UTILIZATION REVIEW RN
Seymour, IN · On-site
Bachelors Degree in Nursing with case management certification LICENSE/CERTIFICATION Licensed RN in ... Utilization Review and Medical Necessity * Concurrent Review and Length of Stay Management
UTILIZATION REVIEW RN
Seymour, IN · On-site
Bachelors Degree in Nursing with case management certification LICENSE/CERTIFICATION Licensed RN in ... Utilization Review and Medical Necessity * Concurrent Review and Length of Stay Management
UTILIZATION REVIEW RN
Seymour, IN · On-site
Bachelors Degree in Nursing with case management certification LICENSE/CERTIFICATION Licensed RN in ... DUTIES 1. Utilization Review and Medical Necessity 2. Concurrent Review and Length of Stay ...
UTILIZATION REVIEW RN
Seymour, IN · On-site
Bachelors Degree in Nursing with case management certification LICENSE/CERTIFICATION Licensed RN in ... DUTIES 1. Utilization Review and Medical Necessity 2. Concurrent Review and Length of Stay ...
Utilization Review RN
$30 - $34/hr
Expected to review 20 cases a day with a 95% accuracy rate. Responsible for collaborating with ... Must have clear and active RN license in the state of IN * 2 years of experience in a acute care ...
Utilization Review RN
$30 - $34/hr
Expected to review 20 cases a day with a 95% accuracy rate. Responsible for collaborating with ... Must have clear and active RN license in the state of IN * 2 years of experience in a acute care ...
... setting reviews to ensure compliance with applicable criteria, medical policy, and member ... Must have clear and active RN license in the state of IN * AS/BS in Nursing or combination of ...
... setting reviews to ensure compliance with applicable criteria, medical policy, and member ... Must have clear and active RN license in the state of IN * AS/BS in Nursing or combination of ...
Previous utilization review experience in a psychiatric healthcare facility preferred ... License: Current unencumbered clinical license strongly preferred. * Additional Requirements: CPR ...
Previous utilization review experience in a psychiatric healthcare facility preferred ... License: Current unencumbered clinical license strongly preferred. * Additional Requirements: CPR ...
Cooperates and maintains good rapport with nursing staff, medical staff, and other departments ... Licensure: Certified Case Manager (CCM) or Accredited Case Manager (ACM) preferred. Basic Life ...
Cooperates and maintains good rapport with nursing staff, medical staff, and other departments ... Licensure: Certified Case Manager (CCM) or Accredited Case Manager (ACM) preferred. Basic Life ...
Previous utilization review experience in a psychiatric healthcare facility preferred ... License: Current unencumbered clinical license strongly preferred. * Additional Requirements: CPR ...
Previous utilization review experience in a psychiatric healthcare facility preferred ... License: Current unencumbered clinical license strongly preferred. * Additional Requirements: CPR ...
Cooperates and maintains good rapport with nursing staff, medical staff, and other departments ... Licensure: Certified Case Manager (CCM) or Accredited Case Manager (ACM) preferred. Basic Life ...
Cooperates and maintains good rapport with nursing staff, medical staff, and other departments ... Licensure: Certified Case Manager (CCM) or Accredited Case Manager (ACM) preferred. Basic Life ...
Cooperates and maintains good rapport with nursing staff, medical staff, and other departments ... Licensure: Certified Case Manager (CCM) or Accredited Case Manager (ACM) preferred. Basic Life ...
Cooperates and maintains good rapport with nursing staff, medical staff, and other departments ... Licensure: Certified Case Manager (CCM) or Accredited Case Manager (ACM) preferred. Basic Life ...
... thorough review of the total resources available to patient pre and post-discharge from ... Bachelor's degree in related field with 3-5 years' experience * LPN or RN experience preferred ...
... thorough review of the total resources available to patient pre and post-discharge from ... Bachelor's degree in related field with 3-5 years' experience * LPN or RN experience preferred ...
