How to be a Utilization Review Nurse?

Published

I have ten years experience as a Nurse. Mostly Operating Room. But I am very interested in becoming a Utilization Review Nurse. How can I become one? Do I need to take classes? What else can I do? Feedback or suggestions would be much appreciated!

For a Utilization Reviewer / UM Reviewer, do you have to have a RN license in the same state you practice or can it be in any state?  Asking, because my RN license is in Ohio and I currently live in a different state. 

Up Vote Up Vote ×
Specializes in Cardiac.
caramellhoney said:

Im a former peds nurse. I just kept applying until I got in. Honestly I was just looking for a job away from bedside. It's actually quite interesting. I work in an office for now bur eventually I will be working from home where the other 12-14 UM nurses work. We do reviews using interqual. I honestly had no idea what it was until I was called back for an interview and got online and researched. Sk far I like it. It's a major change going from 3 nights a week to 5 days a week. Like life altering. I'm still adjusting

Are you still doing UM work?  How do you like it?  I am looking to apply to do UM work too. I have been a floor nurse (Cardiology, Med/Surg) for 31 yrs. Also, I have done some HH & Radiology dept. too.  How many patient's charts do you have to review each day, and are you able to get them done in your 8 hrs shift?

Up Vote Up Vote ×
+ Join the Discussion