State Licensed Utilization Review Nurse
Job Summary
A company is looking for a Utilization Review Nurse - Full-Time.
Key Responsibilities
- Review and evaluate electronic medical records for emergency admissions and assess medical necessity
- Apply clinical guidelines to ensure proper utilization of healthcare resources
- Participate in discussions with physicians regarding documentation and admission status
Required Qualifications
- Current and unrestricted RN license
- At least 3 years of clinical experience in an acute care setting
- At least 2 years of utilization management experience in acute admissions
- Intermediate experience with InterQual and/or MCG criteria
- Proficiency in medical record review in an electronic medical record (EMR)
COMPLETE JOB DESCRIPTION
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