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Remote Utilization Review RN
Job Summary
A company is looking for a Remote Utilization Review RN.
Key Responsibilities:
- Complete quality audits of physician case reviews using national medical guidelines
- Format reviews according to specific requirements
- Resolve operational issues and communicate with reviewers and practitioners/providers
Required Qualifications:
- Hold both a Compact RN License and a single state license
- Minimum 3 years of RN experience in a clinical setting
- Hospital bedside nursing experience
- Utilization Review experience is helpful, but not required
- Milliman or Interqual experience is a plus
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COMPLETE JOB DESCRIPTION
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