Job Summary

• The role involves performing concurrent inpatient utilization reviews using InterQual criteria to determine if requests meet medical necessity standards.
• Candidates must engage in clinical collaboration with attending physicians and hospitalists to discuss medical necessity determinations and support appropriate level-of-care decisions.
• The position offers a base salary of $75,000 annually plus quarterly bonuses based on performance, along with comprehensive benefits including health insurance and 401K.

Matching Summary

Salary

Base: $75,000/yr; Bonus: Quarterly bonus based on performance; Benefits: Health, Dental, Vision, 401K, PTO

Skills & Requirements

Key Requirements

• Active unrestricted RN license in the U.S.
• Two years of acute care nursing experience
• Two years of inpatient utilization management experience
• BSN degree preferred
• Willingness to maintain InterQual certification

Work Rights