Remote Utilization Review Nurse RN - Part Time

Santa Barbara Cottage Hospital; United States; Remote; USD 41,328 - 52,348; Part time

Benefits offered by this job

Access to learning and development opportunities

Mentorship and skill-building

Technology and equipment support

Job summary

A healthcare organization is seeking a part-time Utilization Review Nurse RN to conduct assessments and reviews for medical necessity of treatment requests. This role involves working 28 hours per week with responsibilities such as providing reviews for pre-certification requests, processing appeals, and working collaboratively with hospital staff. Candidates must have a current RN license and at least 1 year of clinical experience. Competitive hourly compensation worth $30-$38 based on skills and location is offered.

Qualifications

• Current RN license required.
• Associate’s degree or diploma in Nursing is mandatory.
• Minimum of 1 year clinical experience needed.

Responsibilities

• Provide assessment and review for medical necessity of treatments.
• Conduct first level review for pre-certification requests.
• Process appeals for non-certification when necessary.

Skills

Strong technical proficiency

Effective communication skills

Ability to maintain attendance

Ability to perform job functions safely

Education

Current RN license in the United States or U.S. territory

Associate’s degree or diploma in Nursing

1+ year clinical experience

Job description

A healthcare organization is seeking a part-time Utilization Review Nurse RN to conduct assessments and reviews for medical necessity of treatment requests. This role involves working 28 hours per week with responsibilities such as providing reviews for pre-certification requests, processing appeals, and working collaboratively with hospital staff. Candidates must have a current RN license and at least 1 year of clinical experience. Competitive hourly compensation worth $30-$38 based on skills and location is offered.