More jobs:
Nurse Reviewer, Inpatient Utilization & Medical Necessity
Job in
Honolulu, Honolulu County, Hawaii, 96814, USA
Listed on 2026-08-29
Listing for:
Hawaii Medical Service Association
Full Time
position Listed on 2026-08-29
Job specializations:
-
Healthcare
Healthcare Nursing, Healthcare Administration
Job Description & How to Apply Below
Hawaii Medical Service Association is seeking a Concurrent Nurse Reviewer for the Facility Utilization Review Unit. The role requires applying clinical and policy criteria to determine the appropriateness of inpatient stays and suspended claims for HMSA members.
Under minimal supervision, you will coordinate with medical directors, case management, and other teams, ensuring accurate documentation and adherence to accrediting and regulatory guidelines. Hawaii licensure is required.
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