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Utilization Review RN

Company: VirtualVocations
Location: Mesquite
Posted on: November 12, 2024

Job Description:

A company is looking for a Remote Utilization Review RN.



Key Responsibilities

Perform initial, concurrent, and post-service review activities and discharge care coordination
Support care management by collaborating with providers, facilities, and other professional staff
Complete documentation in accordance with client benefits, guidelines, and regulatory requirements


Required Qualifications

Graduate of an accredited school of nursing, RN
Current Registered Nurse license
6+ years of clinical experience, Utilization Management, and Clinical Denials
Bachelor's or master's degree in Nursing is preferred
Health plan-based utilization review experience is a plus

Keywords: VirtualVocations, Mesquite , Utilization Review RN, Healthcare , Mesquite, Texas

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