Utilization Review Nurse (RN)

Utilization Review Nurse (RN)

A Few Words About Us - Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing.

Job Description

· The incumbent must possess medical management/clinical decision-making skills and sound skills in assessing, planning and managing member care.

· Advanced assessment and teaching skills.

· Problem solving skills.

· Familiarity with legal terminology and liability issues and ability to handle ethical or risk management issues.

· Utilization and Quality Management/Outcomes experience preferred.

· Previous work experience with a managed care organization or provider is also preferred.

· Prior experience in case management, home health, discharge planning, or Concurrent review.

Qualifications

· RN Diploma, RN Associate's degree or Bachelors of Science in Nursing (BSN) degree.

· Minimum of 3 years clinical experience in an acute medical or acute surgical setting.

· Proficiency with a Microsoft Windows operating system.

· Must have valid license to practice nursing within the US and have started application for NC nursing license.