HealthEdge is seeking a motivated Utilization Review RN to join our team. You will perform prospective, concurrent and retrospective reviews of inpatient, outpatient, ambulatory and ancillary services to ensure medical necessity, length of stay and level of care, including appeals.
Responsibilities include authorizing requests, coordinating discharge planning, analyzing care patterns, resolving benefits issues, and educating providers on policies and benefits. This is a remote, full-time US role.
#J-18808-LjbffrRN - Utilization Review in workfromhome at Unknown Company
- Typical pay
- $84,500–$132,233
For context, most registered nurses earn between $84,500–$132,233 a year according to Bureau of Labor Statistics wage data. What this particular role pays is set by the employer — check the description above.
This position is listed as full time and able to be worked remotely.