On-Site Day-Shift Utilization Review Nurse

Comunidade Metodista; Hartford (CT); On-site; USD 78,000 - 106,000; Full time

Job summary

Connecticut Department of Administrative Services is seeking a Utilization Review Nurse for a 40-hour on-site position in Hartford, CT. The role involves reviewing health care delivery and reimbursement systems to ensure cost-effective quality care, within the Utilization Management Unit of CVH.

Three years of RN experience and CT RN license are required, with potential for growth and a strong emphasis on professional development.

Qualifications

• Three years of experience as a Registered Nurse.
• License as a Connecticut RN is required.
• Experience with utilization review or medical cost containment is preferred.

Responsibilities

• Performs duties related to review of health and medical care delivery and reimbursement systems.
• Participates in utilization review and quality assurance programs.
• Maintains up-to-date knowledge of changes in nursing practice and regulations.

Skills

Nursing knowledge

Interpersonal skills

Oral and written communication

Education

Bachelor's degree in nursing

Job description

Connecticut Department of Administrative Services is seeking a Utilization Review Nurse for a 40-hour on-site position in Hartford, CT. The role involves reviewing health care delivery and reimbursement systems to ensure cost-effective quality care, within the Utilization Management Unit of CVH.

Three years of RN experience and CT RN license are required, with potential for growth and a strong emphasis on professional development.