Utilization Review RN

Job is Expired

Location: Remote

Compensation: Salary

Staff Reviewed: Tue, Apr 23, 2024

Job Category: Healthcare

Weekly Hours: Full Time

Employment Status: Permanent

Career Level: Experienced

Education Level: Bachelors, Masters

Job Summary

A company is looking for a Utilization Review RN.

Key Responsibilities:

Perform initial, concurrent, and post-service review activities
Coordinate discharge care and assist with quality assurance of medical necessity reviews
Act as a liaison between providers/facilities and adhere to utilization management productivity metrics

Required Qualifications:

Graduate of an accredited school of nursing with a current RN license
5 years of relevant experience, including 2 years in Utilization Management and 3 years in clinical settings
Clinical Denials Experience
Bachelor's or master's degree in Nursing (preferred)
Health plan based utilization review experience (preferred)

COMPLETE JOB DESCRIPTION

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Job is Expired

Company Overview

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