Remote Utilization Review Nurse
Umpqua Health
14 days+
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Benefits offered by this job
Job summary
A community-focused healthcare organization in Oregon is seeking a Utilization Review Nurse for a full-time remote position. The role involves evaluating clinical service requests, conducting prior authorization reviews, and collaborating with interdisciplinary teams. Applicants should have an active RN license and at least five years of direct patient care experience. The position offers a competitive salary from $85,990 to $105,344, along with a generous benefits package including healthcare and 401k options.
Qualifications
- Active, unrestricted Registered Nurse (RN) license.
- Minimum five years of direct patient care experience.
Responsibilities
- Evaluate clinical service requests for appropriateness and cost-effectiveness.
- Collaborate with interdisciplinary teams for integrated care.
- Conduct prior authorization reviews and manage care transitions.
Skills
Clinical Nursing Expertise
Utilization Management
Regulatory Compliance
Medical Coding & Insurance
Technology & Documentation
Communication & Collaboration
Organization & Problem Solving
Ethical Standards
Education
Licensed Registered Nurse in Oregon or compact state
Graduation from an accredited nursing program
Tools
Microsoft Office
EHR systems
Job description
A community-focused healthcare organization in Oregon is seeking a Utilization Review Nurse for a full-time remote position. The role involves evaluating clinical service requests, conducting prior authorization reviews, and collaborating with interdisciplinary teams. Applicants should have an active RN license and at least five years of direct patient care experience. The position offers a competitive salary from $85,990 to $105,344, along with a generous benefits package including healthcare and 401k options.
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