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Remote Utilization Review Registered Nurse

Job is Expired
Location: Nationwide
Compensation: Salary
Staff Reviewed: Thu, Mar 02, 2023
Job Category: Healthcare
Weekly Hours: Full Time
Employment Status: Permanent
Employer Type: Employer
Career Level: Experienced
Education Level: Bachelors, Masters

Job Summary

A provider of consulting services to the public sector and commercial markets is in need of a Remote Utilization Review Registered Nurse.

Individual must be able to fulfill the following responsibilities:

  • Support the care management model as a working partner with providers
  • Adhere to communicated utilization management productivity metrics
  • Adhere to quality standards for utilization management per policy

Skills and Requirements Include:

  • Graduate of an accredited school of nursing, RN
  • Current Registered Nurse license in the state of hire
  • Minimum of 3 years clinical experience
  • Minimum of 2 years Utilization Management experience
  • Clinical Denials Experience
  • Attention to detail, strong organizational skills and self-motivated

COMPLETE JOB DESCRIPTION

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