Clinical Review Nurse

4 weeks ago


Omaha, Nebraska, United States Applied Underwriters Full time
Job Summary

As a Clinical Review Nurse - Utilization Management, you will play a critical role in ensuring the medical necessity of care at all levels. You will utilize evidence-based guidelines to coordinate care across the continuum, interacting with physicians, providers, claimants, and peer reviewers. This position requires a current and unrestricted RN license in Nebraska or a compact state, with at least 5 years of clinical experience. Additionally, you should be familiar with utilization review processes, case management, and discharge planning. Proficiency in Microsoft Windows, including Word, Excel, Outlook, and creating PDFs, is also essential. You will have the ability to utilize template letters, forms, and creating summaries.

Benefits

Fully-paid employee Medical Insurance, Dental Insurance, and Vision Insurance
Fully-vested employer match 401(k)
Section 125 - Flexible Spending Account
In-house pharmacy provides employees significant savings and convenience
Tuition Reimbursement
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