Registered Nurse – Utilization Review Job Description Template
Our company is looking for a Registered Nurse – Utilization Review to join our team.
Responsibilities:
- Assist in the development of an annual plan, to include quality improvement, utilization review, clinical case management, and discharge planning;
- Direct and manage daily operations of specific components of the department;
- Manage, supervise, and evaluate department staff of 10 members;
- Develop a comprehensive denial prevention and recovery program for inpatient and outpatient services.
Requirements:
- Active DC licensure;
- MSN degree;
- At least 7 years of case management or utilization review experience.