Utilization Management Registered Nurse

Job description

Job Description Spectrum Healthcare Resources has an excellent opportunity for a civilian Utilization Management Registered Nurse at FE Warren Air Force Base in Cheyenne, WY. - Full-time opportunity - Monday - Friday (0700-1700) - No weekends, on-call or holidays required - Provide care and resources to military community - Full complement of benefits to include health, dental and vision insurance, PTO, 11 Paid Holidays, 401(k) and more - Pay range is $39-48/hour Job Requirements: - BSN Degree - 6 years of clinical nursing experience and 1 year of utilization management experience required - Knowledge, skills and computer literacy to interpret and apply medical care criteria, such as InterQual or Milliman Ambulatory Care Guidelines. - Experience in performing prospective, concurrent, and retrospective reviews to justify medical necessity for medical care to aid in collection and recovery from multiple insurance carriers. - Current RN license in Wyoming Job duties: - Monitor specialty care referrals for appropriateness, covered benefit, and authorized surgery/medical procedures, laboratory, radiology, pharmacy, and general hospital procedures and regulations to analyze medical refer...