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Registered Nurse Utilization Management
Job Summary
A company is looking for an RN Utilization Management Nurse for off-shift remote work.
Key Responsibilities
- Collaborates with healthcare providers to promote quality of care and cost-effectiveness
- Conducts clinical reviews to ensure medical necessity of services and documents relevant information
- Adheres to nursing policies and regulations while making decisions to ensure patient safety and compliance
Required Qualifications, Training, and Education
- Bachelor's degree in Nursing preferred
- Current active state Registered Nurse (RN) license in good standing required
- Minimum four years of clinical nursing experience in medical-surgical, surgical, or critical care nursing
- Experience in utilization management and/or medical review required
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COMPLETE JOB DESCRIPTION
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