DescriptionSummary:The Registered Nurse Utilization Review Lead will be the initial point of contact for the health plans utilization management team regarding any questions, issues, or concerns. The RN Utilization Review Lead effectively communicates with internal and external clinical professionals, efficiently organizes the financial insurance care of the patients, and relays clinical data to insurance providers and vendors to obtain approved certification for services. They critically think for appropriateness of care provided to the patients and competently utilize approved screening criteria. The RN Utilization Review Lead is responsible for hands-on leadership of the Utilization Management Nursing Team to contain medical costs, oversee th