Kentucky Licensed Review Nurse

UnitedHealth Group, Inc.; United States; Remote; USD 65,000 - 85,000; Full time

Job summary

A healthcare company is seeking a Preservice Review Nurse RN to work remotely. This role involves managing healthcare services, performing clinical reviews, and collaborating with a team of medical professionals. Candidates should possess a current RN license, a Compact Nursing license, and have experience in discharge planning. Strong computer skills and the ability to work independently are essential.

Qualifications

• Must possess a current, unrestricted RN license.
• Must have a Compact Nursing license.
• Experience with discharge planning is essential.

Responsibilities

• Manage healthcare services with a cross-functional team.
• Perform reviews using clinical criteria for case determinations.
• Collaborate with Medical Directors for case management.

Skills

Clinical decision-making

Computer skills

Independent work

Education

Current unrestricted RN license

Compact Nursing license

Job description

A company is looking for a Preservice Review Nurse RN - Remote.

Key Responsibilities

• Manage a full array of healthcare services in collaboration with a cross-functional team
• Perform initial and ongoing reviews using clinical criteria for approvals and adverse determinations
• Collaborate with Medical Directors and clinical peers for clinical decision-making and case management

Required Qualifications

• A current, unrestricted RN license
• Compact Nursing license
• Experience performing discharge planning
• Proven solid computer skills
• Demonstrated ability to work independently