Remote Readmission Review Nurse – Utilization Management Pro

FairCode Associates, LLC.; United States; On-site; USD 48,216 - 68,880; Full time

Benefits offered by this job

Work-life balance

Supportive team environment

Job summary

FairCode Associates, LLC. is seeking a Readmission Review Nurse to collaborate with clients and supervisors in evaluating inpatient admissions for preventable readmissions. The role requires an RN with 3-5 years of Utilization Management experience. Responsibilities include communicating review findings, preparing reports, and monitoring outstanding medical records. This remote position promotes work-life balance and encourages a supportive team culture among dedicated professionals.

Qualifications

• An RN with a minimum of 3-5 years experience in Utilization Management in a health plan or hospital setting.
• Must be able to write reports to provide relevant medical record documentation and criteria-based findings.
• Working knowledge of Microsoft products required.

Responsibilities

• Collaborate with supervisor and medical director on review findings.
• Prepare written report for positive findings.
• Monitor tracking sheet for outstanding medical records.

Skills

Excellent written and verbal communication skills

Ability to work independently

Experience in Utilization Management

Education

Registered Nurse (RN)

Tools

Microsoft Word

Microsoft Excel

Microsoft Outlook

Job description

FairCode Associates, LLC. is seeking a Readmission Review Nurse to collaborate with clients and supervisors in evaluating inpatient admissions for preventable readmissions. The role requires an RN with 3-5 years of Utilization Management experience. Responsibilities include communicating review findings, preparing reports, and monitoring outstanding medical records. This remote position promotes work-life balance and encourages a supportive team culture among dedicated professionals.