Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.