... thorough review of the total resources available to patient pre and post-discharge from ... Bachelor's degree in related field with 3-5 years' experience * LPN or RN experience preferred ...
... thorough review of the total resources available to patient pre and post-discharge from ... Bachelor's degree in related field with 3-5 years' experience * LPN or RN experience preferred ...
... thorough review of the total resources available to patient pre and post-discharge from ... Bachelor's degree in related field with 3-5 years' experience * LPN or RN experience preferred ...
... thorough review of the total resources available to patient pre and post-discharge from ... Bachelor's degree in related field with 3-5 years' experience * LPN or RN experience preferred ...
... oversees utilization management including, but not limited to: utilization review, case ... Must have Registered Nurse license or Master's Degree. Experience: 5-7 yrs acute inpatient ...
... oversees utilization management including, but not limited to: utilization review, case ... Must have Registered Nurse license or Master's Degree. Experience: 5-7 yrs acute inpatient ...
... thorough review of the total resources available to patient pre and post-discharge from ... N experience preferredHoursMonday - Friday (8:30am-5:00pm)This position is on-site at RHI The ...
Quick apply
... thorough review of the total resources available to patient pre and post-discharge from ... N experience preferredHoursMonday - Friday (8:30am-5:00pm)This position is on-site at RHI The ...
Reviewing patient admission clinical information using clinical criteria and guidelines available ... Maintains license/certification, registration in good standing throughout fiscal year. * Direct ...
Reviewing patient admission clinical information using clinical criteria and guidelines available ... Maintains license/certification, registration in good standing throughout fiscal year. * Direct ...
Reviewing patient admission clinical information using clinical criteria and guidelines available ... Maintains license/certification, registration in good standing throughout fiscal year. * Direct ...
Reviewing patient admission clinical information using clinical criteria and guidelines available ... Maintains license/certification, registration in good standing throughout fiscal year. * Direct ...
Reviewing patient admission clinical information using clinical criteria and guidelines available ... Maintains license/certification, registration in good standing throughout fiscal year. * Direct ...
Reviewing patient admission clinical information using clinical criteria and guidelines available ... Maintains license/certification, registration in good standing throughout fiscal year. * Direct ...
Reviewing patient admission clinical information using clinical criteria and guidelines available ... Maintains license/certification, registration in good standing throughout fiscal year. * Direct ...
Reviewing patient admission clinical information using clinical criteria and guidelines available ... Maintains license/certification, registration in good standing throughout fiscal year. * Direct ...
Cooperates and maintains good rapport with nursing staff, medical staff, and other departments ... Licensure: Certified Case Manager (CCM) or Accredited Case Manager (ACM) preferred. Basic Life ...
Cooperates and maintains good rapport with nursing staff, medical staff, and other departments ... Licensure: Certified Case Manager (CCM) or Accredited Case Manager (ACM) preferred. Basic Life ...
Cooperates and maintains good rapport with nursing staff, medical staff, and other departments ... Licensure: Certified Case Manager (CCM) or Accredited Case Manager (ACM) preferred. Basic Life ...
Cooperates and maintains good rapport with nursing staff, medical staff, and other departments ... Licensure: Certified Case Manager (CCM) or Accredited Case Manager (ACM) preferred. Basic Life ...
Utilization Review Nurse Compact License information
What is a utilization review nurse with a compact license?
A Utilization Review Nurse with a Compact License is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services provided to patients, ensuring they meet established criteria and guidelines. Holding a Compact License means the nurse is authorized to practice in multiple states that are part of the Nurse Licensure Compact (NLC), making them eligible for remote or multi-state utilization review positions. This role involves reviewing medical records, collaborating with healthcare providers, and helping ensure patients receive appropriate care while controlling healthcare costs.
What are the key skills and qualifications needed to thrive as a utilization review nurse with a compact license?
