Utilization Review Nurse Resume Example + Salaries, Writing tips and Information

Michael Taylor

123 Fake Street

City, State, Zip Code

Cell: 000-000-0000

email@email.com

Summary

Utilization Review Nurse compares service levels with patient records to verify that all medical standards are being followed. Reviews files, updates records and discusses results with medical staff. Specializes in reviewing cases for senior citizens.

 

Highlights

• Attention to detail


• Microsoft Office


• Filing


• Lifts more than 200 pounds


• Oracle database


• Good phone skills


• Medicine standards or care


• Friendly


• Written and spoken communication skills

 

Work Experience

January 2008 to November 2010 Company Name

– City, State Utilization Review Nurse

– Reviewed client records to compare utilization levels to expected standards of care.

– Updated 1,239 medical records.

– Reported results to State Board of Medicine.

December 2010 to February 2012 Company Name

– City, State Utilization Review Nurse

– Worked with insurance companies to provide list of expected patient care services.

– Contacted average of 10 insurance companies each week.

– Assesses time parameters for when patient is ready to return home.

May 2012 to April 2014 Company Name

– City, State Utilization Review Nurse

– Reviewed medical claims to compare service level to industry average.

– Considered average of 17 cases per day.

– Remained on-call when insurance company need to review a medical claim quickly.

 

Education

2004 Brickashaw State University, City, State Certification, Health Care Management