RN - Utilization Review Nurse

An RN -Utilization Review Nurse job is available in Ontario, CA courtesy of Adecco Medical & Science. This is a contract role with high potential for extension. This can be either an RN (or LVN) with Concurrent Patient Review (and/or Referral Authorization Management) experience in a Skilled Nursing Facility. Responsibilities include:

Collect information, review and certify the medical necessity of inpatient and outpatient services
Review case/Determine appropriate services
Providing clinical and managed care expertise/first level clinical review
Consistent application of the utilization review process/Review clinical coverage review

Qualifications:

Active RN (or LVN) nurse license + 1 year clinical experience in an acute care setting
Previous Utilization Management experience preferred
Knowledge of ICD-9 and CP coding preferred
Referral/Authorization management and processing skills a plus

If interested, please APPLY NOW and email a resume to scott.shuman@adeccona.com and call 585.613.3028.

  • Apply with Adecco

Reference number US_EN_2_101084_331156