Utilization Review Nurse

University of Minnesota School of Nursing

Optum is seeking a Utilization Review Nurse, RN to manage inpatient utilization review and preauthorization requests. The role requires documentation of clinical reviews, applying medical necessity criteria, and coordinating with Medical Directors. Remote options are available for eligible candidates. The position demands 3+ years of acute care nursing and 1+ year in Utilization Management, with knowledge of Medicare/Medicaid guidelines and InterQual or Milliman guidelines. #J-18808-Ljbffr

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Vacancy posted 1 day ago

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