RN Utilization Review Coordinator - Remote

Overview

The RN Utilization Review Coordinator works collaboratively with a multidisciplinary team to ensure patients receive efficient and cost-effective care, while serving as a liaison between the hospital and external payers.

In Short

• Full-time position with day shift.
• Coordinates utilization review processes.
• Works with physicians, nurses, and billing staff.
• Ensures quality outcomes and appropriate level of care.
• Requires current GA RN license and BLS certification.
• 3-5 years of related experience required.
• Strong organizational and communication skills are necessary.
• Knowledge of EPIC and Microsoft Office preferred.
• Must work independently with indirect supervision.
• Commitment to diversity and inclusion in healthcare.

Requirements

• Current GA RN license.
• BLS certification required.
• Graduation from an accredited nursing school.
• 3-5 years of related clinical experience.
• Strong clinical and analytical skills.
• Excellent interpersonal and communication skills.
• Ability to concentrate and pay attention to detail.
• Basic computer skills required; proficiency in Microsoft Office preferred.
• Ability to work independently.
• Competence in care for various age groups.

Benefits

• Part of a large not-for-profit healthcare system.
• Commitment to diversity, equity, and inclusion.
• Opportunities for professional growth.
• Access to community benefit programs.
• Supportive work environment.