Utilization Review Nurse Interview Questions


Utilization Review Nurse interview questions shared by candidates

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Anthem Blue Cross and Blue Shield
Utilization Review Nurse was asked...July 23, 2020

Tell us about yourself. Describe your work experience. What can you bring to the table for our company.

2 Answers

I am a RN with years of experience with both direct patient care then transitioning into Case Management which has been my focus for over 8 years. I have worked in the role as a Community Based Health Manager with my most recent experience since 2018 - present in Utilization Review, completing reviews using MCG criteria amongst multiple other responsibilities while interacting with team Members and Physicians. Less

I bring to this role a strong work ethic as well as the ability to work efficiently and independently. Less

VA Health

Have you ever had many different tasks given to you at the same time? How did you manage these

1 Answers

Need to say what happened, how you solved the problem and what was the outcome.

Passport Health Plan by Molina Healthcare

Why do you think you would be a good fit for this job?

1 Answers

My previous experience was a perfect fit for this jobs requirements and just explained that I was confident in my abilities. Mainly talked about certain cases and how I would handle them in regards to nursing judgement. Less


why I wanted to change from hands on

1 Answers

I was very Honest I needed a change

McBee Associates

Lets role play an actual phone call to a provider....

1 Answers

Good afternoon ! My name is LauraLynn and I am a nurse calling from McBee Associates on behalf of a patient whom you have had under your care recently. I would like just a few moments of your time to discuss initial eligibility and coverage determinations for “ Mr B “, screening for medical necessity appropriateness, determining additional information required, and referral to correct departments. Is now a good time for you to discuss this in its entire ready or is there a better time either later today or tomorrow for us to discuss this at length? Less

Fresno County

What skills do you have to better serve the people we serve

1 Answers

From memory

Cambia Health Solutions

How have you handled a time you did not agree with your supervisor?

1 Answers

I requested a private meeting to further my understanding of the issue.

AmeriHealth Caritas

Name a time when..., what is your biggest professional accomplishment up to this point?

1 Answers

When I finished medical assistance program


What do you do for stress?

1 Answers

Exercise, read a book, listen to music

UnitedHealth Group

If your house was on fire, what would be the top 3 things you would grab from the burning home?

1 Answers

Loaded question. They'll use it to judge you by *their* standards, which may differ from your own. For instance, if you say "pets, husband, purse" they will think that you value superficial stuff over human (not realizing that husbands can get their own self out but pets need help, and if you have your purse/wallet, you can at least call your insurance company and get a room for the night). I bet some interviewers would like to see "my Bible" in that list. Less

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