WA Licensed Utilization Management RN

Job Summary

A company is looking for a Utilization Management RN.

Key Responsibilities

• Manage utilization for administrative and IBSS determinations, including oversight of outpatient service requests and inpatient reviews
• Review clinical information to determine medical appropriateness and identify appropriate courses of care
• Communicate complex clinical findings to medical professionals and provide support for high-risk member meetings

Required Qualifications

• Current, unrestricted independent WA RN license
• 3+ years of clinical experience
• 1+ years of Utilization Management experience
• 1+ years of experience with MS Office applications
• Willingness to work a Monday - Friday 8a - 5p MST schedule