Registered Nurse Utilization Management
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Job Summary
Seeking an experienced Registered Nurse Utilization Management, the full-time remote position will manage clinical assessments, apply evidence-based criteria for coverage determinations, and collaborate with healthcare teams to enhance patient outcomes.
Key responsibilities
- Review and assess clinical information to support coverage determinations and recommendations
- Apply evidence-based clinical criteria and collaborate with providers to coordinate care
- Identify opportunities for quality improvement and serve as a clinical resource for stakeholders
Required qualifications
- Active, unrestricted RN license in the state of residence
- Minimum 2 years of RN experience in an adult acute care or critical care setting
- Associate's degree in nursing
Complete Job Description
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