Oregon and Washington Licensed Utilization Review RN
Job Summary
A company is looking for a Utilization Review RN - Remote.
Key Responsibilities
- Administer medical management programs including prior authorization and concurrent reviews
- Conduct retrospective reviews of claims and data for care coordination and discharge planning
- Develop medical policies and perform medical claims audits
Required Qualifications
- 5 years of clinical nursing experience
- Oregon Registered Nurse License and Washington State Registered Nurse License upon hire
- Experience in collaboration and management of patient care with physicians
COMPLETE JOB DESCRIPTION
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