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Remote Utilization Review Registered Nurse

Job is Expired
Location: Nationwide
Compensation: To Be Discussed
Staff Reviewed: Tue, Dec 21, 2021
Job Category: Healthcare
Weekly Hours: Full Time
Employer Type: Employer
Career Level: Experienced

Job Summary

A software development company that works on electronic health records is filling a position for a Remote Utilization Review Registered Nurse.

Core Responsibilities Include:

  • Reviewing electronic medical records of emergency department admissions
  • Participating in telephonic discussions with emergency department physicians
  • Entering clinical review information into system for transmission to insurance companies

Required Skills:

  • Current RN licensure
  • At least 5 years clinical experience in acute care setting in emergency room
  • Experience also includes critical care and/or medical/surgical nursing
  • At least 3 years case management, concurrent review or utilization management experience
  • Experience with InterQual and/or MCG criteria
  • Proficiency in medical record review

COMPLETE JOB DESCRIPTION

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