Utilization Management Nurse RN

Konsus, Inc. (Superside); United States; Remote; USD 70,000 - 95,000; Full time

Job summary

A leading healthcare company is looking for a Utilization Management Nurse RN for a remote opportunity. The successful candidate will be responsible for reviewing medical records, composing appeal letters, and ensuring HIPAA compliance. This role requires an RN license and 3+ years of bedside nursing experience. Join us to make a significant impact in patient care and compliance management.

Qualifications

• Unrestricted Registered Nurse License in the state of residence.
• 3+ years of bedside nursing experience in ED, telemetry, ICU, or CCU.

Responsibilities

• Review and extract pertinent case details from patient medical records.
• Compose appeal letters and ensure compliance with HIPAA.
• Collaborate with peers and maintain organization within the team.

Skills

Microsoft software proficiency

Internet navigation

Typing speed

Education

Associate's degree or higher

Job description

A company is looking for a Utilization Management Nurse RN for a remote position.

Key Responsibilities

• Review and extract pertinent case details from patient medical records and compose appeal letters
• Ensure compliance with HIPAA confidentiality requirements and company policies
• Collaborate with peers and maintain organization within the team

Required Qualifications

• Associate's degree (or higher)
• Unrestricted Registered Nurse License in the state of residence
• 3+ years of bedside nursing experience in ED, telemetry, ICU, or CCU
• Advanced experience with Microsoft software and internet navigation
• Typing speed of 45 words per minute or more