Utilization Management Nurse Reviewer

Requirements

• Requires a current and unrestricted RN license in the state of Nebraska or that of a compact state, and at least 5 years of clinical experience.
• Familiar with utilization review process, case management, and/or discharge planning.
• Proficient using Microsoft Windows, including Word, Excel, Outlook, how to search for files, and create PDFs.
• Ability to utilize template letters, forms, and creating summaries.

Additional Information

Embark on a rewarding career journey at Applied Underwriters, where employees have been at the heart of our success story for more than 30 years. Headquartered in Omaha, NE, our company thrives on innovation and empowers our employees to shape the future of global risk services. Join a team where your ideas are valued and your talents are nurtured with formal, paid training and mentorship. Experience a workplace culture that celebrates initiative, recognizes results, and provides outstanding benefits that allow you to focus on achieving your full potential. Workers' compensation utilization management activities include the review of clinical information to determine medical necessity at all levels of care. You will utilize criteria, or evidence-based guidelines, coordinate of care across the continuum, and interact with physicians, providers, claimants and peer reviewers as part of the utilization management process. Applied Underwriters is a global risk services firm helping business and people manage uncertainty through its business services, insurance, and reinsurance solutions. As a company, we truly operate differently within our business sector. Applied Underwriters has one of the highest customer retention rates in the industry - a success directly attributed to our employees and their high level of commitment, hard work, and ambition.

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