Rising Medical Solutions has an opening for a Utilization Review Nurse, and we want to hear from you! We're a bill review and cost containment company - so what does that mean? Basically we are trying to fix a very broken healthcare system by reducing the cost of healthcare claims through bill review, case management, and utilization review. Our mission is To make lives better and everyone here at Rising works hard to achieve this goal. So take a look at the job, let us know what you think, and let's start working towards a better future!

**This is a full-time position - 40 hours per week (Must work M-F each day).


Responsibilities

+ Perform all aspects of the Utilization Review Process

+ Review records and requests for UR, which may arrive via mail, e-mail, fax, or phone

+ Utilize evidence-based guidelines to determine if authorization can be given versus having to send the file or for Peer or Physician Review

+ Write nurse su...