Utilization Review Nurse

Utilization Review Nurse

Day shift role focused on reviewing patient medical records and clinical documentation to ensure appropriate utilization of healthcare services, compliance with regulatory standards, and optimal patient outcomes.

You will collaborate with physicians, case managers, coding specialists, and other multidisciplinary team members to support utilization management and discharge planning processes. The role involves evaluating inpatient and outpatient cases, maintaining detailed utilization review logs, and communicating findings to stakeholders for timely decision-making.