**Employment Type:**
Part time
**Shift:**

**Description:**
The Utilization Review (UR) Nurse has well-developed knowledge and skills in areas of utilization management (UM), medical necessity, and patient status determination. This individual supports the department by developing and/or
maintaining effective and efficient processes for determining the appropriate admission status based on the regulatory and reimbursement requirements of various commercial and government payers.
*****Hybrid Position*****

**_Position Purpose:_** Utilization Review (UR) Nurses play a vital role in healthcare by making sure that patients receive appropriate care while managing healthcare costs effectively. They assess patient care plans and medical records to verify the necessity and effectiveness of the treatments being proposed or provided.

**_What you will do:_**

*Reviews hospital admissions to ensure appropriate admission status in accordance with MCG...