Title: Utilization Review Lead
Location: Anacortes, WA
Duration: Per Diem Position
Responsibilities
- The Utilization Review RN, Lead is responsible for the oversight, planning, direction and coordination of Utilization Review (UR) services of the Care Management Department under the leadership of the ACU/CM
- Responsible for compliance with all CMS regulations.
- Provides Utilization Review support, education and guidance for other UR RNs, and education and direction for Social Workers, as relevant to their responsibilities
- Adhere to compliance guidelines throughout processes (OSHA, FDA, HIPAA)
