West Virginia Licensed Utilization Review RN
Company: VirtualVocations
Location: Gary
Posted on: February 4, 2025
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Job Description:
A company is looking for a Utilization Review RN.
Key Responsibilities
Review and assess clinical information to support Utilization
Management decisions
Facilitate communication with payors to ensure authorization
processes are completed effectively
Collaborate with interdisciplinary teams to manage concurrent
denials and optimize reimbursement
Required Qualifications
Bachelor's degree in nursing
Current unencumbered licensure as a registered professional
nurse
Three years of clinical experience in a hospital setting
Prior case management experience preferred
Knowledge of federal regulations and payor requirements
Keywords: VirtualVocations, Palatine , West Virginia Licensed Utilization Review RN, Healthcare , Gary, Illinois
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