Utilization Review Specialist - Remote Role! - Tandym Group : Job Details

A growing health services network in New York is currently seeking an experienced, licensed Registered Nurse (RN) to join their Case Management team as a Utilization Review specialist. In this role, the Utilization Review Specialist (RN) will be responsible for assisting the team with utilization management and discharge planning. Fully remote role after training! About the Opportunity:

• Schedule: Monday to Friday
• Hours: 8:30am to 5pm
• Specialty: Case Management
• Setting: Fully remote after training except occasional onsite meeting

Responsibilities:The Utilization Review Specialist (RN) will:

• Carries out activities related to utilization management, discharge planning and care coordination
• Utilize data, trends and reports to proactively identify opportunities to improve processes and practice
• Performs as an integral part of the interdisciplinary team promotion interdisciplinary collaboration.
• Perform other duties, as needed

Qualifications:

• 3+ years of Clinical experience
• Bachelor's Degree in Nursing
• NYS Registered Nurse (RN) license
• Case Management with Utilization Review experience

• Certified in Case Management
• PRI
• Experience in a Emergency Room, Intensive Care, and/or Medical-Surgical setting