Utilization Review RN

Are you looking for a great career advancing opportunity in Medical Management? Our client, a leading national insurance company is seeking career minded RN's for a Utilization Review Nursing position.

Duties and Responsibilities:
Conducts pre-certification, concurrent and retrospective reviews. Guides the member into utilization of contracted physicians, facilities and healthcare service providers.
Early identification of discharge planning needs. Refers treatment plans/Plan of Care to Peer Clinical Reviewers (PCR) as required. Works in partnership with hospitals and healthcare service providers. Performs other related duties as required.

Requirements/Qualification
Associate's Degree in Nursing or the equivalent. Current unrestricted RN license in applicable states. Two years acute clinical experience. An advanced degree or certification may be required for specific programs and/or clients.

The ideal candidate will possess:
Good communication skills
Ability to prioritize work

Kelly Healthcare Resources provides holiday and vacation benefit plans, direct deposit, 401(k) retirement savings plan, and medical insurance plans.

If you are ready to make the change the time is now and Kelly Healthcare Resources is here to help. Don't hesitate to apply online.

Kelly Healthcare Resources provides 401K and healthcare options as well as direct deposite and e-pay solutions to help you reach your goals and stretch your limitless potential! Kelly Healthcare works for you!




job Requirements


Please refer to the job description above.