Registered Nurse Utilization Management

A company is looking for a Long Term Services & Support (LTSS) & Utilization Management (UM) Correspondence Registered Nurse (RN).

Key Responsibilities

Apply regulatory and accreditation standards to ensure accurate adverse decision notices

Maintain knowledge of relevant laws, regulations, and organizational policies

Report noncompliance or emerging trends to leadership as appropriate

Required Qualifications

Bachelor's degree required

Three or more years of experience in a related clinical or social services setting required

Experience in quality assurance preferred

Experience in managed care or utilization review preferred

Active Registered Nurse license required