Utilization Review Nurse

Role: Utilization Management Registered Nurse – Prior Authorizations

Duration: 6 Month Contract – possibility of converting perm

Location: remote – any time zone

**Schedule: Thurs-Sunday, start time between 7 and 9 AM EST, 4x10 schedule**

Pay Rate: 42-44/hr

Must-Haves:

• Valid Compact RN License
• 4-5 years of Remote Utilization Management experience at Payors, inpatient or outpatient
• Proficiency using a MacBook
• Proficiency in Google Suite Applications (google sheets, calendar, etc.)
• Ability to critically think and troubleshoot issues on their own

Plusses:

• Behavioral Health experience

Day to Day:

Insight Global is looking for a Pre-Access Utilization Management Registered Nurse to sit remotely with one of their large health insurance clients. This person will be responsible for evaluating 2 patient care cases per hour and collaborating with doctors, and other healthcare professionals. Day to day this individual will be assessing patient care requests for medical services (such as surgeries, procedures, hospital admissions, etc.) and collaborating with providers to ensure the requested services align with medical necessity. It is critical that this person adheres to company policies regarding confidentiality and privacy. This person needs to pay very close attention to detail, be a team player, have flexibility in their day to day, etc. Being an expert within the plan and benefit template is crucial, and having great written and verbal communication is important!