New9h ago
- Specialty: Utilization Review
- Job type: Full-time
- Salary: $80,000 – $120,000
- License states: Maryland
RemoteBehavioral Health+2
Job details- Utilization Review
- Full-time
- $65,000 – $95,000
- License: Compact
- 3+ years
Job description
The Utilization Management Nurse Consultant uses clinical judgment to review medical necessity for inpatient and outpatient services, applying InterQual criteria. This is a 100% remote role requiring an active RN license (compact preferred) and 3+ years of acute care experience. Responsibilities include conducting concurrent and retrospective reviews, collaborating with physicians, and documenting decisions. Salary range $65,000-$95,000.
Key responsibilities
- Review medical necessity for inpatient and outpatient services using InterQual criteria
- Conduct concurrent and retrospective utilization reviews
- Collaborate with attending physicians and medical directors
- Document review decisions in the system
What you bring
- Active RN license (compact preferred)
- 3+ years acute care experience
- Knowledge of InterQual or MCG criteria
- Strong clinical judgment
Tags
100% RemoteUtilization ManagementInterQualCompact RN
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- New9h ago
- Specialty: Utilization Review
- Job type: Full-time
- Salary: $60,000 – $90,000
- License states: Maryland
RemoteBehavioral Health+2Job details - New9h ago
- Specialty: Utilization Review
- Job type: Full-time
- Salary: $70,000 – $90,000
- License states: Maryland
RemoteMaryland RN+2Job details