Utilization Review Nurse III - WA (UM/UR EXP HIGHLY PREF'D) NEEDED)

Key Responsibilities

The Utilization Review Nurse evaluates medical necessity, level of care, and treatment duration for moderately complex cases using evidence-based guidelines. They collaborate with healthcare teams to facilitate discharge planning and ensure compliance with insurance policies and regulatory requirements.

Requirements

Candidates must hold a Bachelor's degree in Nursing and possess a valid Washington State Registered Nurse license. A minimum of three years of experience in direct patient care, utilization review, or discharge planning within a managed care setting is required.

Qualifications

Education

Bachelor degree

Experience

2+ years of experience

Key Skills