About this role
Registered Nurse - Utilization Manager at ERP International, LLC. Location: Nellis AFB, Nevada, United States. Role: performing reviews, coordinating referrals, analyzing data Requirements: BSN required, active unrestricted RN license, BLS required; 3+ years nursing experience with 2+ years utilization management; knowledge of coding/InterQual or Milliman guidelines, DEERS and MHS GENESIS, Microsoft Office and Tiger Connect; strong communication and analytical skills. Category: Healthcare Services - Nursing Seniority: Mid Level Tools: Microsoft Outlook, Microsoft Excel, Microsoft PowerPoint, Microsoft Publisher, Microsoft Access, Skype, Tiger Connect, McKesson (InterQual), Milliman Care Guidelines, MHS GENESIS, Military Health System Population Health Portal (MHSPHP) CarePoint 4G, AFMS, TOPA, Defense Eligibility Enrollment Reporting System (DEERS), Defense Health Agency (DHA), HEDIS Certifications: rn, bls, certified managed care nurse, certified informatics nurse, ambulatory care nursing, medical-surgical nursing, nursing case management Commitment: Full Time Workplace: Onsite Languages: English