Registered Nurse

Full Job Description

Registered Nurses in this position are responsible for clinical criteria reviews to help determine medical necessity. You will work indirectly with a variety of stakeholders, including the members. Evaluation and implementation of state rules, Medicaid policies,
and CMS regulations.

*YOU MUST HAVE AN ACTIVE REGISTERED NURSE LICENSURE WITH THE STATE OF UTAH*

The ideal candidate hired for this position will have experience:

• Reviewing Medical Criteria

• Implementing state and federal policies

• Medical document auditing

• Home Health Care

• Behavioral Health Care

• Google/Microsoft Office operations

  
  

Why work for the Utah Department of Health and Human Services? In addition to the rich benefits the State of Utah offers, the department offers:

• On-site fitness center, for a minimal membership fee
• UTA Eco Pass, at a discounted monthly rate
• Teleworking opportunities with a minimum 2 office days per week beginning 04/2024.
• On-site day care center at the Cannon Health Building with First Steps Day Care - contact for rates and availability, 801-538-6996

For more information on the Utah Department of Health and Human Services, please click here.

Additional Information

• Effective July 1, 2021, State of Utah Employees must either reside in Utah or be in the process of relocating to within 30 days of their start date.

• This position may currently be a hybrid of both in-office and remote work days. Please note, a position's eligibility for remote work is established by agency management and is subject to change at their discretion, at any time, and for any reason.