Registered Nurse Utilization Management

Konsus, Inc. (Superside); United States; Remote; USD 70,000 - 90,000; Full time

Job summary

A national remote role for a Utilization Management Nurse RN with responsibilities that include reviewing medical records, composing appeal letters, and ensuring compliance with healthcare policies. Candidates should have an active RN license and a minimum of three years' bedside nursing experience in critical care environments.

Qualifications

• Active RN license in state of residence.
• 3+ years bedside nursing experience in ED/telemetry/ICU/CCU.
• Proficient with Microsoft software and internet navigation.

Responsibilities

• Review and extract case details from patient medical records.
• Compose appeal letters and ensure compliance with policies.
• Collaborate with peers to meet quality and productivity expectations.

Skills

HIPAA compliance

Communication

Collaboration

Typing speed

Education

Associates degree (or higher)

Tools

Microsoft software

Job description

A company is looking for a Utilization Management Nurse RN - National Remote.

Key Responsibilities

• Review and extract case details from patient medical records and compose appeal letters
• Ensure compliance with HIPAA confidentiality requirements and company policies
• Collaborate with peers to maintain communication and meet quality and productivity expectations

Required Qualifications

• Associates degree (or higher)
• Active and unrestricted Registered Nurse license in the state of residence
• 3+ years of bedside nursing experience in ED/telemetry/ICU/CCU
• Advanced proficiency with Microsoft software and internet navigation
• Ability to type 45 words per minute