Utilization Review

Specialties Case Management

Published

How does one get started in doing Utilization review? Do you have to have a certificate and where does one get that? I have done floor nursing for many years and need to get off the floor.. Thank you..:yeah:

Did you find a new role? The health market is booming and opportunities are endless. A lot of work from home jobs that I never knew existed. I love working from home and hope to never return to beside or I end up with a worse back and on disability at such a young age. I just can't do it anymore.

Any advice for a nurse without acute care experience who's interested in UR? 12 years as RN and background includes DON at a nursing home, public health, then primary care nurse.

08/13/17

mersekrn,

May I ask if you are still in the position as a Utilization Review Nurse Consultant for Aetna and if you still like it? Any feedback you have will be appreciated.

I know your post is quite old but do you mind PM'ing that company you had a bad experience with? I'm applying for UR jobs now and I was hoping to have better insight on which insurance companies to apply for. Thanks!

LCFNPCM, I know your post is quite old but do you mind PM'ing me that company you had a bad experience with? I'm applying for UR jobs now and I wanted to get a better insight on which companies to apply for. Thanks!

Hi, I need your help :) I hope you are you able to share to me the company you've worked with and I'll try see if there are position for nurse reviewer available? Thank you!

I have been a nurse and ready for a change. I have tried many times for a case management or UR position only to be notified that I do not have the position and thank you for applying. I do not know what else to do I am in great need to make a switch but where do I begin or get the qualification/experience for these positions

I currently work from home as a UR nurse. I did not get any specific certification or training in this type of nursing. I started by applying to a start up Workers' comp company and got hired. I do know a contact that is hiring. You can message me if interested.

Lila13, I am interested, would you have the time to send me the information? Thank you

Unfortunately I cannot PM you because I am a new user.

I have been looking into UR and Case Management and would greatly appreciate if you messaged me the contact information, if they are still looking to hire

Hi Lila13, can you message me regarding the worker's comp position please? I have seven years of behavioral health experience. Client's with dual medical diagnosis. I have applied for UM/Case manager work at home jobs and its always they've found someone with more experience. Can you give me some insight or guidance?

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