Utilization Review Nurse (Full-Time -- Oklahoma City, OK; Little Rock, AR; Reno, NV)


Description

  • Provide high quality, professional utilization management services to include prompt, courteous, and error free response to utilization management functions
  • Maintain quality of work by using sound judgment, good analytical & communication skills with great attention to detail.
  • Maintain accurate records to include clear documentation of medical necessity for all admissions and/or extensions.
  • Complete follow through for disposition of cases - MD reviews, chart reviews, audits, case management referrals
  • Exhibit problem solving approaches.
  • Maintain current level of knowledge for nursing, medical, and health trend issues.
  • Perform clinical reviews to determine medical necessity of requested services.

Requirements

  • Active Nursing license (for State of Arkansas position - license must be active and unrestricted in the State of Arkansas)
  • 3 years acute hospital care or UR experience.
  • Excellent verbal and written communication skills
  • Must be self-motivated, stress tolerant, and flexible.

To apply for this position, please submit your resume to humanresources@ahhinc.com.