RN Utilization Review Specialist — Elevate Outpatient Care

A healthcare organization in Alabama is seeking a Registered Nurse (RN) for Utilization Review. The RN will evaluate the medical necessity of outpatient services, ensuring quality patient care through evidence-based guidelines. Key responsibilities include conducting reviews, assessing documentation, referring cases, and maintaining communication with providers. Candidates must have an active RN license and a BSN, along with strong analytical and communication skills. This role may involve floating to other departments and participating in quality improvement initiatives. #J-18808-Ljbffr