RN Utilization Review, Weekend, Days
Compensation
Not listed
Type
Part-time
Location
Louisville, Kentucky
Posted
Sep 18, 2026
Requirements Summary
The role requires a Registered Nurse (RN) with experience in utilization review and clinical documentation. Candidates must be proficient in navigating insurance, Medicare, and Medicaid guidelines to ensure appropriate patient care and billing compliance.
Core Responsibilities
The Utilization Review RN is responsible for performing utilization management activities, including making clinical recommendations regarding medical necessity for admissions and continued stays. They also screen patients against client-specific, insurance, Medicare, and Medicaid guidelines while managing payor-specific notifications.
Key Skills
Company Information
- Industry: Hospitals and Health Care
- Company Size: 10,001+ employees
- Type: Nonprofit
- Specialties: Health Care, Patient Care, Medical Specialty Care, Hospital, Physician, Surgery, Orthopedics, Sports Medicine, Cardiovascular Medicine, Transplant, Neurosciences, Oncology, and Nursing
Full Job Description
Primary Location: 250 E Liberty St Address: 250 East Liberty St. Louisville, KY 40202 Shift: Weekend Days (United States of America) Job Description Summary: Job Description: The Utilization Review RN performs activities which support the Utilization Management functions. They are responsible for the delivery of the Utilization Management process including but not limited to: making clinical recommendations regarding medical necessity for admission and continues stay, screens patients for client specific guidelines regarding insurance, Medicare and/or Medicaid guidelines, send payor specific Notice of Admission and continued stay reviews. Additional Job Description: