Utilization Review Nurse-Remote

Tenet Healthcare Corporation Frisco , TX 75034

Posted 2 months ago


Bachelordegree in a health related field, five (5) years of UM/CM experience, and CCMpreferred. Registered Nurse license andthree to five (3-5) years of diverse clinical experience required.


  • Currentactive professional license in the state of residence

  • Eligibilityfor unrestricted professional licenses in all states

  • Competencyin Microsoft Word

  • Competencyin using email, attachments

  • Excellentverbal communication skills with the ability to communicate with participantsand communicate professionally with individuals who serve in a variety offunctions, i.e. physicians, account managers, brokers, customer service staff,IMMS executive management, other IMMS Medical Management nurses, hospitalutilization review nurses, etc.

  • Excellentwritten communication skills with the ability to write in a professional,business manner

  • Abilityto analyze and resolve complex problems

  • Excellentorganizational and prioritization skills

  • Excellenttime management skills

  • Abilityand willingness to function as part of a team

  • Abilityand willingness to function independently

  • Flexibilityand willingness to change

  • Understandingof IMMS holistic approach to medical management

  • Understandingof the client's (customer's) perspective and needs

  • Understandingof legislative acts, such as the ADA


  • Complieswith laws and regulations that govern the medical management services.

  • Adheresto IMMS Policies and Procedures

  • FollowsPolicies and Procedures for Personal Health Management and utilizationmanagement

  • Understandsof IMMS holistic approach to medical management

  • Understandsthe client's (customer's) perspective and needs

  • Adheresto of the CMSA Standards of Practice

  • Advocatesfor participant to obtain quality health care

  • Identifiesliability issues associated with the performance of medical management

  • Adheresto CMSA Standards of Practice and Professional Code of Ethics


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Utilization Review Nurse-Remote

Tenet Healthcare Corporation