Utilization Management Review Nurse

Workers’ compensation utilization management activities include the review of clinical information to determine medical necessity at all levels of care. You will utilize criteria, or evidence-based guidelines, coordinate of care across the continuum, and interact with physicians, providers, claimants and peer reviewers as part of the utilization management process.RequirementsRequires a current and unrestricted RN license in the state of Nebraska or that of a compact state, and at least 5 years of clinical experience.Familiar with utilization review process, case management, and/or discharge planning.Proficient using Microsoft Windows, including Word, Excel, Outlook, how to search for files, and create PDFs.Ability to utilize template letters, forms, and creating summaries.Company Benefits Fully-paid employee Medical Insurance, Dental Insurance, and Vision Insurance Fully-vested employer match 401(k) Section 125 - Flexible Spending Account In-house pharmacy provides employees significant savings and convenience Tuition Reimbursement