Oklahoma Licensed Utilization Review RN

A company is looking for a Care Management Utilization Review RN (Levels 1-3) to work remotely in specific states.

Key Responsibilities

Conduct comprehensive assessments of patients' health status and ongoing care needs

Coordinate with the healthcare team and Payors to ensure appropriate patient status and financial reimbursement

Educate patients and families on healthcare stays and compliance with regulatory expectations

Required Qualifications, Training, and Education

Associate's Degree in Nursing required for Level 1; Bachelor's Degree for Levels 2 and 3

0-3 years of RN experience required for Level 1; at least 3 years for Level 2; 5 or more years for Level 3

Current Registered Nurse License (RN) issued by the appropriate state board or multistate compact RN license required

Care Management experience preferred for Levels 2 and 3