Supervisor Utilization Review

In Utilization Management at Main Campus Lee Building Work schedule will be Full-time on the Day Shift, Monday

• Friday 8:00am - 4:30pm on call rotating weekend coverage. Summary: The Nurse Reviewer 3 is responsible for performing inpatient admission reviews, concurrent reviews, and observation reviews primarily for BCBS AL patients, based on Inter. Qual criteria and local policies. However, Nurse Reviewer 3 should also be capable of performing such reviews for AL Medicaid and other commercial payers if needed. Credentials with Equivalent Qualifications: Essential: * Registered Nurse AL Single State or any of the following equivalent qualifications below:
• Registered Nurse AL NLC Multi State
• Registered Nurse Non-AL NLC Multi State * Basic Life Support Education with Equivalent Qualifications: Essential: * Associate of Science Nursing in Nursing Experience with Equivalent Qualifications: Essential: * 5 Years Staff Level