Utilization Management RN – Acute Care & Care Coordination

A national healthcare recruiting firm is seeking a Clinical Reviewer to promote quality and cost-effectiveness in medical care. The role involves reviewing emergent/urgent care requests, conducting clinical necessity reviews, and collaborating with provider networks. Candidates should have 2+ years of clinical nursing experience in an acute care setting and at least 1 year of utilization management experience in managed care. Strong communication skills and knowledge of medical decision support tools are important for this role. #J-18808-Ljbffr