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Remote Utilization Review Registered Nurse

Job is Expired
Location: Nationwide
Compensation: To Be Discussed
Staff Reviewed: Wed, Mar 29, 2023
Job Category: Healthcare
Weekly Hours: Full Time
Employer Type: Employer
Career Level: Experienced

Job Summary

A software development company has an open position for a Remote Utilization Review Registered Nurse.

Individual must be able to fulfill the following responsibilities:

  • Review electronic medical records of emergency department admissions
  • Screen for medical necessity, using InterQual or MCG criteria
  • Enter clinical review information into system

Qualifications Include:

  • Current RN licensure
  • 5 years clinical experience in acute care setting in emergency room, critical care and/or medical/surgical nursing
  • 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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