RN Utilization Review Specialist — Care Authorization & Documentation

Sharon, PA; Sharon (Mercer County); On-site; USD 65,000 - 85,000; Full time

Job summary

Sharon, PA is looking for a Utilization Review Specialist to enhance our healthcare team. This role focuses on securing treatment authorization and ensuring all relevant documentation is accurate and complete. The UR Specialist collaborates with medical staff to provide exceptional patient care.

Qualified candidates must possess a valid RN license and have at least 2 years of experience. Strong communication and organizational skills are essential for success in this position.

Qualifications

• Valid RN license in the state of practice.
• Familiarity with HIPAA regulations and patient confidentiality protocols.
• Minimum of 2 years of relevant experience.

Responsibilities

• Secures authorization for treatment payment from insurers.
• Maintains knowledge of coding and diagnostic standards.
• Ensures thorough documentation in medical records.

Skills

Excellent communication skills

Leadership skills

Organizational skills

Education

Valid Registered Nurse (RN) license

Minimum of 2 years’ experience

Job description

Sharon, PA is looking for a Utilization Review Specialist to enhance our healthcare team. This role focuses on securing treatment authorization and ensuring all relevant documentation is accurate and complete. The UR Specialist collaborates with medical staff to provide exceptional patient care.

Qualified candidates must possess a valid RN license and have at least 2 years of experience. Strong communication and organizational skills are essential for success in this position.