Utilization Review Nurse Analyst | Quality & Compliance

Dane Street; United States; Remote; USD 45,000 - 70,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

401k plan with company match

Generous paid time off

Apple equipment and media stipend for remote workspace

Job summary

A healthcare solutions company is seeking a Utilization Management Nurse Reviewer to assess the appropriateness of medical services and collaborate with healthcare professionals. This role requires a Licensed Practical/Vocational Nurse with clinical experience and skills in communication and problem-solving. Competitive salary and comprehensive benefits are offered, along with a supportive company culture focused on performance and diversity.

Qualifications

• Minimum 2 years clinical nursing experience required.
• At least one year of experience in Utilization Management.

Responsibilities

• Conduct assessments of medical services using established criteria.
• Examine patient records to verify quality of care.
• Provide oversight to team members.

Skills

Strong written and spoken communication

Professional communication with physicians and clients

Ability to handle multiple tasks

Excellent organizational sense and attention to detail

Problem-solving skills for complex issues

Proficiency with Microsoft Word, Excel, PowerPoint, and Outlook

Education

Licensed Practical/Vocational Nurse with active license

Job description

A healthcare solutions company is seeking a Utilization Management Nurse Reviewer to assess the appropriateness of medical services and collaborate with healthcare professionals. This role requires a Licensed Practical/Vocational Nurse with clinical experience and skills in communication and problem-solving. Competitive salary and comprehensive benefits are offered, along with a supportive company culture focused on performance and diversity.