Remote Utilization Review Nurse (VA)

Sentara Health; Virginia Beach (VA); Remote; USD 90,000 - 136,000; Full time

Benefits offered by this job

Medical plan

Dental plan

Vision plan

401k match

Paid time off

Job summary

Sentara Health is hiring a remote Utilization Review Registered Nurse in Virginia. The RN will conduct utilization review and prior authorization for inpatient and outpatient reviews, ensuring compliance with criteria and regulatory requirements.

Candidates must reside in Virginia and hold an RN license. Requirements include a Virginia RN license, 3 years of acute care nursing, and 3 years of case management experience preferred.

Qualifications

• 3+ years of nursing experience in acute care.
• Strong verbal and written communication, critical thinking.
• Proficient in basic computer skills.

Responsibilities

• Perform utilization review for inpatient and outpatient reviews, including prior authorization.
• Assess appropriate treatment settings to ensure compliance with criteria and regulatory requirements.
• Communicate pertinent clinical information in writing and/or verbally.

Skills

Nursing experience

Communication

Critical thinking

Education

RN Diploma

BSN preferred

Tools

Basic computer skills

Job description

Sentara Health is hiring a remote Utilization Review Registered Nurse in Virginia. The RN will conduct utilization review and prior authorization for inpatient and outpatient reviews, ensuring compliance with criteria and regulatory requirements.

Candidates must reside in Virginia and hold an RN license. Requirements include a Virginia RN license, 3 years of acute care nursing, and 3 years of case management experience preferred.