To thrive as a Utilization Review Nurse with a Compact License, you need a current RN license (valid under the Nurse Licensure Compact), strong clinical judgment, and in-depth knowledge of medical necessity criteria and healthcare regulations. Familiarity with utilization management software, electronic health records (EHRs), and standardized review tools like InterQual or Milliman is typically required. Excellent communication, critical thinking, and attention to detail are essential soft skills for collaborating with healthcare providers and ensuring accurate documentation. These skills and qualifications are vital to ensure cost-effective, quality patient care while maintaining compliance with regulatory standards across multiple states.
What are the typical challenges utilization review nurses with a compact license face when managing cases across multiple states?
Utilization Review Nurses with a Compact License often manage cases for patients located in various states, which can present challenges such as staying updated on differing state-specific regulations, payer policies, and healthcare guidelines. Navigating multiple systems and ensuring compliance with each state’s requirements can be complex and requires strong organizational skills. Collaboration with multidisciplinary teams and timely communication with providers in different locations are essential for effectively coordinating care and maintaining efficiency. Many employers offer robust onboarding and ongoing training to help UR nurses stay current and confident in managing cross-state cases.
What is the difference between Utilization Review Nurse Compact License vs Utilization Review Nurse State License?
| Aspect | Utilization Review Nurse Compact License | Utilization Review Nurse State License |
|---|---|---|
| Credentials | Multi-state license valid in participating states | License specific to one state |
| Work Environment | Allows practice across multiple states without multiple licenses | Limited to practicing within the issuing state |
| Employer & Industry Usage | Preferred for telehealth and multi-state employers | Required for in-state employment or non-participating states |
| Search & Comparison Intent | Commonly compared for flexibility in multi-state roles | Standard license for local practice |
The Utilization Review Nurse Compact License enables nurses to work across multiple states with a single license, increasing flexibility for telehealth and multi-state employers. In contrast, a Utilization Review Nurse State License restricts practice to one state, suitable for local or in-state roles. Choosing between them depends on your work location and employer needs.
What are popular job titles related to Utilization Review Nurse Compact License jobs in Indiana?
For Utilization Review Nurse Compact License jobs in Indiana, the most frequently searched job titles are:
What job categories do people searching Utilization Review Nurse Compact License jobs in Indiana look for?
The top searched job categories for Utilization Review Nurse Compact License jobs in Indiana are:
- Remote Utilization Review
- Remote Navihealth Utilization Review
- Aetna Utilization Review Nurse
- Volunteer Aetna Utilization Review Nurse
- Lpn Utilization Review Work From Home
- Weekend Utilization Review
- Temporary Aetna Utilization Review Nurse
- Remote Utilization Review Nurse Practitioner
- Remote Rn Utilization Review Nurse
- Lpn Utilization Review
What cities in Indiana are hiring for Utilization Review Nurse Compact License jobs?
Cities in Indiana with the most Utilization Review Nurse Compact License job openings:
Schneck Medical Center rating
7.2
Based on 14 frontline employees who took The Breakroom Quiz
424th of 1,062 rated hospitals
Job description
Job Details
SALARY / 8:00am - 5:00pm / with on-call, weekend, & holiday rotation required
ELIGIBLE FOR $2,000 SIGN-ON BONUS!
JOB REQUIREMENTS EDUCATION Minimum: Graduate of accredited school of nursing (BSN Preferred) Preferred: Bachelors Degree in Nursing with case management certification
LICENSE/CERTIFICATION Licensed RN in State of Indiana. Certification plan in place within 24 months of hire.
EXPERIENCE Minimum: 2-3 years of acute care clinical experience Preferred: 3-5 years of acute care clinical experience with strong knowledge of medical necessity criteria and payer requirements
JOB DUTIES
- Utilization Review and Medical Necessity
- Concurrent Review and Length of Stay Management
- Retrospective Review
- Payer Communication & Authorization
- Denials Management and Appeals
Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
What Schneck Medical Center employees say
Pay
Benefits
Hours and flexibility
Workplace
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About Schneck Medical Center
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
Seymour, IN, US
Year founded
1911