California Licensed RN Utilization Review
Job Summary
A company is looking for an RN Utilization Review to conduct utilization reviews remotely.
Key Responsibilities
- Perform prospective, retrospective, and concurrent utilization reviews for Southern CA ministries
- Conduct clinical reviews and review medical records daily during admissions for all payers
- Effectively manage a diverse workload in a fast-paced regulatory environment
Required Qualifications
- Associate's Degree in Nursing
- California Registered Nurse License upon hire
- 2 years of experience in a remote Utilization Review environment or as an acute hospital case manager
COMPLETE JOB DESCRIPTION
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