About this role
Utilization Management Clinical Reviewer at TriWest Healthcare Alliance. Location: Phoenix or Alaska or Arkansas or Arizona or Colorado or Florida or Hawaii or Iowa or Idaho or Illinois or Kansas or Louisiana or Maryland or Minnesota or Missouri or Montana or Nebraska or Nevada or New Mexico or North Carolina or North Dakota or Oklahoma or Oregon or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or District of Columbia or Washington or Wisconsin or Wyoming. Role: reviewing cases, assessing necessity, documenting decisions Requirements: Active unrestricted RN license, U.S. citizenship, favorable DoD background investigation, 2+ years clinical and 2+ years UM experience, Microsoft Office proficiency, strong communication and critical thinking. Category: Healthcare Services - Nursing Seniority: Entry Level Tools: Microsoft Teams, Microsoft Word, Microsoft Excel, Microsoft Outlook, InterQual, TriWest Intranet Certifications: registered nurse (rn) Commitment: Full Time Workplace: Remote Languages: English