Integrated Resources INC Verified 7h ago
Utilization Review Nurse (RN)
Raleigh, NC, United States On-site
Salary not listedPaySalary not listed
TypeContract
Work settingOn-site
Verified listing
JobFig found this opening at its original source and checks that it remains available.
About the role
· The incumbent must possess medical management/clinical decision-making skills and sound skills in assessing, planning and managing member care. · Advanced assessment and teaching skills. · Problem solving skills. · Familiarity with legal terminology and liability issues and ability to handle ethical or risk management issues. · Prior experience in case management, home health, discharge planning, or Concurrent review.
What you'll bring
- · RN Diploma, RN Associate's degree or Bachelors of Science in Nursing (BSN) degree.
- · Minimum of 3 years clinical experience in an acute medical or acute surgical setting.
- · Proficiency with a Microsoft Windows operating system.
- · Must have valid license to practice nursing within the US and have started application for NC nursing license.
- · Utilization and Quality Management/Outcomes experience preferred.
- · Previous work experience with a managed care organization or provider is also preferred.