Remote Utilization Review Nurse - Home Health & Compliance

IntePros; Phoenix (AZ); Remote; USD 48,216 - 55,104; Full time

Job summary

A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care. This role involves monitoring patient admissions and ongoing care while ensuring adherence to guidelines. The ideal candidate will have a nursing license in Arizona and substantial experience in utilization review or case management. Strong communication skills and flexibility are essential. This is a contract position that offers a chance to make a direct impact on patient outcomes.

Qualifications

• Minimum of two years of general nursing experience.
• At least three years of experience in utilization review or case management.
• Familiarity with home health and community-based services.

Responsibilities

• Review and process prior authorizations per company policy.
• Assess medical documentation for home health services.
• Maintain accurate records of authorizations and communications.

Skills

Excellent oral and written communication abilities

Proven time management skills

Self-directed and flexible

Working knowledge of home care regulations

Education

Graduate of an accredited nursing program

Current active nursing license in Arizona

Tools

MS Office (Outlook, Word, Excel)

Electronic medical record systems

Job description

A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care. This role involves monitoring patient admissions and ongoing care while ensuring adherence to guidelines. The ideal candidate will have a nursing license in Arizona and substantial experience in utilization review or case management. Strong communication skills and flexibility are essential. This is a contract position that offers a chance to make a direct impact on patient outcomes.