Utilization Review RN Job Description Template
Our company is looking for a Utilization Review RN to join our team.
Responsibilities:
- Performs other duties as assigned;
- Maintain production goals and QA standards;
- Provides coverage for medical management reviews and telephones, as required;
- May provide education and training resources to staff involved in utilization management;
- Collaborate with other departments/staff to assist in developing, monitoring, revising, and/or improving medical management programs;
- Supports compliance with NCQA and governmental requirements, as appropriate to the position.