Connecticut Licensed Utilization Management RN - job 1 of 2

Job Summary

A company is looking for a Utilization Management RN - Remote.

Key Responsibilities

• Perform chart reviews to assess quality, timeliness, and appropriateness of patient care
• Conduct admission reviews for various patient types based on established guidelines
• Implement strategies to reduce length of stay and resource consumption

Required Qualifications

• Associate's degree in nursing from an accredited school
• Current Registered Nursing License
• 4+ years of experience in utilization management
• Familiarity with MCG and InterQual guidelines
• Ability to interpret various forms of instructions