RN Utilization REview - Per Diem
Phoenix and Scottsdale locations, AZ
Sunday-Sat varies days
Reviews and monitors utilization of health care services with the goal of maintaining high quality cost-effective care. Ensures appropriate level of care through comprehensive review for medical necessity of extended stay, outpatient observation, and inpatient stays and the utilization of ancillary services. Responsible for coordinating and conducting medical necessity reviews for all Medicare, AHCCCS, Self-pay, and all other payers, upon admission and concurrently throughout the admission.
EDUCATION: Bachelor's degree in Nursing from an accredited NLN/CCNE institution.
EXPERIENCE: 3 years as a Registered Nurse in an acute care setting.
CERTIFICATION/LICENSURE: RN Licensure