Concurrent Utilization Review Nurse, RN

NeueHealth
Doral, FL
Category Human Resources
Job Description
NeueHealth is seeking a Concurrent Utilization Review (UR) Nurse RN to conduct real-time clinical reviews to ensure healthcare services are appropriate and compliant. This role involves assessing inpatient/skilled nursing, collaborating with medical directors, processing authorizations, and supporting care transitions. The position requires an on-site presence in the Pacific Time Zone.

Requirements

  • Registered Nurse (RN) with an active, unrestricted California nursing license
  • BSN preferred
  • Minimum of 2-3 years of clinical nursing experience
  • At least 1 year in utilization review, case management, or a related field
  • Experience in a managed care setting with medical necessity reviews is strongly preferred
  • Certifications such as CPUR, CCM, or ACM preferred

Benefits

  • Health benefits
  • Life and disability benefits
  • Paid Time Off
  • Paid Holidays
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