PS Utilization Review Nurse-NM

Utilization Review Nurse (RN/LPN)

This position is remote. There is also a weekend rotation, will need to be available approximately one Saturday a month on average. On weeks that they are scheduled for Saturday, they are given the prior Monday off (allowing for a 3 day weekend).

RN or LPN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and appropriateness of the treatment plan.

Required: Clinical License, RN/LPN
Preferred: Previous MCO or UM experience. Microsoft Office familiarity