EdiPhy Advisors

Remote RN Utilization Review Nurse Full-Time Weekends 7:30am-6pm Wed-Sat

Posted on

February 20, 2025

Job Type

Full-Time

Role Type

Utilization Review

License

RN

State License

Alabama

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Company Description

EdiPhy Advisors is a URAC-accredited provider, demonstrating excellence in compliance for more than 20 years. Our Birmingham, Alabama offices are located in Liberty Park’s award-winning Urban Center, conveniently located off I-459.

Job Description

Full-Time Weekends 7:30am-6pm Wed-Sat Are you an experienced utilization review nurse ready to showcase your clinical knowledge with a cohesive team of medical, administrative and IT experts? EdiPhy Advisors LLC, a nationwide provider of highly customized physician advisor services, is expanding our licensed Clinical Care Coordinator team.

Requirements

1 year of InterQual experience Active RN license 3-5 years clinical experience as an RN in a critical care environment is required. Med/surg preferred; Strong clinical skills and knowledge, and the ability to recognize when quality issues exist; Outstanding computer, interpersonal, and organizational skills; Proficiency in written and verbal communication; Great problem-solving expertise and enthusiasm for analyzing complex situations;

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Responsibilities

Our nurses work with a strong group of board certified practicing physicians, skilled administrators and a state-of-the-art technical staff to review medical records and advise on things like level of care, medical necessity, services needed, outcomes evaluations and clinical audits. They communicate every day in a complex, time-sensitive manner to assure that quality, cost-effective health care is provided in the most appropriate setting.

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