Utilization Review Nurse: Optimize Care & Payer Outcomes

A healthcare organization based in Tennessee seeks a Clinical Utilization Review Specialist responsible for evaluating hospital services' necessity and appropriateness. The role involves conducting admission reviews, collaborating with healthcare providers, and ensuring compliance with payer requirements. Candidates should have an Associate's Degree in Nursing and 2-4 years of related clinical experience. Strong analytical, communication skills, and familiarity with utilization management are essential for success in this position. #J-18808-Ljbffr